Can i take excedrin with paxlovid

Apr 16, 2024 · Oral ritonavir-boosted nirmatrelvir (Paxlovid) In a clinical trial, ritonavir-boosted nirmatrelvir reduced the risk of hospitalization and death by 86% in unvaccinated outpatients with COVID-19 at higher risk of severe disease. Serious adverse events are uncommon with Paxlovid treatment.

Combining these medications may increase the absorption of fluticasone nasal into the blood stream. You may be more likely to experience side effects such as swelling, weight gain, high blood pressure, high blood glucose, muscle weakness, depression, acne, thinning skin, stretch marks, easy bruising, bone density loss, cataracts, menstrual ... Applies to: Paxlovid (nirmatrelvir / ritonavir) and melatonin. Ritonavir may decrease the blood levels and effects of melatonin. You may need a dose adjustment or more frequent monitoring by your doctor to safely use both medications. Contact your doctor if your symptoms worsen or your condition changes during treatment with these medications. In December 2021, the FDA granted emergency use authorization for Paxlovid, which is a combination medication containing nirmatrelvir and ritonavir. It is currently authorized to treat individuals with mild to moderate COVID-19 infection who are at risk for developing severe disease.Cars are a way of life in the US (and around the world). While most of us enjoy the freedom they offer, their costs can be a burden on the budget. Not everyone can live without tha...metoprolol ritonavir. Applies to: metoprolol and Paxlovid (nirmatrelvir / ritonavir) Ritonavir may increase the blood levels and effects of metoprolol. You may need a dose adjustment or more frequent monitoring by your doctor to safely use both medications. Contact your doctor if your condition changes or you experience increased side effects.In most other provinces, once you get a prescription for Paxlovid, you can get it filled at specifically designated community pharmacies. Ontario is an exception, where the medication is only ... The first dose of PAXLOVID should be taken in the Morning or Evening, depending on when your patient picked up their prescription. Subsequent doses should be taken 12 hours apart. For each dose, patients should take both tablets in the blister card at the same time. Patients should take their doses every day for 5 straight days. Acetaminophen, ibuprofen, and naproxen can all be used for pain relief from COVID-19 body aches. Acetaminophen ( Tylenol ), ibuprofen ( Advil, Motrin ), and naproxen ( Aleve) can all be used for pain relief from COVID-19 body aches if they are taken in the recommended doses and approved by your doctor. Early on in the pandemic, the World Health ...

Heart disease patients with symptomatic COVID-19 are often treated with nirmatrelvir-ritonavir (Paxlovid) to prevent progression to severe disease; however, it can interact with some previously prescribed medications. A review paper published today in the Journal of the American College of Cardiology examines the potential drug-drug ...This may increase nervous system side effects such as drowsiness, dizziness, lightheadedness, difficulty concentrating, and impairment in thinking and judgment. In severe cases, low blood pressure, respiratory distress, fainting, coma, or even death may occur. With certain long-acting formulations of narcotic pain medication, consumption of ...The most common side effects of taking Paxlovid include impaired sense of taste ( for example, a metallic taste in the mouth) and diarrhea. Liver problems have occurred in patients receiving ... loperamide ritonavir. Applies to: Imodium (loperamide) and Paxlovid (nirmatrelvir / ritonavir) Ritonavir may significantly increase the blood levels of loperamide. This can lead to serious and potentially fatal complications such as irregular heart rhythm and cardiac arrest, especially if you use more than the recommended doses of loperamide. Paxlovid (nirmatrelvir / ritonavir) is a first-choice treatment option for mild to moderate COVID-19. Many people notice that Paxlovid starts relieving symptoms in about 1 to 2 days. But it often takes about 2 to 4 days for symptoms to fully resolve. Recent studies show that Paxlovid is about 37% effective in preventing hospitalization and ...The top 3 most common but usually temporary side effects with Paxlovid are a bitter or metallic taste, diarrhea and an increase in blood pressure. Important but less common side effects or warnings can include severe allergies, liver problems and a build up of resistance to HIV medicines. Applies to: Paxlovid (nirmatrelvir / ritonavir) and melatonin. Ritonavir may decrease the blood levels and effects of melatonin. You may need a dose adjustment or more frequent monitoring by your doctor to safely use both medications. Contact your doctor if your symptoms worsen or your condition changes during treatment with these medications.

