About COVID-19 and risk factors
What is COVID-19 and how does it spread?
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are inhaled, or
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land on the eyes, nose, or mouth, or
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are introduced to the eyes, nose, or mouth with hands that have the virus on them.
What are the symptoms of COVID-19 ?
According to the Centers for Disease Control and Prevention (CDC), common
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Fever or chills
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Cough
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Shortness of breath or difficulty breathing
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Fatigue
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Muscle or body aches
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Headache
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New loss of taste or smell
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Sore throat
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Congestion or runny nose
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Nausea or vomiting
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Diarrhea
Have a child with a high-risk factor and mild-to-moderate COVID-19? Talk to a healthcare professional.
What does it mean to progress to severe COVID-19 ?
Severe
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Hospitalization
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Needing a ventilator to receive adequate oxygen
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Death
Even if symptoms are mild now, they can get worse quickly. Symptoms are more likely to progress if a person has certain risk factors.
Who is more likely to progress to severe COVID-19 ?
People of all ages or groups can be infected with
Having a high-risk factor puts patients at risk
of progression to severe
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Health conditions and diseases
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Obesity
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Recent pregnancy†
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Mental health conditions
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Lifestyle factors
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Disabilities
Learn more about risk factors for severe
In addition, a person’s risk increases with each underlying medical condition they have.
Some people are at increased risk of getting very sick or dying from COVID-19 because of where they live or work, or because they can’t get healthcare. This includes many patients from racial and ethnic minority groups and people with disabilities.
Caregivers can speak to a healthcare professional to help determine risk status for a child even before a positive COVID-19 result.
*This list is subject to change based on Centers for Disease Control and Prevention (CDC) guidance. Visit the CDC website for the latest information and the full list of high-risk factors: https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/people-with-medical-conditions.html. By clicking this link, you will be redirected to a website that is neither owned nor controlled by Pfizer. Pfizer is not responsible for the content or services of this site.
†It is not known if PAXLOVID is safe to use during pregnancy. If the patient is pregnant and you suspect they may have COVID-19, talk to a healthcare professional about whether treatment is right for them.
About PAXLOVID
What does an EUA of PAXLOVID mean?
PAXLOVID has been authorized for emergency use by the FDA under an EUA for the treatment of mild-to-moderate COVID-19 in children (12 years of age and older weighing at least 88 pounds [40 kg]) who are at high risk for progression to severe COVID-19, including hospitalization or death.
The emergency use of PAXLOVID is only authorized for the duration of the declaration that circumstances exist justifying the authorization of the emergency use of drugs and biological products during the COVID-19 pandemic under Section 564(b)(1) of the Act, 21 U.S.C. § 360bbb-3(b)(1), unless the declaration is terminated or authorization revoked sooner.
According to the FDA, an EUA is a mechanism to facilitate the availability and use of medical countermeasures during public health emergencies, such as the current COVID-19 pandemic. Under an emergency use authorization, the FDA may allow the use of unapproved medical products, or unapproved uses of approved medical products, in an emergency to diagnose, treat, or prevent serious or life-threatening diseases or conditions when certain statutory criteria have been met, including that there are no adequate, approved, and available alternatives.
How was PAXLOVID studied?
PAXLOVID was studied in a clinical trial that included 2113 adults
from around the world. All participants were unvaccinated adults,
at risk for progression to severe
The primary goal of the clinical trial was to see how well
PAXLOVID worked to reduce the risk of
Learn more about how PAXLOVID was studied and see the results.
How does PAXLOVID work?
Viruses spread in the body by making copies of themselves. If there are enough copies of the virus in the patient's body, it may be hard for their immune system to fight the infection off. PAXLOVID works to stop the virus from multiplying and reduces the amount of it in the patient's body.
Getting PAXLOVID
What should be discussed with a healthcare professional to determine if PAXLOVID is an option?
It's important for caregivers of patients with mild-to-moderate COVID-19 and a high-risk factor for developing severe COVID-19 to tell a healthcare professional about the patient's symptoms as soon as possible. Learn more about high-risk factors.
