Product image of Kaletra (Lopinavir, Ritonavir) supplied by GNH India

Kaletra

Active Ingredient:
Lopinavir, Ritonavir
Origin:
EU

Kaletra (Lopinavir, Ritonavir)

Lopinavir/ritonavir, the active ingredient in Kaletra, is a protease inhibitor presented as a 200 mg/50 mg tablet for oral use. It treats HIV-1 infection and AIDS in adults and children.

GNH India supplies Kaletra as a licensed, GDP-compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Abbvie Deutschland Gmbh & Co. Kg

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Indications & Clinical Uses

Kaletra is used in the management of HIV-1 infection, targeting the viral protease pathway.

  • HIV-1 infection: reduces viral load and slows disease progression.
  • Acquired Immunodeficiency Syndrome (AIDS): improves immune function and lowers opportunistic infection risk.
  • Pediatric HIV infection: provides antiretroviral therapy for children when dosed appropriately.

How It Works

  • Lopinavir inhibits the HIV‑1 protease enzyme, preventing cleavage of the Gag‑Pol polyprotein and blocking formation of mature viral particles. Ritonavir, given at a low dose, inhibits CYP3A-mediated metabolism of lopinavir, increasing its plasma concentration and prolonging antiviral activity. The combined action results in potent suppression of HIV replication.

Side Effects

Kaletra may cause a range of adverse reactions, varying from mild to severe.

Common Side Effects

  • Diarrhea: frequent loose stools.
  • Nausea: feeling of sickness.
  • Vomiting: expulsion of stomach contents.
  • Headache: mild to moderate pain.
  • Fatigue: general tiredness.
  • Elevated liver enzymes: mild increase in ALT/AST.

Serious or Rare Side Effects

  • Hepatotoxicity: severe liver injury.
  • Pancreatitis: inflammation of the pancreas.
  • Severe hypersensitivity: rash, Stevens‑Johnson syndrome.
  • QT prolongation: cardiac rhythm disturbance.

Precautions & Warnings

When prescribing Kaletra, several precautions should be considered to ensure safe use.

  • Liver function monitoring: assess baseline and periodic ALT/AST levels.
  • Drug resistance testing: confirm HIV susceptibility before initiation.
  • Concomitant medications: review for CYP3A interactions.
  • Pregnancy: use only if benefits outweigh potential risks.
  • Breastfeeding: avoid use as drug may be excreted in milk.
  • Store at ambient temperature: keep tablets in original container, protect from moisture and heat.

Avoid Interactions

Kaletra interacts with several medicines; awareness of major and moderate interactions helps prevent adverse outcomes.

Major Interactions (Avoid)

  • Strong CYP3A inducers (e.g., rifampicin, carbamazepine): markedly reduce lopinavir levels.
  • Certain antiarrhythmics (e.g., amiodarone): increase risk of cardiac toxicity.
  • Other HIV protease inhibitors without boosting (e.g., atazanavir): may cause excessive concentrations.

Moderate Interactions (Monitor Closely)

  • Statins (e.g., simvastatin, lovastatin): increased risk of myopathy.
  • Sedatives (e.g., midazolam): enhanced central nervous system depression.
  • Anticoagulants (e.g., warfarin): altered INR, monitor coagulation.
  • Oral contraceptives: reduced efficacy, advise backup contraception.

Frequently Asked Questions

Kaletra is an antiretroviral medication indicated for the treatment of HIV-1 infection and AIDS. It is used as part of combination therapy to suppress viral replication, improve immune function, and reduce the risk of opportunistic infections in both adults and children.

Lopinavir blocks the HIV‑1 protease enzyme, preventing the virus from processing essential proteins needed for new viral particles. Ritonavir is included at a low dose to inhibit the CYP3A enzyme, which slows the metabolism of lopinavir, thereby increasing its blood concentration and extending its antiviral effect.

The prescribed dose of Kaletra is determined by the treating clinician based on the patient’s age, weight, viral load, and treatment history. Tablets are available as 200 mg of lopinavir combined with 50 mg of ritonavir, and the prescriber decides the number of tablets and dosing schedule.

Safety data for Kaletra in pregnancy and lactation are limited. The product is classified as pregnancy category unknown, and it should only be used when the potential benefits justify any potential risk to the fetus. Breastfeeding is generally discouraged because the drug can be excreted in breast milk.

To order Kaletra, submit an enquiry on the product page at gnhindia.com specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Kaletra belongs to the protease inhibitor class, offering a high barrier to resistance when combined with ritonavir. Compared with newer integrase inhibitors, it may have more drug‑interaction potential but remains a standard component of many WHO‑recommended regimens, especially where cost or availability of newer agents is limited.

Kaletra tablets should be stored at ambient temperature, below 25 °C, in their original packaging to protect them from moisture and heat. Keep the container tightly closed and out of reach of children. No special refrigeration is required.

Kaletra is taken orally as a tablet, usually with food to improve absorption and reduce gastrointestinal upset. The tablets are swallowed whole with water; they should not be crushed, chewed, or split unless specifically instructed by a healthcare professional.

Serious adverse events include hepatotoxicity (significant liver injury), pancreatitis, severe hypersensitivity reactions such as Stevens‑Johnson syndrome, and cardiac effects like QT‑interval prolongation. Patients should report any persistent abdominal pain, jaundice, rash, or unusual heart palpitations to their clinician promptly.

Kaletra is contraindicated in individuals with known hypersensitivity to lopinavir, ritonavir, or any tablet excipients. It should also be avoided in patients with severe hepatic impairment, as the drug’s metabolism relies heavily on liver function. Clinicians must assess each patient’s medical history before initiating therapy.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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