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Comprimidos de Paxlovid para a doença COVID-19

Paxlovid® is a combination of two antiviral medicines. There are two different tablets to take for each dose; two pink tablets and one white tablet.

It is given to adults aged over 18 years when they have tested positive for COVID-19 and have at least one risk factor for developing severe illness.

Treatment should be started as soon as possible after diagnosis of COVID-19 disease and within the first five days of symptoms.

Em resumo

  • Paxlovid is an antiviral medicine for adults with mild to moderate COVID-19.

  • It is for adults over 18 with COVID-19 and at least one risk factor for severe disease.

  • Taking Paxlovid early can lower the risk of severe illness or hospitalisation.

  • One dose is two pink tablets and one white tablet, taken twice daily for five days.

  • It is important to complete the full course of treatment as prescribed.

  • Paxlovid can affect other medicines, so tell your doctor about all medicines you take.

  • Common side-effects include headache, diarrhoea, vomiting, or an altered sense of taste.

About Paxlovid® tablets

Tipo de medicamento

Antiviral agent

Usado para

Treatment of mild to moderate COVID-19 disease in adults over 18 years of age

Também chamado de

Ritonavir and nirmatrelvir

Disponível como

Comprimidos

Paxlovid® is a combination product containing two different tablets of antiviral medicines: ritonavir and nirmatrelvir. This medicine has been authorised in the UK under a conditional approval scheme and will be monitored closely.

Nirmatrelvir is active against the SARS-CoV-2 virus and prevents the virus from replicating. Ritonavir, although an antiviral medicine, is not active against SARS-CoV-2. Ritonavir is included in the treatment pack because it slows the breakdown of nirmatrelvir in the body and so leads to higher blood levels for longer. Taking ritonavir tablets at the same time is essential for the treatment to work.

Paxlovid® is used for adults aged over 18 who have tested positive for COVID-19 and have at least one risk factor for severe disease. Taking Paxlovid® as soon as possible once COVID-19 symptoms have started can lower your risk of being severely ill or needing hospital admission.

Clinical trials have shown that Paxlovid® may reduce the risk of needing hospital admission or dying from COVID-19 disease by up to 89%.

People at high risk of severe COVID-19 disease include those with medical conditions such as long-term coração, lung, liver, doença renal or nerve problems, people with diabetes and people with sistemas imunológicos enfraquecidos.

Before taking Paxlovid® tablets

Some medicines are not suitable for people with certain conditions, and sometimes a medicine may only be used if extra care is taken. For these reasons, before you start taking Paxlovid® tablets it is important that your doctor knows:

  • Se você está grávida, tentando ter um bebê ou amamentando.

  • Se você tiver algum problema com o funcionamento do seu fígado ou dos seus rins.

  • If you are being treated for HIV infection.

  • If you are taking any other medicines. This is important as Paxlovid® affects the blood levels of many commonly used medicines. This includes medicines which are available to buy without a prescription, as well as some herbal and complementary medicines.

  • Se você já teve uma reação alérgica a um medicamento.

How to take Paxlovid® tablets

  • Before you start this treatment, read the manufacturer's printed information leaflet from inside your pack. The manufacturer’s leaflet will give you more information about Paxlovid® tablets and a full list of side-effects which you may experience from taking them.

  • Take Paxlovid® tablets exactly as your doctor tells you to. There are two differently coloured tablets. The pink tablets each contain 150 mg of nirmatrelvir. The white tablets each contain 100 mg of ritonavir.

  • One dose of Paxlovid® consists of two pink tablets and one white tablet taken together at the same time.

  • The tablets are presented in five 'daily dose cards' with enough tablets for each day of treatment.

  • Take one dose twice each day for five days. Space your doses evenly apart, every 12 hours.

  • Make sure you complete the full course of treatment even if you are feeling better.

  • Swallow the tablets whole with a drink of water. Do not break, chew or crush the tablets.

  • It is not important whether you take your doses before or after food.

  • If you forget to take a dose, take it as soon as you remember unless it has been more than eight hours since it was due. If it has been more than eight hours, leave out the forgotten dose and take your next dose when it is due. Do not take two doses together to make up for a missed one.

Obtendo o máximo do seu tratamento

  • Treatment with Paxlovid® should be started as soon as possible after diagnosis of COVID-19 disease and within the first five days of symptoms.

  • Help your body fight the infection by drinking plenty of water, eating sensibly and getting lots of rest.

  • The best way to protect yourself against COVID-19 is through vaccination. Ensure your vaccinations are up to date in line with national guidance.

  • Paxlovid® can affect the metabolism of many commonly used medicines and could lead to you experiencing additional side-effects. Ask a pharmacist to check each of your prescribed medicines and advise you on any specific action to take. If you buy any medicines, check with a pharmacist that they are suitable for you to take with Paxlovid® tablets.

  • People taking certain medicines may need extra checks by their doctor to make sure their treatment hasn't been affected by taking Paxlovid®. Try to attend any blood tests or follow-up appointments that your doctor arranges.

  • There are limited data on the use of Paxlovid® during pregnancy. For this reason pregnant women should only be treated with Paxlovid® if there is a clear benefit. If there is a chance you could get pregnant, you should use effective contraception during treatment with Paxlovid®. Discuss with your doctor which types may be suitable for you.