Tell a healthcare professional about all medicines the patient is taking, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Some medicines can interact with PAXLOVID and cause severe or life-threatening side effects or death. Keep a list of medicines to show a healthcare professional and pharmacist when it's time to get a new medicine.
You or the patient can ask a healthcare professional or pharmacist for a list of medicines that interact with PAXLOVID. Do not start taking a new medicine without telling a healthcare professional.
Additionally, you or the patient can tell a healthcare professional if the patient has any allergies, has liver or kidney problems, has Human Immunodeficiency Virus 1 (HIV-1) infection, is pregnant or plans to become pregnant, or is breastfeeding or plans to breastfeed.
Tell a healthcare professional if taking a combined hormonal contraceptive. PAXLOVID may affect how birth control works. People who are able to become pregnant should use another effective alternative form of contraception or an additional barrier method of contraception. Talk to a healthcare professional if you or the patient have any questions about contraceptive methods that might be right for the patient.
The patient should not take PAXLOVID if allergic to nirmatrelvir, ritonavir, or any of the ingredients in PAXLOVID.
How much does PAXLOVID cost?
If your loved one or someone you know is commercially insured, they could pay as little as $0* on their PAXLOVID prescription. Enroll in the Co-Pay Savings Program to see if you’re eligible for savings.
You or the patient may still qualify for PAXLOVID at no charge,† or for other programs.‡ Please reach out to
*Eligible commercially insured patients can save up to $1,500 per prescription. Annual savings up to $1,500. Federal and state healthcare insurance beneficiaries are not eligible. Terms and conditions apply. Full terms and conditions for the Co-Pay Program may be found here.
†Other administrative fees may apply.
‡With a focus on ensuring access for patients, the U.S. Government Patient Assistance Program (USG PAP) operated by Pfizer will continue to provide patients on Medicare, Medicaid, TRICARE, VA Community Care Network, and those who are uninsured access to PAXLOVID for free through December 31, 2024. PAXLOVID through USG PAP is not available to patients who have commercial prescription drug health insurance. The USG PAP operated by Pfizer is an independent program with separate eligibility requirements offered by the United States Department of Health and Human Services and is not owned by Pfizer. Terms and conditions apply. Full terms and conditions for the USG PAP may be found here.
What type of COVID-19 test should be taken?
Any available FDA-authorized or FDA-approved COVID-19 viral test (eg, RT-PCR, rapid antigen) can be used to determine if you have COVID-19. Per the FDA, a viral test checks specimens from the nose or mouth and can be performed in a laboratory, at a testing site, at home, or anywhere else. This page can help you find a testing provider.
If you suspect your loved one has COVID-19 and has a high-risk factor, speak to a healthcare professional as soon as possible.
For more information on
*By clicking this link, you will be redirected to a website that is neither owned nor controlled by Pfizer. Pfizer is not responsible for the content or services of this site.
How does one get PAXLOVID?
Patients can get PAXLOVID with a prescription from a physician, advanced practice registered nurse, or physician assistant. As of July 6, 2022, state-licensed pharmacists have also been authorized to prescribe PAXLOVID.
To determine eligibility for a PAXLOVID prescription from a pharmacist, bring the following information:
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Electronic or printed health records less than 12 months old, including recent laboratory blood work, for the pharmacist to review for kidney or liver problems. Pharmacists can also receive this information through your healthcare professional
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A list of all medications the patient is taking, including over-the-counter medications, so the pharmacist can screen for drugs with potentially serious interactions with PAXLOVID
Where can someone get their prescription for PAXLOVID filled?
PAXLOVID is widely available at many pharmacies, hospitals, urgent care centers, and other healthcare facilities.
Locations of publicly available
*By clicking this link, you will be redirected to a website that is neither owned nor controlled by Pfizer. Pfizer is not responsible for the content or services of this site.
When should someone start taking PAXLOVID?
PAXLOVID should be started within 5 days of when symptoms start, so talk to a healthcare professional as soon as possible.