Officially, there are seven potential Paxlovid side effects listed by the FDA that your care provider should make you aware of: Liver problems. Allergic reactions. Muscle aches or pains. High ...However, another component of Paxlovid, ritonavir, can negatively interact with anti-rejection medications taken by immunocompromised people, most notably …Dr. Johannes recommended using mints and gum to help distract from any unpleasant flavor. “People experiencing this may need to try different foods, drinks, or candies to see what can make it ...metoprolol ritonavir. Applies to: metoprolol and Paxlovid (nirmatrelvir / ritonavir) Ritonavir may increase the blood levels and effects of metoprolol. You may need a dose adjustment or more frequent monitoring by your doctor to safely use both medications. Contact your doctor if your condition changes or you experience increased side effects. amiodarone ritonavir. Applies to: amiodarone and Paxlovid (nirmatrelvir / ritonavir) Using amiodarone and ritonavir is not recommended. Using these drugs may cause serious problems with your heart. Call your doctor if you have pain or discomfort in your chest, feel short of breath, feel dizzy, lightheaded, or feel very weak.

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Paxlovid. A total of 665 drugs are known to interact with Paxlovid. Paxlovid is in the drug class antiviral combinations. Paxlovid is used to treat COVID-19. Vitamin D3. A total of 72 drugs are known to interact with Vitamin D3. Vitamin d3 is in the drug class vitamins. ritonavir tamsulosin. Applies to: Paxlovid (nirmatrelvir / ritonavir) and tamsulosin. Using tamsulosin together with ritonavir is not recommended. Combining these medications may significantly increase the blood levels and effects of tamsulosin. This may cause blood pressure to fall excessively and heart rate to increase, especially when you ...acetaminophen food. Ask your doctor before using acetaminophen together with ethanol. This can cause serious side effects that affect your liver. Call your doctor immediately if you experience a fever, chills, joint pain or swelling, excessive tiredness or weakness, unusual bleeding or bruising, skin rash or itching, loss of appetite, nausea ...o People with chronic kidney disease may have a different dose prescribed (1 tablet of nirmatrelvir and 1 tablet of ritonavir = 2 tablets). o You must take all the morning tablets at the same time and all the evening tablets at the same time, for the full 5 days. o Always take PAXLOVID exactly as your care provider has told you to.(Paxlovid) is efficacious in preventing hospitalization and death,1 and the Food and Drug Administration has granted emergency use authorization for this purpose.2 Ritonavir increases plasma concentrations of nirmatrelvir by inhibiting cytochrome P450 (CYP) 3A4. CYP 3A4 inhibition confers an increased risk of drug-drug interactions withOmeprazole is in the drug class proton pump inhibitors . Omeprazole is used to treat the following conditions: Barrett's Esophagus. Duodenal Ulcer. Erosive Esophagitis. Gastritis/Duodenitis (off-label) GERD. Helicobacter Pylori Infection. Hiatal Hernia (off-label)

