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

Lopinavir/Ritonavir Accord

Active Ingredient:
Lopinavir, Ritonavir
Origin:
EU

Lopinavir/Ritonavir Accord (Lopinavir, Ritonavir)

Lopinavir, the active ingredient in Lopinavir/Ritonavir Accord, is a protease inhibitor presented as a fixed‑dose oral tablet for oral use. It is combined with ritonavir to treat Human Immunodeficiency Virus (HIV) infection in adults and adolescents, and the ritonavir component boosts lopinavir plasma concentrations to enhance antiviral efficacy.

GNH India supplies Lopinavir/Ritonavir Accord as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. Our distribution network ensures reliable access to quality‑assured medication across multiple regions.

Manufacturer / TM Owner

Accord Healthcare Polska Sp. Z O.O.

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Indications & Clinical Uses

Lopinavir/ritonavir is used as part of antiretroviral therapy for HIV infection, targeting viral replication.

  • HIV‑1 infection (adults): reduces viral load and improves immune function.
  • HIV‑1 infection (adolescents): part of combination regimens to achieve viral suppression.
  • HIV‑1 infection (children): used in pediatric formulations to control disease progression.

How It Works

  • Lopinavir inhibits the HIV‑1 protease enzyme, preventing cleavage of viral polyproteins required for maturation of infectious virions. Ritonavir, a potent CYP3A4 inhibitor, raises lopinavir plasma levels by slowing its metabolism, thereby sustaining antiviral activity and improving treatment outcomes.

Side Effects

Lopinavir/ritonavir may cause a range of adverse reactions, varying in frequency and severity.

Common Side Effects

  • Diarrhea: frequent loose stools.
  • Nausea: feeling of sickness.
  • Headache: mild to moderate pain.
  • Elevated triglycerides: increase in blood lipid levels.

Serious or Rare Side Effects

  • Hepatotoxicity: liver enzyme elevations or hepatitis.
  • Pancreatitis: inflammation of the pancreas.
  • Severe allergic reactions: rash, angioedema, or anaphylaxis.

Precautions & Warnings

When prescribing Lopinavir/ritonavir, clinicians should consider several precautionary measures to ensure safe use.

  • Baseline liver function: assess hepatic enzymes before initiating therapy.
  • Lipid monitoring: check triglyceride and cholesterol levels regularly.
  • Drug resistance: avoid use in patients with known protease inhibitor resistance.
  • Pregnancy considerations: evaluate risks versus benefits in pregnant patients.
  • Concomitant medications: review for potential interactions, especially with CYP3A4 substrates.
  • Store at ambient temperature: keep tablets in original container, protect from moisture and heat.

Avoid Interactions

Lopinavir/ritonavir interacts with several medicines; awareness of interaction severity guides clinical decisions.

Major Interactions (Avoid)

  • Strong CYP3A4 inducers (e.g., rifampicin, carbamazepine): markedly reduce lopinavir levels.
  • Certain antiarrhythmics (e.g., amiodarone): may cause cardiac toxicity.
  • HIV integrase inhibitors (e.g., dolutegravir) without dose adjustment: risk of reduced efficacy.

Moderate Interactions (Monitor Closely)

  • Statins (e.g., simvastatin, lovastatin): increased risk of myopathy.
  • Sedatives (e.g., midazolam): enhanced central nervous system depression.
  • Oral contraceptives: possible reduction in contraceptive effectiveness.

Frequently Asked Questions

Lopinavir/Ritonavir Accord is prescribed as part of combination antiretroviral therapy to treat Human Immunodeficiency Virus (HIV) infection. The fixed‑dose tablet provides both lopinavir, which blocks viral protease activity, and ritonavir, which boosts lopinavir levels, helping to achieve and maintain viral suppression in patients.

Lopinavir targets the HIV‑1 protease enzyme, a key catalyst that cleaves viral polyprotein precursors into functional proteins required for new virus particles. By inhibiting this protease, lopinavir prevents the maturation of infectious virions, thereby reducing viral replication and allowing the immune system to recover.

The dosing regimen for Lopinavir/Ritonavir Accord is individualized by the prescribing clinician based on factors such as patient age, weight, treatment history, and co‑administered medications. Healthcare providers follow current clinical guidelines to determine the appropriate tablet strength and frequency for each patient.

Safety data for Lopinavir/Ritonavir during pregnancy and lactation are limited, and the product does not have a definitive pregnancy category. Clinicians must weigh potential benefits against unknown risks, and the decision to use the medication in pregnant or nursing individuals should be made on a case‑by‑case basis.

To request Lopinavir/Ritonavir Accord, 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 (including any cold‑chain needs), and required import documentation.

Lopinavir/Ritonavir is a fixed‑dose combination that offers potent antiviral activity and a built‑in pharmacokinetic booster (ritonavir). Compared with other protease inhibitors such as darunavir, it may have a different side‑effect profile, particularly higher rates of lipid abnormalities, but provides a convenient single‑tablet regimen that simplifies dosing for many patients.

Lopinavir/Ritonavir Accord tablets should be stored at ambient temperature, preferably below 25 °C. Keep the product in its original blister pack or container, protect it from moisture, direct sunlight, and excessive heat to maintain stability throughout its shelf life.

The medication is taken orally as a tablet, usually with food to improve absorption and reduce gastrointestinal discomfort. Patients should swallow the tablet whole with water and follow the dosing schedule prescribed by their healthcare provider, without crushing or splitting the tablet unless specifically instructed.

Serious adverse events include hepatotoxicity (liver enzyme elevations or hepatitis), pancreatitis, and severe allergic reactions such as rash, angioedema, or anaphylaxis. Patients should be monitored regularly for signs of liver dysfunction, abdominal pain, or hypersensitivity, and any concerning symptoms should prompt immediate medical evaluation.

Individuals with known hypersensitivity to lopinavir, ritonavir, or any excipients in the tablet should avoid the product. It is also contraindicated in patients with severe hepatic impairment or those taking medications that have a documented major interaction that cannot be managed, such as strong CYP3A4 inducers.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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