What is the Test to Treat initiative?
The Test to Treat initiative* can help people get tested for
*By clicking this link or calling this phone number, you will be redirected to a website or service that is neither owned nor controlled by Pfizer. Pfizer is not responsible for the content of this site or service.
Taking PAXLOVID
How is PAXLOVID taken?
PAXLOVID consists of 2 medicines: nirmatrelvir and ritonavir.
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If the patient is prescribed the standard dose pack (300 mg nirmatrelvir; 100 mg ritonavir): They should take 2 pink tablets of nirmatrelvir with 1 white to off-white tablet of ritonavir by mouth 2 times each day (in the morning and in the evening) for 5 days. For each dose, take all 3 tablets at the same time
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If the patient has kidney problems, talk to a healthcare professional. They may need a different dose
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If the patient is prescribed the reduced dose pack (150 mg nirmatrelvir; 100 mg ritonavir): They should take 1 pink tablet of nirmatrelvir with 1 white to off-white tablet of ritonavir by mouth 2 times each day (in the morning and in the evening) for 5 days. For each dose, take both tablets at the same time
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Patients should swallow the tablets whole. Do not chew, break, or crush the tablets
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Patients should take PAXLOVID with or without food
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Patients should not stop taking PAXLOVID without talking to a healthcare professional, even if they feel better
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If the patient is taking a ritonavir- or cobicistat-containing medicine to treat hepatitis C or Human Immunodeficiency Virus 1 (HIV-1) infection, they should continue to take the medicine as prescribed by a healthcare professional
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Talk to a healthcare professional if the patient does not feel better or if they feel worse after 5 days
What if a dose is missed?
If a dose of PAXLOVID is missed within 8 hours of the time it is usually taken, take it as soon as you remember. If a dose is missed by more than 8 hours, skip the missed dose and take the next dose at the regular time. Do not take 2 doses of PAXLOVID at the same time.
What if too much PAXLOVID is taken?
If the patient takes too much PAXLOVID, call a healthcare professional or go to the nearest hospital emergency room right away.
Do patients need to continue treatment if they feel better before completing the full treatment course?
The patient should not stop taking PAXLOVID without talking to a healthcare professional, even if they feel better.
Safety
What are the possible side effects of taking PAXLOVID?
PAXLOVID may cause side effects, some of which may be serious, such as allergic reactions or liver problems. The list below doesn't include all of the possible side effects of PAXLOVID. For more information, ask your healthcare professional or pharmacist.
Allergic reactions: Allergic reactions, including severe allergic reactions (known as “anaphylaxis”) can happen in patients taking PAXLOVID. Stop taking PAXLOVID and call a healthcare professional right away if the patient gets any of the following symptoms of an allergic reaction:
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Skin rash, hives, blisters, or peeling skin
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Painful sores or ulcers in the mouth, nose, throat, or genital area
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Swelling of the mouth, lips, tongue, or face
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Trouble swallowing or breathing
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Throat tightness
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Hoarseness
Liver problems: Tell a healthcare professional right away if the patient gets any of the following signs and symptoms of liver problems while taking PAXLOVID:
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Loss of appetite
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Yellowing of the skin and the whites of the eyes
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Dark-colored urine
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Pale-colored stools
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Itchy skin
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Stomach-area (abdominal) pain
The most common side effects of PAXLOVID include: altered sense of taste and diarrhea.
Other possible side effects include: headache, vomiting, abdominal pain, nausea, high blood pressure, feeling generally unwell.
Report side effects to FDA MedWatch at
www.fda.gov/medwatch* or call
Website | Fax number | Telephone number |
---|---|---|
www.pfizersafetyreporting.com |
|
|
*By clicking this link, you will be redirected to a website that is neither owned nor controlled by Pfizer. Pfizer is not responsible for the content or services of this site.
Website |
---|
www.pfizersafetyreporting.com |
Fax number |
|
Telephone number |
|
*By clicking this link, you will be redirected to a website that is neither owned nor controlled by Pfizer. Pfizer is not responsible for the content or services of this site.