  • Paxlovid® can reduce the effectiveness of combined hormonal contraceptives. Women using this type of contraception should use an additional barrier method of contraception during treatment with Paxlovid® and for one complete menstrual cycle afterwards.

  • There are limited data on the use of Paxlovid® when breastfeeding. Mothers who are breastfeeding should stop doing so during treatment with Paxlovid® and for 48 hours after your last dose.

Can Paxlovid® tablets cause problems?

Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the most common ones associated with Paxlovid® tablets. You will find a full list in the manufacturer's information leaflet supplied with your medicine. The unwanted effects often improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any of the following continue or become troublesome.

Common Paxlovid® side-effects (affecting fewer than 1 in 10 people)

O que posso fazer se passar por isso?

Dor de cabeça

Drink plenty of water and ask a pharmacist to recommend a suitable painkiller.

Diarrhoea, being sick (vomiting)

Drink plenty of water to replace the fluids lost. Stick to simple meals - avoid rich or spicy foods

An altered sense of taste or a metallic taste

This should pass after stopping treatment with Paxlovid®. Take frequent sips of water, try sucking sugar-free sweets

Se você sentir quaisquer outros sintomas que acha que podem ser devido a este medicamento, fale com seu médico ou farmacêutico.

How to store Paxlovid® tablets

  • Mantenha todos os medicamentos fora do alcance e da vista das crianças.

  • Armazene em local fresco e seco, longe de calor e luz diretos.

Informações importantes sobre todos os medicamentos

Informações importantes sobre todos os medicamentos

Nunca tome mais do que a dose prescrita. Se suspeitar que você ou outra pessoa possa ter tomado uma overdose deste medicamento, vá ao departamento de acidentes e emergências do hospital local. Leve o recipiente com você, mesmo que esteja vazio.

Este medicamento é para você. Nunca o dê a outras pessoas, mesmo que a condição delas pareça ser a mesma que a sua.

If you are having an operation or dental treatment, tell the person carrying out the treatment that you are taking Paxlovid® tablets.

Não guarde medicamentos vencidos ou indesejados. Leve-os à sua farmácia local, que se encarregará de descartá-los para você.

Se você tiver alguma dúvida sobre este medicamento, pergunte ao seu farmacêutico.

Relatar efeitos colaterais de um medicamento ou vacina

Se você sentir efeitos colaterais, pode relatá-los online através do Site do Yellow Card.

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Inseguro sobre misturar medicamentos?

Verifique possíveis interações entre medicamentos, suplementos e alimentos antes de tomá-los juntos.

Perguntas frequentes

What is the purpose of the two different medicines in Paxlovid® tablets?

Paxlovid® contains nirmatrelvir, which directly prevents the SARS-CoV-2 virus from multiplying in your body. It also contains ritonavir, which isn't active against the virus itself but helps increase the levels of nirmatrelvir in your blood, making it more effective for a longer period.

How quickly after testing positive for COVID-19 should I start taking Paxlovid®?

To get the most benefit from Paxlovid®, treatment should be started as soon as possible after you are diagnosed with COVID-19. It is important to begin treatment within the first five days of your symptoms starting.

If I am pregnant or breastfeeding, can I take Paxlovid®?

There is limited information available about using Paxlovid® during pregnancy. It should only be used if the potential benefits are clearly greater than any risks. If there's a chance you could become pregnant, you should use effective contraception throughout the treatment. For breastfeeding mothers, it is advised to stop breastfeeding during treatment with Paxlovid® and for 48 hours after your last dose, as there's limited data on its use while breastfeeding.

What should I do if I notice an unusual or metallic taste while taking Paxlovid®?

An altered sense of taste or a metallic taste is a common side-effect of Paxlovid®. This usually goes away after you finish the treatment. To help manage it, you can try taking frequent sips of water or sucking on sugar-free sweets.

Does Paxlovid® interact with other medications I might be taking?

Yes, Paxlovid® can affect how many other commonly used medicines work, potentially leading to additional side-effects. It's crucial to inform your doctor about all medicines you are taking, including over-the-counter and herbal remedies. You should also ask a pharmacist to check for any interactions with your prescribed medications and advise on suitable actions.

Leitura adicional e referências

Sobre o autorVer biografia completa

Imagem do autor

Michael Stewart, MRPharmS

Gerente de Revisão de Folhetos de Medicamentos – Contratado, Farmacêutico

BPharm (Hons), MRPharmS

Michael é um farmacêutico comunitário atuando nas Midlands e em South Yorkshire, com mais de 20 anos de experiência em aconselhamento sobre medicamentos e condições médicas. Ele tem uma sólida formação em treinamento em saúde, tendo produzido e ministrado cursos de treinamento para equipes de farmácia e funcionários de ambientes de cuidados residenciais, incluindo enfermeiros. Ele também contribuiu para conselhos consultivos de farmácia para o manejo de condições de baixa gravidade na comunidade.

Sobre o revisor

Imagem do autor

Sid Dajani

Sultan Dajani se formou na Escola de Farmácia de Londres em 1994 e se tornou o membro mais jovem eleito para o conselho da Sociedade Real de Farmácia desde sua fundação em 1842.

Histórico do artigo

As informações nesta página são escritas e revisadas por clínicos qualificados.

  • Próxima revisão prevista: 19 Jan 2028
  • 19 Jan 2025 | Última versão

    Última atualização por

    Michael Stewart, MRPharmS

    Revisado por

    Sid Dajani
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