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EMNEL  NEIVEX  NEL  NELFIN  NELVIR TABLETS  RETRONEL 
 



Indication & Dosage
 
 
Oral
HIV INFECTION COMBINED WITH OTHER ANTIRETROVIRALS
Adult:  1.25 g bid or 0.75 g tid.
 
Oral
HIV INFECTION COMBINED WITH OTHER ANTIRETROVIRALS
Child:

2-13 yr: 45-55 mg/kg bid or 25-35 mg/kg tid.

Max Dosage:  Child: 0.75 g tid.
   
Administration Should be taken with food.
   
Precautions Pregnancy. Hepatic and renal impairment; haemophilia A or B; diabetes. Monitor for signs of lipodystrophy.
   
Adverse Drug Reactions Hyperglycaemia, dyslipidaemia and redistribution of body fat (protease paunch, buffalo hump, facial atrophy and heart engorgement); hypertriglyceridaemia, hypercholesterolaemia. Diarrhoea, rash, nausea, flatulence, decreased lymphocytes, decreased neutrophils, decreased haemoglobin, increased creatine kinase, increased transaminases.
   
Interactions Reduced levels/effects with antacids, phenobarbital, carbamazepine, aminoglutethimide, phenytoin, rifampicin, nafcillin, nevirapine, omeprazole, nevirapine. Increased serum levels/effects with azole antifungal agents, cimetidine, efavirenz. Increased serum levels/effects of azithromycin, calcium channel blockers, clarithromycin, corticosteroids (e.g. fluticasone), mirtazapine, nateglinide, nefazodone, ciclosporin, sirolimus, tacrolimus, venlafaxine, eplerinone, fentanyl, atorvastatin, phosphodiesterase-5 (PDE-5) inhibitors, rifabutin, trazodone, TCAs. Reduced serum levels/effects of hormonal contraceptives, methadone, theophylline derivatives.
   
   
 

 

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