How can the tablets be verified as authentic?
PAXLOVID must be prescribed by a licensed healthcare professional and supplied by a government-approved pharmacy or medical facility.
Authentic PAXLOVID, from Pfizer Inc., will include the Pfizer name on the label and will be packaged in several aluminum push-through blister cards. Individual doses are not for sale. PAXLOVID will be packaged in a carton. The carton has a colorless, glossy coating that contains a repeated pattern of the Pfizer name and logo all over, and these repeating features are seen in a contrasting matte finish.
PAXLOVID consists of tablets for a 5-day oral treatment regimen, with morning and evening doses.
NOTE: Patients with moderate kidney disease may receive a carton with daily blister cards that have been modified to ensure they receive the correct dose.
To help determine whether the tablets are authentic, look for specific text on each side of the tablets
Tablet | Embossed Text |
---|---|
nirmatrelvir | Front: 3CL | Back: PFE |
ritonavir, manufactured by AbbVie | Front: NK | Back: No text |
For packaging options and information, visit the PAXLOVID Packaging Flashcard.
Pfizer is committed to patient safety and ensuring that people have accurate information about PAXLOVID, including how it is accessed and administered. We are actively monitoring for fraudulent offers of illegitimate PAXLOVID to protect patients from products that might be dangerous and lead to serious and life-threatening harm.
If you or the patient suspect the product you have received may be counterfeit, contact us at
For packaging options and information, see the Patient PAXLOVID Packaging Flashcard.
For more information
For more information
Contact one of the following groups:
For medical information visit www.pfizermedicalinformation.com
or
For general product inquiries
Important Safety Information
Significant Drug Interactions. PAXLOVID can interact with other medicines, causing severe or life-threatening side effects or death. Do not take PAXLOVID if you are taking any of the following medicines:
- alfuzosin
- amiodarone
- apalutamide
- carbamazepine
- colchicine
- dihydroergotamine
- dronedarone
- eletriptan
- eplerenone
- ergotamine
- finerenone
- flecainide
- flibanserin
- ivabradine
- lomitapide
- lovastatin
- lumacaftor/ivacaftor
- lurasidone
- methylergonovine
- midazolam (oral)
- naloxegol
- phenobarbital
- phenytoin
- pimozide
- primidone
- propafenone
- quinidine
- ranolazine
- rifampin
- rifapentine
- St. John’s Wort (hypericum perforatum)
- sildenafil (Revatio®) for pulmonary arterial hypertension
- silodosin
- simvastatin
- tolvaptan
- triazolam
- ubrogepant
- voclosporin
These are not the only medicines that may cause serious or life-threatening side effects if taken with PAXLOVID. PAXLOVID may increase or decrease the levels of other medicines. It is very important to tell your healthcare professional about all the medicines you are taking, including prescription and over-the-counter medicines, vitamins, and herbal supplements, because additional laboratory tests or changes in the dose of your other medicines may be necessary during treatment with PAXLOVID. Your healthcare professional may also tell you about specific symptoms to watch out for that may indicate that you need to stop or decrease the dose of some of your other medicines. Do not start taking a new medicine without telling your healthcare professional.
Before taking PAXLOVID, tell your healthcare professional about all your medical conditions, including if you:
- have kidney or liver problems, including hepatitis.
- have Human Immunodeficiency Virus 1 (HIV-1) infection. PAXLOVID may lead to some
HIV-1 medicines not working as well in the future. - are pregnant, plan to become pregnant, breastfeeding, or plan to breastfeed.
Tell your healthcare professional if you are taking combined hormonal contraceptive (birth control). PAXLOVID may affect how your birth control works. People who can become pregnant should use another or an alternative effective form of birth control.
PAXLOVID may cause serious side effects, including:
-
Allergic reactions, including severe allergic reactions (anaphylaxis). Do not take PAXLOVID if you are allergic to nirmatrelvir, ritonavir, or any of the ingredients in PAXLOVID. Stop taking PAXLOVID and call your healthcare professional right away if you get any of the following symptoms of an allergic reaction:
- skin rash, hives, blisters, or peeling skin
- painful sores or ulcers in the mouth, nose, throat, or genital area
- trouble swallowing or breathing
- swelling of the mouth, lips, tongue, or face
- hoarseness
- throat tightness
-
Liver problems. Tell your healthcare professional right away if you have any of the following signs and symptoms of liver problems during treatment with PAXLOVID:
- loss of appetite
- yellowing of your skin and the whites of your eyes
- dark-colored urine
- pale-colored stools
- itchy skin
- stomach-area (abdominal) pain
The most common side effects of PAXLOVID include: altered sense of taste and diarrhea.
Other possible side effects include:
- headache
- abdominal pain
- vomiting
- high blood pressure
- nausea
- feeling generally unwell
These are not all of the possible side effects of PAXLOVID. For more information, ask your healthcare professional or pharmacist.
There is limited experience treating pregnant women or breastfeeding mothers with PAXLOVID.
For a mother and unborn baby, the benefit of taking PAXLOVID may be greater than the risk
from the treatment. It is recommended that you use effective barrier contraception or do not
have sexual activity while taking PAXLOVID. If you are pregnant or breastfeeding, discuss
your options and specific situation with your healthcare professional.
Take PAXLOVID exactly as your healthcare professional tells you. If you take too much PAXLOVID, call your healthcare professional or go to the nearest hospital emergency room right away. If you are taking a ritonavir- or cobicistat-containing medicine to treat hepatitis C or HIV-1 infection, you should continue to take your medicine as prescribed.
Talk to your healthcare professional if you do not feel better or if you feel worse after 5 days.
Contact your healthcare professional if you have any side effects that
bother you or do not
go away.
Report side effects or problems with the appearance or packaging of
PAXLOVID to
FDA MedWatch at
www.fda.gov/medwatch
or call 1-800-FDA-10881-800-FDA-1088,
or you can report side
effects to Pfizer Inc. at
www.pfizersafetyreporting.com, by fax at 1-866-635-83371-866-635-8337,
or by
calling 1-800-438-19851-800-438-1985.
Please see Fact Sheet for Healthcare Providers and Fact Sheet for Patients, Parents, and Caregivers.
The FDA has authorized the emergency use of PAXLOVID for the treatment of mild-to-moderate
PAXLOVID is not FDA-approved or available under EUA for use in children younger than 12 years of age or weighing less than 88 pounds (40 kg). There is limited information about the safety and effectiveness of using PAXLOVID in these patients.
Please see Fact Sheet for Healthcare Providers and Fact Sheet for Patients, Parents, and Caregivers.
AUTHORIZED USE
The FDA has authorized the emergency use of PAXLOVID for the treatment of mild-to-moderate
PAXLOVID is not FDA-approved or available under EUA for use in children younger than 12 years of age or weighing less than 88 pounds (40 kg). There is limited information about the safety and effectiveness of using PAXLOVID in these patients.
Please see Fact Sheet for Healthcare Providers and Fact Sheet for Patients, Parents, and Caregivers.
Important Safety Information
Significant Drug Interactions. PAXLOVID can interact with other medicines, causing severe or life-threatening side effects or death. Do not take PAXLOVID if you are taking any of the following medicines:
- alfuzosin
- amiodarone
- apalutamide
- carbamazepine
- colchicine
- dihydroergotamine
- dronedarone
- eletriptan
- eplerenone
- ergotamine
- finerenone
- flecainide
- flibanserin
- ivabradine
- lomitapide
- lovastatin
- lumacaftor/ivacaftor
- lurasidone
- methylergonovine
- midazolam (oral)
- naloxegol
- phenobarbital
- phenytoin
- pimozide
- primidone
- propafenone
- quinidine
- ranolazine
- rifampin
- rifapentine
- St. John’s Wort (hypericum perforatum)
- sildenafil (Revatio®) for pulmonary arterial hypertension
- silodosin
- simvastatin
- tolvaptan
- triazolam
- ubrogepant
- voclosporin
These are not the only medicines that may cause serious or life-threatening side effects if taken with PAXLOVID. PAXLOVID may increase or decrease the levels of other medicines. It is very important to tell your healthcare professional about all the medicines you are taking, including prescription and over-the-counter medicines, vitamins, and herbal supplements, because additional laboratory tests or changes in the dose of your other medicines may be necessary during treatment with PAXLOVID. Your healthcare professional may also tell you about specific symptoms to watch out for that may indicate that you need to stop or decrease the dose of some of your other medicines. Do not start taking a new medicine without telling your healthcare professional.
