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Lopinavir (ABT-378) is an antiretroviral of the protease inhibitor class. It is marketed by Abbott as Kaletra®, a co-formulation with a sub-therapeutic dose of ritonavir, as a component of combination therapy to treat HIV/AIDS.

As of 2006, lopinavir/ritonavir forms part of the preferred combination for first-line therapy recommended by the US DHHS.DHHS panel. Guidelines for the use of antiretroviral agents in HIV-1-infected adults and adolescents (May 4, 2006). (Available for download from AIDSInfo) It is available as capsules, tablets and oral solution.

History


Lopinavir was developed by Abbott in an attempt to improve on the HIV resistance and serum protein-binding properties of the company's earlier protease inhibitor, ritonavir.Sham HL, Kempf DJ, Molla A, et al. (1998) ABT-378, a highly potent inhibitor of the human immunodeficiency virus protease. Antimicrob. Agents Chemother. 42: 3218-24 Administered alone, lopinavir has insufficient bioavailability; however, like several HIV protease inhibitors, its blood levels are greatly increased by low doses of ritonavir, a potent inhibitor of cytochrome P450 3A4. Abbott therefore pursued a strategy of co-administering lopinavir with sub-therapeutic doses of ritonavir, and lopinavir is only marketed as a co-formulation with ritonavir.

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amphetamine levels increased by lopinavir. Amphetamines can be fatal in overdose with protease inhibitors. #aacap
bobfinn (Bob Finn) Thu, 29 Oct 2009 18:14:26 -0000
amphetamine levels increased by lopinavir. Amphetamines can be fatal in overdose with protease inhibitors. #aacap

 
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Kaletra Consumer Information - FDA - Patient FAQ in html format with a link to approved labeling in pdf format.
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Lopinavir - Familydoctor.org - Information for patients in English and Spanish.

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