Nirmatrelvir/ritonavir (Paxlovid)

Dosing: Adult Antimicrobial Dosing, Non-dialysis

Indication CrCl > 60 mL/min 30 - 60 mL/min < 30 mL/min
All Indications 300/100 mg PO BID 150/100 mg PO BID 300/100 mg PO x1 on day 1, then 150/100 mg PO daily thereafter​

Dosing: Antimicrobial Dosing in Intermittent & Continuous Hemodialysis

Indication

Intermittent Hemodialysis

Continuous Hemodialysis
All Indications 300/100 mg PO x1 on day 1, then 150/100 mg PO qPM thereafter​ No data

Dialysis Notes

Review medications for potential drug interactions.

Restricted to ASP or ID consult service (with exceptions):

- Inpatients (or those in the ED pending admission) with mild-moderate COVID-19 with symptom onset within 5 days and high-risk for progression who are admitted for reasons other than COVID-19 (see CDC Website for high-risk criteria)

References: