Tacrolimus toxicity due to enzyme inhibition from ritonavir

I Snee, J Drobina, M Mazer-Amirshahi - The American Journal of …, 2023 - Elsevier
Tacrolimus is commonly used for immunosuppression in patients following solid organ
transplantation. For transplant patients with COVID-19 infection, early treatment is indicated …

Tacrolimus toxicity in two renal transplant recipients treated with nirmatrelvir/ritonavir: a case series

M Coyne, M Aye - Annals of Internal Medicine: Clinical Cases, 2023 - acpjournals.org
Since the onset of the SARS-CoV-2 (COVID-19) pandemic, significant effort has been
devoted toward developing therapeutics that decrease the morbidity and mortality of COVID …

Case report: nirmatrelvir/ritonavir and tacrolimus in a kidney transplant recipient with COVID-19

KE Lindauer, AG Hamel - American Family Physician, 2022 - aafp.org
To the Editor: A 41-year-old female patient with a history of renal transplant presented to the
emergency department with nausea, vomiting, and tremors. The patient had been …

Elevated tacrolimus blood concentration due to the interaction with nirmatrelvir/ritonavir during COVID-19 treatment: a case report

CG Cordero, MST de Vicente - Transplantation Proceedings, 2023 - Elsevier
Background Nirmatrelvir/ritonavir, a newly authorized drug for the treatment of COVID-19, is
a strong CYP3A4 inhibitor that can interact with many drugs, such as tacrolimus, reducing its …

Supratherapeutic tacrolimus concentrations with nirmatrelvir/ritonavir in solid organ transplant recipients requiring hospitalization: a case series using rifampin for …

DT Rose, SM Gandhi, RA Bedard… - Open Forum …, 2022 - academic.oup.com
Nirmatrelvir/ritonavir was recently granted emergency use authorization for mild to moderate
coronavirus disease 2019. Drug–drug interactions between ritonavir and tacrolimus are …

Paxlovid (nirmatelvir/ritonavir) and tacrolimus drug-drug interaction in a kidney transplant patient with SARS-2-CoV infection: a case report

M Prikis, A Cameron - Transplantation Proceedings, 2022 - Elsevier
The novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic has
had a significant impact on communities and health systems. New antiviral medications …

Nirmatrelvir/ritonavir-induced elevation of blood tacrolimus levels in a patient in the maintenance phase post liver transplantation

H Shiohira, S Arakaki, W Uehara, H Uehara… - Journal of Infection and …, 2024 - Elsevier
Nirmatrelvir is an orally administered anti-SARS-CoV-2 drug used in combination with
ritonavir, the drug-metabolizing cytochrome P450 (CYP) 3A inhibitor, to evade metabolism …

Saving lives with nirmatrelvir/ritonavir one transplant patient at a time

KA Belden, S Yeager, J Schulte… - Transplant Infectious …, 2023 - Wiley Online Library
Background Solid organ transplant (SOT) recipients are at risk of complications from COVID‐
19. Nirmatrelvir/ritonavir (Paxlovid) can reduce mortality from COVID‐19 but is …

Management of nirmatrelvir/ritonavir and tacrolimus interaction in kidney transplant recipients infected by COVID-19: a three-case series

CG Cordero, MST de Vicente - European Journal of Hospital …, 2024 - ejhp.bmj.com
Objectives Nirmatrelvir/ritonavir may cause a clinically relevant drug-drug interaction (DDI)
with immunosuppressive drugs, such as tacrolimus, which may condition the use of this …

Case Report: tacrolimus toxicity in the setting of concurrent Paxlovid use in a heart-transplant recipient

S Modi, R Kahwash, K Kissling - European Heart Journal-Case …, 2023 - academic.oup.com
Background Tacrolimus toxicity in patient's status post-orthotropic heart transplantation is not
commonly reported. Given its narrow therapeutic window and drug–drug interactions, it must …