Indinavir

Author: Prof. Dr. med. Peter Altmeyer

All authors of this article

Last updated on: 29.10.2020

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Definition
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Pharmacodynamics (Effect)
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Inhibitor of the HIV-associated protease.

Indication
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Combination therapy of HIV infection.

Limited indication
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Nephrolithiasis and hyperuricemia in medical history, pregnancy, children.

Dosage and method of use
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  • 3 times/day 800 mg p.o. as mono-protease inhibitor.
  • Combination therapy with ritonavir: 2 times/day 400 mg indinavir + 2 times/day 100 mg ritonavir p.o.

Undesirable effects
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Kidney pain and stones, hyperbilirubinemia > 2.5 mg/l, insomnia, pharyngitis, dry skin, altered taste perception.

Notice! Stop therapy if hyperbilirubinemia > 5 mg/l.

Interactions
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When taking ketoconazole, reduce the dose of indinavir to 3 times/day 600 mg p.o.; when taking rifabutin in parallel, reduce rifabutin by half.

Preparations
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Crixivan

Patientinformation
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Remember! High liquid intake (min. 3 litres/day). Take 1 hour before or 2 hours after meals. Exception: light breakfast with cornflakes, milk, sugar, coffee!

Literature
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  1. Eron JJ JR. (2002) HIV-1 protease inhibitors. Clin Infect Dis 30: 160-170

Outgoing links (2)

Protease, viral; Virustatics;

Authors

Last updated on: 29.10.2020