Case report: Supratherapeutic tacrolimus concentrations with nirmatrelvir/ritonavir in a lung transplant patient: a case report using Rifampin for reversal

Y Xiong, X Wang, S Li, Q Zhang, L Guo… - Frontiers in …, 2023 - frontiersin.org
Paxlovid (nirmatrelvir/ritonavir) is an antiviral drug used to treat COVID-19, nirmatrelvir, a
SARS-CoV-2 main protease inhibitor, works by inhibiting viral replication in the early stages …

A case report of a prolonged decrease in tacrolimus clearance due to co-administration of nirmatrelvir/ritonavir in a lung transplant recipient receiving itraconazole …

A Tsuzawa, Y Katada, K Umemura, M Sugimoto… - … Health Care and …, 2023 - Springer
Background Drug-drug interaction management is complex. Nirmatrelvir/ritonavir is a potent
cytochrome P450 (CYP) 3A inhibitor and influences pharmacokinetics of co-administered …

Paxlovid (nirmatelvir/ritonavir) and tacrolimus drug-drug interaction in a kidney transplant patient with SARS-2-CoV infection: a case report

M Prikis, A Cameron - Transplantation Proceedings, 2022 - Elsevier
The novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic has
had a significant impact on communities and health systems. New antiviral medications …

Nirmatrelvir/ritonavir-induced elevation of blood tacrolimus levels in a patient in the maintenance phase post liver transplantation

H Shiohira, S Arakaki, W Uehara, H Uehara… - Journal of Infection and …, 2024 - Elsevier
Nirmatrelvir is an orally administered anti-SARS-CoV-2 drug used in combination with
ritonavir, the drug-metabolizing cytochrome P450 (CYP) 3A inhibitor, to evade metabolism …

Elevated Tacrolimus Blood Concentration Due to the Interaction with Nirmatrelvir/Ritonavir During COVID-19 Treatment: A Case Report

CG Cordero, MST de Vicente - Transplantation Proceedings, 2023 - Elsevier
Background Nirmatrelvir/ritonavir, a newly authorized drug for the treatment of COVID-19, is
a strong CYP3A4 inhibitor that can interact with many drugs, such as tacrolimus, reducing its …

Tacrolimus drug–drug interaction with nirmatrelvir/ritonavir (Paxlovid™) managed with phenytoin

M Sindelar, D McCabe, E Carroll - Journal of Medical Toxicology, 2023 - Springer
Introduction The novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2 or
COVID-19) pandemic has had a significant impact on communities and health systems. The …

Supratherapeutic tacrolimus concentrations with nirmatrelvir/ritonavir in solid organ transplant recipients requiring hospitalization: a case series using rifampin for …

DT Rose, SM Gandhi, RA Bedard… - Open Forum …, 2022 - academic.oup.com
Nirmatrelvir/ritonavir was recently granted emergency use authorization for mild to moderate
coronavirus disease 2019. Drug–drug interactions between ritonavir and tacrolimus are …

Case report: Nirmatrelvir/Ritonavir and tacrolimus in a kidney transplant recipient with COVID-19

KE Lindauer, AG Hamel - American Family Physician, 2022 - aafp.org
To the Editor: A 41-year-old female patient with a history of renal transplant presented to the
emergency department with nausea, vomiting, and tremors. The patient had been …

Elevated tacrolimus levels after treatment with nirmatrelvir/ritonavir (Paxlovid) for COVID-19 infection in a child with a kidney transplant

C Young, T Papiro, JH Greenberg - Pediatric Nephrology, 2023 - Springer
Background Paxlovid (nirmatrelvir/ritonavir) is a novel drug available under emergency use
authorization by the Food and Drug Administration for the treatment of COVID-19 infection …

[HTML][HTML] Paxlovid with caution: novel case of paxlovid-induced tacrolimus toxicity in a cardiac transplant patient

A Shah, A Nasrullah, MA Butt… - European Journal of Case …, 2022 - ncbi.nlm.nih.gov
Tacrolimus is commonly used as a prophylactic against acute rejection in transplant
patients. Tacrolimus toxicity has numerous presentations that have been well documented in …