DrugInfoSys

Nelfinavir

Drug #1497

Nelfinavir is an oral antiretroviral agent. Nelfinavir is a protease inhibitor, belongs to the group that includes indinavir , ritonavir and saquinavir. Nelfinavir is used in conjunction with nucleoside reverse transcriptase inhibitors , for the treatment of HIV infection. Nelfinavir is a competitive inhibitor of HIV protease, an enzyme involved in the replication of HIV. Protease is responsible for cleaving precursor molecules (immuture budding particles) to produce the final structural proteins of a mature virion core and to activate reverse transcriptase for a new round of infection. Thus, protease is necessary for the production of mature virions. Protease inhibition renders the virus noninfectious. Because they inhibit the HIV replication cycle after translation and before assembly, HIV protease inhibitors are active in acutely and chronically infected cells, as well as in cells (e.g., monocytes and macrophages) not normally affected by dideoxynucleoside reverse transcriptase inhibitors.

Primary Characteristics

It is of Synthetic origin.

Molecular Weight: 663.9 · Non-proprietary name: Nelfinavir.

Molecular structure of Nelfinavir

Pharmacokinetics

Distribution: Nelfinavir has a plasma protein binding is More than 98 %.

Elimination: plasma half-life is 3.5 - 5 hr, renal excretion is 1 - 2 %.

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Indications

Nelfinavir is primarily indicated in conditions like HIV infection.

Contraindications

None recorded.

Dosage

Nelfinavir's dosage details are as follows:

DoseSingle DoseFrequencyRouteInstructions
Adult Dosage
750 mg750 mgEvery 8hPO
1250 mg1250 mgEvery 12hPO
Paediatric Dosage (20kg)
No data.
Neonatal Dosage (3kg)
No data.

Drug Interactions

Unknown20 interactions
9 interactions
Major2 interactions

Always consult your physician for the change of dose regimen or an alternative drug of choice that may strictly be required.

Side Effects

Nelfinavir in overdosage may give rise to further complications which include Renal impairment , Paresthesia, Myalgia , Lipodystrophy.

Nelfinavir is known to cause more or less tolerable side effects which are usually transient. These include Asthenia , Diarrhea, Dizziness, Fatigue, Flatulence, Headache, Nausea and vomiting, Pruritus , Rash, Taste disturbance.

Warnings / Precautions

Caution is required in diabetic patient, patients with hemophilia who may experienced increased bleeding. It should be used with caution and possible dose reduction is needed in hepatic impairment. Adequate hydration is recommended to avoid any risk of nephrolithiasis. Monotoring is required in case of renal impairment.

Available Brands

Click on a strength to view available brands.

Single Ingredient

Tabs

Storage Conditions

Nelfinavir should be stored Tab, Oral Powder.

Drug Classification

  1. 1.6.5.2Antiretroviral drugs

Manufacturers

Manufacturers of Nelfinavir in Pakistan: