Paxlovid Widely Available in Pharmacies: Farley

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Pfizer’s Covid-19 treatment Paxlovid (nirmatrelvir tablets and ritonavir tablets) is now widely available in community pharmacies and is authorized for treating mild-to-moderate Covid-19 in adults and pediatric patients age 12 and older with positive results of direct SARS-CoV-2 viral testing who are also at high risk for progression to severe Covid-19, including hospitalization or death. In a CDER Conversation, Office of Infectious Diseases director John Farley answers these questions about Paxlovid for healthcare providers: 

  •          what does “direct SARS-CoV- viral testing” mean and do patients need a positive PCR test to be treated with Paxlovid;
  •          how should healthcare providers assess a patient for ‘high risk for progression to severe Covid-19”;
  •          are there tools to help healthcare providers manage potential drug-drug interactions;
  •          is dose adjustment of Paxlovid needed for patients with moderate renal impairment;
  •          how can a community pharmacy that has Paxlovid in stock be located; and
  •          what is known about case reports of patients developing symptoms after completing a course of Paxlovid.

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