Nelfinavir
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.

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:
| Dose | Single Dose | Frequency | Route | Instructions |
|---|---|---|---|---|
| Adult Dosage | ||||
| 750 mg | 750 mg | Every 8h | PO | |
| 1250 mg | 1250 mg | Every 12h | PO | |
| Paediatric Dosage (20kg) | ||||
| No data. | ||||
| Neonatal Dosage (3kg) | ||||
| No data. | ||||
Drug 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
Available Brands
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Single Ingredient
Storage Conditions
Drug Classification
- 1.6.5.2 — Antiretroviral drugs