Nelfinavir

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Definition
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Virustatic. Inhibitor of HIV protease.

Indication
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Antiretroviral combination therapy for the treatment of HIV-1 infection in patients > 3 years.

Notice!

Consideration of the viral resistance pattern and pretreatment of the patient especially with other protease inhibitors!

Dosage and method of use
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  • Pat. > 13 y.: 3 times/day 750 mg or 2 times/day 1250 mg p.o. (to be taken with meals).
  • Pat. 3-13 yrs. 3 times/day 25-30 mg/kg bw or twice/day 50-55 mg/kg bw p.o.

Undesirable effects
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Gastrointestinal symptoms such as nausea (5% of patients), diarrhea (20-30%), cutaneous NW (3-5% of patients) such as erythema, erythema exudativum multiforme, erythema nodosum. Rarely gynecomastia.

Interactions
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Simultaneous administration of Nelfinavir and strong CYP 3A inhibitors such as ketoconazole, leads to an increase in the level of action of Nelfinavir.

Contraindication
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Patient with severe liver and kidney dysfunction (e.g. WHO group III-IV), children < 3 years. Comedication with rifampicin or CYP3A4 substrates such as terfenadine, St. John's wort, cisapride, pimozide, antidepressants (e.g. diazepam, midazolam, flurazepam) ergotamine derivatives, astemizole, etc.

Preparations
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Viracept

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Last updated on: 29.10.2020