December 1997
| Drug Category | Potential Alternatives |
|---|---|
|
Antimycobacterial (anti-TB or anti-MAC):
rifabutin |
azithromycin (Zithromax), ethambutol (Myambutol) |
|
Sedative/hypnotic:
triazolam (Halcion) |
very limited clinical experience |
| Ergot derivatives (anti-migraine): | very limited clinical experience |
|
Cold and allergy antihistamines:
terfenadine (Seldane) |
loratadine (Claritin) |
|
Gastrointestinal:
|
very limited clinical experience |
| Drug Category | Potential Alternatives |
|---|---|
|
Antimycobacterial (Anti-TB or anti-MAC):
|
clarithromycin (Biaxin) azithromycin (Zithromax) ethambutol (Myambutol) |
|
Cold and allergy antihistamines:
terfenadine (Seldane) |
loratadine (Claritin) |
|
Gastrointestinal:
|
very limited clinical experience |
| Sedative/hypnotic | midazolam (Versed) triazolam (Halcion) |
| Drug Category | Potential Alternatives |
|---|---|
|
Analgesic (pain reliever):
piroxicam (Feldene) propoxyphene (Darvon, others) |
acetaminophen (Tylenol, others) aspirin (Bayer, others) oxycodone (Percocet, others) |
|
Cardiovascular (for the heart):
flecainide (Tambocor) propafenone (Rythmol) quinidine (various) |
very limited clinical experience |
|
Antimycobacterial (Anti-TB or anti-MAC):
|
clarithromycin (Biaxin) azithromycin (Zithromax) ethambutol (Myambutol) |
|
Calcium Channel Blocker (for the heart):
|
very limited clinical experience |
|
Ergot Alkaloid (vasoconstrictor):
Ergotamine (various) |
|
|
Cold and allergy antihistamines:
terfenadine (Seldane) |
loratadine (Claritin) |
|
Gastrointestinal:
|
very limited clinical experience |
|
Psychotropic (antidepressant):
|
fluoxetine (Prozac) desipramine (Norpramin) |
|
Psychotropic (neuroleptic):
pimozide (Orap) |
very limited clinical experience |
|
Sedative/hypnotic:
clorazepate (Tranxene) diazepam (Valium) estazolam (ProSom) flurazepam (Dalmane) midazolam (Versed) triazolam (Halcion) zolpidem (Ambien) |
Temazepam (Restoril) Lorazepam (Ativan) |
* Please note that alternatives may not be therapeutically equivalent
References: Product Labeling
Invirase™ (December 6, 1995)
Norvir™ (March 1, 1996)
Drug Interactions: Physician Guide
Crixivan™ (March 13, 1996)
Fortovase™ (November 7, 1997)
| Drug Category | Drugs that may interact with ritonavir (Norvir) |
|---|---|
| Analgesics, Narcotics (pain relievers) | alfentanil (Alfenta) fentanyl (Sublimaze) |
| Antiarrhythmics (for the heart) | disopyramide (Norpace) lidocaine (Xylocaine, others) |
| Anticoagulants (for the blood) | R-warfarin (Coumadin) |
| Anticonvulsants | carbamazepine (Tegretol) clonazepam (Klonopin) ethosuximide (Zarontin) |
| Antihistamine | loratadine (Claritin) |
| Antidepressants, other | nefazodone (Serzone) sertraline (Zoloft) trazodone (Desyrel) |
| Antiemetics | dronabinol (Marinol) ondansetron (Zofran) |
| Antimycobacterial (anti-TB or anti-MAC) | rifampin (Rifadin, others) |
| Antiparasitics | quinidine (various) |
| Calcium Channel Blockers | amlodipine (Norvasc) diltiazem (Cardizem, Diltiazem) felodipine (Plendil) isradipine (DynaCirc) nicardipine (Cardene) nifedipine (Adalat, Procardia) nimodipine (Nimotop) nisoldipine (Sular) verapamil (Calan, Isoptin) |
| Cancer chemotherapeutic agents | etoposide (VePesid) paclitaxel (Taxol) tamoxifen (Nolvadex, others) vinblastine (Velban) vincristine (Oncovin) |
| Corticosteriods | dexamethasone (Decadron, others) prednisone (various) |
| Hypolipidemics | lovastatin (Mevacor) pravastatin (Pravachol) |
| Immunosuppressants | cyclosporine (Sandimmune, Neoral) tacrolimus (Prograf) |
The following is a list of medications that may potentially interact with nelfinavir therapy.
| Drug Category | Drugs that may interact |
|---|---|
| Anticonvulsants | carbamazepine (Tegretol) phenobarbital phenytoin (Dilantin) |
| Anti-HIV protease inhibitors | indinavir (Crixivan) ritonavir (Norvir) |
| Oral contraceptives (birth control pills) | ethinyl estradiol norethindrone |