EUA for Pfizer Paxlovid Covid Pill

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FDA issued a 12/22/21 emergency use authorization for Pfizer’s Paxlovid (nirmatrelvir tablets and ritonavir tablets, co-packaged for oral use) for treating mild-to-moderate Covid-19 in adults and children age 12 and older with positive results of direct SARS-CoV-2 testing who are at high risk for progressing to severe Covid-19. An agency statement says treatment with the prescription drug should be started as soon as possible after a Covid-19 diagnosis and within five days of symptom onset.

Paxlovid is not authorized for the pre-exposure or post-exposure prevention of Covid-19 or for starting treatment in those requiring hospitalization due to severe or critical Covid-19, FDA says.

The statement says nirmatrelvir inhibits a SARS-CoV-2 protein to stop the virus from replicating and ritonavir slows nirmatrelvir’s breakdown to help it remain in the body longer at higher concentrations.

In a clinical trial, the agency says, Paxlovid significantly reduced the proportion of people with Covid-19 related hospitalization or death from any cause by 88% compared to placebo among patients treated within five days of symptom onset and who did not receive therapeutic monoclonal antibody treatment.

Possible side effects include impaired sense of taste, diarrhea, high blood pressure, and muscle aches.

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