Nirmatrelvir/Ritonavir Pfizer

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Dose Adjustments1​​​​​​​Dosing adjustments for renal impairment
  • In patients with moderate renal impairment, the dose of Nirmatrelvir/Ritonavir Pfizer should be reduced to nirmatrelvir/ritonavir 150 mg/100 mg (1 tablet of each) twice daily for 5 days.
Nirmatrelvir/Ritonavir Pfizer recommended dosage for 5 consecutive days in moderate renal impairment1 Morning Dose
  • One pink 150-mg tablets of nirmatrelvir
  • One white 100-mg tablet of ritonavir

Patients should take both tablets together.

Evening Dose
  • One pink 150-mg tablets of nirmatrelvir
  • One white 100-mg tablet of ritonavir

Patients should take both tablets together.

  • No dose adjustment of Nirmatrelvir/ ritonavir Pfizer is required for patients with mild renal impairment (eGFR ≥60 to <90 mL/min)1​​​​​​​
  • Nirmatrelvir/ ritonavir Pfizer is not recommended in patients with severe renal impairment (eGFR <30 mL/min)
Dosing adjustments for hepatic impairment1
  • No dose adjustment of Nirmatrelvir/ ritonavir Pfizer is required for patients with either mild (Child-Pugh Class A) or moderate (Child-Pugh Class B) hepatic impairment1
  • Nirmatrelvir/ ritonavir Pfizer is not recommended in patients with severe hepatic impairment
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Reference: 1. Nirmatrelvir/ ritonavir Pfizer Summary of Product Characteristics.
Dosing

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