Chemical Formula:
C37H48N6O5S2
Mechanism of Action:
Ritonavir is a protease inhibitor (PI) that works against HIV. Similar to indinavir, ritonavir inhibits the viral protease enzyme, preventing the maturation of new viral particles and reducing viral replication.
Additionally, ritonavir is a potent inhibitor of the CYP3A4 enzyme, which is involved in the metabolism of many drugs.
Due to this property, ritonavir is often used at low doses in combination with other PIs to boost their plasma concentrations, enhancing their efficacy.
Uses:
Ritonavir is used in combination with other antiretroviral drugs as part of highly active antiretroviral therapy (HAART) for the treatment of HIV infection.
It is often used as a pharmacokinetic enhancer (booster) for other PIs.
Side Effects:
Some common side effects of ritonavir include:
Nausea
Vomiting
Diarrhea
Abdominal pain
Headache
Serious side effects may include:
Hepatotoxicity
Pancreatitis
Hyperglycemia
Lipodystrophy
QT interval prolongation