Nelfinavir

Table of contents

  • Brand Names
  • Chemistry
  • Pharmacologic Category
  • Mechanism of Action
  • Therapeutic Use
  • Pregnancy and Lactation Implications
  • Contraindications
  • Warnings and Precautions
  • Adverse Reactions
  • Caution and personalized dose adjustment in patients with the following genotypes
  • Other genes that may be involved
  • Substrate of
  • Inhibits
  • Induces
  • Drug Interactions
  • Nutrition/Nutraceutical Interactions
  • Dosage
  • Pharmacokinetics and Pharmacodynamics
  • Special Considerations

Brand Names

Europe

Austria: Viracept; Belgium: Viracept; Bulgaria: Viracept; Cyprus: Viracept; Czech Republic: Viracept; Denmark: Viracept; Estonia: Viracept; Finland: Viracept; France: Viracept; Germany: Viracept; Greece: Viracept; Hungary: Viracept; Ireland: Viracept; Italy: Viracept; Latvia: Viracept; Lithuania: Viracept; Luxembourg: Viracept; Malta: Viracept; Netherlands: Viracept; Poland: Viracept; Portugal: Viracept; Romania: Viracept; Slovakia: Viracept; Slovenia: Viracept; Spain: Viracept; Sweden: Viracept; UK: Viracept.

North America

Canada: Viracept; USA: Viracept.

Latin America

Argentina: Nalvir, Nemacina, Retroinhi; Brazil: Viracept.

Asia

Japan: Viracept.

Drug combinations

Chemistry

Nelfinavir Mesylate: C~32~H~45~N~3~O~4~S CH~4~O~3~S. Mw: 663.89. (1) 3-Isoquinolinecarboxamide, N-(1,1-dimethylethyl)decahydro-2-[2-hydroxy-3-[(3-hydroxy-2-methylbenzoyl)amino]-4-(phenylthio)butyl]-, [3S-[2(2S*,3S*),3α,4aβ,8aβ]]-;monomethanesulfonate; (2)(3S,4aS,8aS)-N-tert-Butyl-2-[(2R,3R)-3-(3,2-cresotamido)-2-hydroxy-4-(phenylthio)butyl]decahydro-3-isoquinolinecarboxamide monomethanesulfonate. CAS-159989-65-8; CAS-159989-64-7 (nelfinavir)(1996).

Pharmacologic Category

Antiretrovirals; HIV Protease Inhibitors. (ATC-Code: J05AE04).

Mechanism of action

Inhibits HIV-1 protease, thus preventing cleavage of gag-pol polyprotein resulting in production of immature, noninfectious virus.

Therapeutic use

In combination with other antiretroviral therapy in treatment of HIV infection.

Pregnancy and lactiation implications

Adverse events not observed in animal studies and no increased risk of overall birth defects observed following 1^st^ trimester exposure in humans. Nelfinavir crosses placenta. Pregnancy and protease inhibitors both associated with increased risk of hyperglycemia. Contraindicated in nursing women.

Unlabeled use

Contraindications

Hypersensitivity to nelfinavir or any component of the formulation. Concurrent therapy with amiodarone, ergot derivatives, midazolam, pimozide, quinidine, triazolam.

Warnings and precautions

May cause fat redistribution. Patients may develop immune reconstitution syndrome resulting in occurrence of inflammatory response to indolent or residual opportunistic infection. Changes in glucose tolerance, hyperglycemia, exacerbation of diabetes, DKA, and new-onset diabetes mellitus reported in patients receiving protease inhibitors. Use with caution in hemophilia A or B (increased bleeding during protease inhibitor therapy reported). May cause hepatitis and/or exacerbate pre-existing hepatic dysfunction (use with caution in underlying hepatic disease, such as hepatitis B or C or cirrhosis; use not recommended with moderate-to-severe impairment). Use with caution in patients taking strong CYP3A4 inhibitors, moderate or strong CYP3A4 inducers and major CYP3A4 substrates. Not recommended for use with rifampin, St. John’s wort, lovastatin, simvastatin, phosphodiesterase-5 inhibitors, or proton pump inhibitors (based on omeprazole data). Formulation contains phenylalanine.

Information

Legal

Legal Notice
Privacy Policy
Cookie Policy

Contact

Phone: +34-981-780505
Email: genomicmedicine@wagem.org
Location: Sta Marta de, C. P. Babío, S/N, 15165 Bergondo, A Coruña

Copyright © 2023 WAGEM

Add to cart