Renal Dose Adjustment
Hepatic Dose Adjustment
See Supplemental Patient Information
Cautions: Use cautiously in:
Supplemental Patient Information
Viracept interacts with :
Pregnancy Category:B
Breastfeeding: HIV-infected mothers should generally not breastfeed their infants. In countries in which no acceptable, feasible, sustainable and safe replacement feeding is available, exclusive breastfeeding for 6 months is recommended for HIV-infected mothers to reduce the risk of HIV transmission from the mother to the infant compared with mixed feeding. In these settings, abrupt weaning at 4 months does not reduce the risk of HIV transmission or produce an overall health benefit compared to continued breastfeeding, and increases the risk of infant death in HIV-infected infants. Extended antiretroviral prophylaxis in breastfed infants with antiretroviral reduces the rate of HIV transmission during breastfeeding by about half, but the optimal regimen and duration of prophylaxis has not yet been defined. Prefer an alternate drug especially while nursing a newborn or preterm infant as there is little published experience with nelfinavir during breastfeeding. This information is based upon LactMed database (available at http://toxnet.nlm.nih.gov/cgi-bin/sis/htmlgen?LACT last accessed 12 January 2011). Centers for disease control and prevention recommends avoiding breast-feeding their infants as risk for postnatal transmission of HIV-1 infection exists. Unknown whether nelfinavir is excreted in human milk. Manufacturer advises to instruct infected mothers avoiding breast-feeding during therapy because of both the potential for HIV-1 transmission and the potential for serious adverse reactions in nursing infants.
US Trade Name(s)
US Availability
Viracept
Canadian Trade Name(s)
Canadian Availability
Viracept
UK Trade Name(s)
UK Availability
Viracept
Australian Trade Name(s)
Australian Availability
Antimicrobials
Antiviral (HIV) AgentsProtease Inhibitors
Infectious Disease
Antiviral (HIV) AgentsProtease Inhibitors
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