Before taking PAXLOVID, tell your healthcare professional about all your medical conditions, including if you:
- have kidney or liver problems, including hepatitis.
- have Human Immunodeficiency Virus 1 (HIV-1) infection. PAXLOVID may lead to some
HIV-1 medicines not working as well in the future. - are pregnant, plan to become pregnant, breastfeeding, or plan to breastfeed.
Tell your healthcare professional if you are taking combined hormonal contraceptive (birth control). PAXLOVID may affect how your birth control works. People who can become pregnant should use another or an alternative effective form of birth control.
PAXLOVID may cause serious side effects, including:
-
Allergic reactions, including severe allergic reactions (anaphylaxis). Do not take PAXLOVID if you are allergic to nirmatrelvir, ritonavir, or any of the ingredients in PAXLOVID. Stop taking PAXLOVID and call your healthcare professional right away if you get any of the following symptoms of an allergic reaction:
- skin rash, hives, blisters, or peeling skin
- painful sores or ulcers in the mouth, nose, throat, or genital area
- trouble swallowing or breathing
- swelling of the mouth, lips, tongue, or face
- hoarseness
- throat tightness
-
Liver problems. Tell your healthcare professional right away if you have any of the following signs and symptoms of liver problems during treatment with PAXLOVID:
- loss of appetite
- yellowing of your skin and the whites of your eyes
- dark-colored urine
- pale-colored stools
- itchy skin
- stomach-area (abdominal) pain
The most common side effects of PAXLOVID include: altered sense of taste and diarrhea.
Other possible side effects include:
- headache
- abdominal pain
- vomiting
- high blood pressure
- nausea
- feeling generally unwell
These are not all of the possible side effects of PAXLOVID. For more information, ask your healthcare professional or pharmacist.
There is limited experience treating pregnant women or breastfeeding mothers with PAXLOVID. For a mother and unborn baby, the benefit of taking PAXLOVID may be greater than the risk from the treatment. It is recommended that you use effective barrier contraception or do not have sexual activity while taking PAXLOVID. If you are pregnant or breastfeeding, discuss your options and specific situation with your healthcare professional.
Take PAXLOVID exactly as your healthcare professional tells you. If you take too much PAXLOVID, call your healthcare professional or go to the nearest hospital emergency room right away. If you are taking a ritonavir- or cobicistat-containing medicine to treat hepatitis C or HIV-1 infection, you should continue to take your medicine as prescribed.
Talk to your healthcare professional if you do not feel better or if you feel worse after 5 days.
Contact your healthcare professional if you have any side effects that bother you or do not go away. Report side effects or problems with the appearance or packaging of PAXLOVID to FDA MedWatch at www.fda.gov/medwatch or call 1-800-FDA-10881-800-FDA-1088, or you can report side effects to Pfizer Inc. at www.pfizersafetyreporting.com, by fax at 1-866-635-83371-866-635-8337, or by calling 1-800-438-19851-800-438-1985.
Please see Fact Sheet for Healthcare Providers and Fact Sheet for Patients, Parents, and Caregivers.
AUTHORIZED USE
The FDA has authorized the emergency use of PAXLOVID for the treatment of mild-to-moderate
PAXLOVID is not FDA-approved or available under EUA for use in children younger than 12 years of age or weighing less than 88 pounds (40 kg). There is limited information about the safety and effectiveness of using PAXLOVID in these patients.
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