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Paxlovid-Tabletten gegen COVID-19-Erkrankung

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.

At a glance

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

  • It is for adults over 18 with a positive COVID-19 test and risk factors for severe disease.

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

  • Take two pink tablets and one white tablet together, twice daily for five days.

  • Ensure your doctor knows about any liver or kidney problems, HIV, or other medicines you take.

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

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About Paxlovid® tablets

Art des Medikaments

Antiviral agent

Verwendet für

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

Auch genannt

Ritonavir and nirmatrelvir

Verfügbar als

Tabletten

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 Herz, lung, liver, Nieren or nerve problems, people with Diabetes and people with weakened immune systems.

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:

  • Wenn Sie schwanger sind, versuchen, ein Baby zu bekommen, oder stillen.

  • Wenn Sie Probleme mit der Funktionsweise Ihrer Leber oder Ihrer Nieren haben.

  • 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.

  • Wenn Sie jemals eine allergische Reaktion auf ein Medikament hatten.

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  • 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.

  • 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.

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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)

Was kann ich tun, wenn ich das erlebe?

Kopfschmerzen

Trinken Sie viel Wasser und bitten Sie einen Apotheker, ein geeignetes Schmerzmittel zu empfehlen.

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

Wenn Sie andere Symptome bemerken, die Ihrer Meinung nach auf dieses Medikament zurückzuführen sind, sprechen Sie mit Ihrem Arzt oder Apotheker.

  • Bewahren Sie alle Medikamente außerhalb der Reichweite und Sicht von Kindern auf.

  • An einem kühlen, trockenen Ort aufbewahren, fern von direkter Hitze und Licht.

Wichtige Informationen über alle Medikamente

Nehmen Sie niemals mehr als die vorgeschriebene Dosis ein. Wenn Sie vermuten, dass Sie oder jemand anderes eine Überdosis dieses Medikaments eingenommen haben könnte, gehen Sie in die Notaufnahme Ihres örtlichen Krankenhauses. Nehmen Sie den Behälter mit, auch wenn er leer ist.

Dieses Medikament ist für Sie. Geben Sie es niemals an andere Personen weiter, auch wenn deren Zustand ähnlich erscheint wie Ihrer.

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

Bewahren Sie keine abgelaufenen oder unerwünschten Medikamente auf. Bringen Sie sie zu Ihrer örtlichen Apotheke, die sie für Sie entsorgt.

Wenn Sie Fragen zu diesem Medikament haben, fragen Sie Ihren Apotheker.

Berichten Sie Nebenwirkungen eines Medikaments oder Impfstoffs

Wenn Sie Nebenwirkungen bemerken, können Sie diese online über die Yellow Card website.

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Unsicher beim Mischen von Medikamenten?

Überprüfen Sie mögliche Wechselwirkungen zwischen Medikamenten, Nahrungsergänzungsmitteln und Lebensmitteln, bevor Sie sie zusammen einnehmen.

Häufig gestellte Fragen

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

Paxlovid® contains two different antiviral medicines. The nirmatrelvir tablet is directly active against the SARS-CoV-2 virus, stopping it from multiplying in your body. The ritonavir tablet is not active against SARS-CoV-2, but it helps by slowing down the breakdown of nirmatrelvir in your body. This allows nirmatrelvir to stay at higher levels in your blood for longer, making the treatment more effective.

Who is eligible to receive Paxlovid® treatment?

Paxlovid® is for adults aged over 18 years who have tested positive for COVID-19 and have at least one risk factor that puts them at higher risk of developing severe disease. Examples of risk factors include long-term heart, lung, liver, kidney, or nerve problems, diabetes, and weakened immune systems.

What should I do if I am pregnant or breastfeeding and have COVID-19?

If you are pregnant, Paxlovid® might only be used if the potential benefits clearly outweigh the risks, as there is limited data on its use during pregnancy. If there's a chance you could become pregnant, you need to use effective contraception throughout the treatment. If you are breastfeeding, you should stop breastfeeding during treatment with Paxlovid® and for 48 hours after your final dose.

Can Paxlovid® interfere with my other medications or contraceptives?

Yes, Paxlovid® can affect how many other commonly used medicines are processed by your body, potentially leading to additional side-effects. It can also reduce the effectiveness of combined hormonal contraceptives. If you use this type of contraception, you should use an additional barrier method during treatment and for one complete menstrual cycle afterwards. It is important to tell your doctor about all medicines you are taking, including non-prescription and herbal remedies, so they can check for interactions.

What should I do if I forget to take a dose of Paxlovid®?

If you forget a dose, take it as soon as you remember, unless more than eight hours have passed since it was due. If it has been over eight hours, you should skip the missed dose and take your next dose at its scheduled time. Do not take a double dose to make up for the one you missed.

What are the common side effects of Paxlovid® and how can I manage them?

Common side effects, affecting fewer than 1 in 10 people, include headache, diarrhoea, vomiting, and an altered or metallic taste. For headaches, drink plenty of water and you can ask a pharmacist to suggest a suitable painkiller. For diarrhoea or vomiting, drink plenty of fluids and stick to plain foods. An altered taste should improve after you finish treatment; frequent sips of water or sugar-free sweets may help.

How quickly should I start taking Paxlovid® after getting COVID-19 symptoms?

To get the most benefit, treatment with Paxlovid® should be started as soon as possible after you are diagnosed with COVID-19 and within the first five days of your symptoms appearing.

Weiterführende Literatur und Referenzen

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About the authorView full bio

Author image

Michael Stewart, MRPharmS

Manager für die Überprüfung von Beipackzetteln – Auftragnehmer, Apotheker

BPharm (Hons), MRPharmS

Michael ist ein Gemeindapotheker, der in den Midlands und South Yorkshire praktiziert und über mehr als 20 Jahre Erfahrung in der Beratung zu Medikamenten und medizinischen Bedingungen verfügt. Er hat einen starken Hintergrund in der Gesundheitsausbildung, da er Schulungskurse für Apothekenteams und Mitarbeiter von Pflegeeinrichtungen, einschließlich Krankenschwestern, erstellt und durchgeführt hat. Er hat auch zu Apothekenbeiräten für das Management von geringfügigen Erkrankungen in der Gemeinschaft beigetragen.

About the reviewer

Author image

Sid Dajani

Sultan Dajani qualified at the London School of Pharmacy in 1994 and became the youngest elected member of the Royal Pharmaceutical Society council since its founding in 1842.

Artikelverlauf

Die Informationen auf dieser Seite wurden von qualifizierten Klinikern verfasst und begutachtet.

  • Nächste Überprüfung fällig: 19. Jan 2028
  • 19. Jan 2025 | Neueste Version

    Zuletzt aktualisiert von

    Michael Stewart, MRPharmS

    Begutachtet von

    Sid Dajani
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