Apr 16, 2024 · Oral ritonavir-boosted nirmatrelvir (Paxlovid) In a clinical trial, ritonavir-boosted nirmatrelvir reduced the risk of hospitalization and death by 86% in unvaccinated outpatients with COVID-19 at higher risk of severe disease. Serious adverse events are uncommon with Paxlovid treatment. Applies to: Paxlovid (nirmatrelvir / ritonavir) and Eliquis (apixaban) Ritonavir may significantly increase the blood levels of apixaban. This can increase the risk of serious or life-threatening bleeding complications. Talk to your doctor if you have any questions or concerns. Your doctor may be able to prescribe alternatives that do not ... Paxlovid, an antiviral treatment for people at high risk of severe disease who have mild to moderate cases of COVID-19, is effective against the latest COVID-19 variant. Experts recommend that...The most common side effects of Paxlovid are a metallic taste and diarrhea. Keep an eye out for rare but serious side effects like liver toxicity (symptoms may include pale stools …(Paxlovid) is efficacious in preventing hospitalization and death,1 and the Food and Drug Administration has granted emergency use authorization for this purpose.2 Ritonavir increases plasma concentrations of nirmatrelvir by inhibiting cytochrome P450 (CYP) 3A4. CYP 3A4 inhibition confers an increased risk of drug-drug interactions with No. Paxlovid is only authorized for patients who are 12 years or older who weigh more than 40 kg (88 lbs). Children under 12, or children 12 or older who weigh less than 88 lbs, cannot receive Paxlovid. In addition, only children with underlying medical conditions that place them at high risk for severe COVID-19 infection can receive Paxlovid. Jan 21, 2023 · About 10% of patients can’t take Paxlovid because of potential drug interactions, according to Dr. Scott Dryden-Peterson, medical director of COVID outpatient therapy for Mass General Brigham. ritonavir tamsulosin. Applies to: Paxlovid (nirmatrelvir / ritonavir) and tamsulosin. Using tamsulosin together with ritonavir is not recommended. Combining these medications may significantly increase the blood levels and effects of tamsulosin. This may cause blood pressure to fall excessively and heart rate to increase, especially when you ...Applies to: cetirizine and Paxlovid (nirmatrelvir / ritonavir) Using cetirizine together with ritonavir may increase the effects of cetirizine. Cetirizine effects may be increased during … Applies to: Paxlovid (nirmatrelvir / ritonavir) and melatonin. Ritonavir may decrease the blood levels and effects of melatonin. You may need a dose adjustment or more frequent monitoring by your doctor to safely use both medications. Contact your doctor if your symptoms worsen or your condition changes during treatment with these medications.

Applies to: Prozac (fluoxetine) and Paxlovid (nirmatrelvir / ritonavir) Using FLUoxetine together with ritonavir may alter the effects of both medications. Contact your doctor if you experience nausea, vomiting, fever, sleepiness, rapid or uneven heartbeat, confusion, fainting, or if your condition worsens. If your doctor does prescribe these ...

Nirmatrelvir is an oral protease inhibitor that is active against M PRO, a viral protease that plays an essential role in viral replication by cleaving the 2 viral polyproteins. 1 It has demonstrated antiviral activity … Famotidine is in the drug class H2 antagonists . Famotidine is used to treat the following conditions: Allergic Urticaria (off-label) Cutaneous Mastocytosis. Duodenal Ulcer. Duodenal Ulcer Prophylaxis. Erosive Esophagitis. GERD. Hiatal Hernia (off-label) Applies to: simvastatin and Paxlovid (nirmatrelvir / ritonavir) Using simvastatin together with ritonavir is not recommended. Combining these medications may significantly increase the blood levels of simvastatin. This can increase the risk of side effects such as liver damage and a rare but serious condition called rhabdomyolysis that involves ...Paxlovid is an antiviral medicine used for treating mild-to-moderate COVID-19. COVID-19 is caused by a virus. Paxlovid stops the virus multiplying in cells and this stops the virus multiplying in ...ritonavir rosuvastatin. Applies to: Paxlovid (nirmatrelvir / ritonavir) and Crestor (rosuvastatin) Ritonavir may significantly increase the blood levels of rosuvastatin. This can increase the risk of side effects such as liver damage and a rare but serious condition called rhabdomyolysis that involves the breakdown of skeletal muscle tissue.However, there are other statins like fluvastatin and pravastatin which can be safely used with Paxlovid to substitute for simvastatin during the critical early phase of severe SARS-CoV-2 infection [ 3 ]. Statins have been shown to improve the prognosis of severe SARS-CoV-2 infection [ 4 ]. So we argue that the ongoing use or introduction of ...The NLM provides a fact sheet with more information, including important warnings, on ibuprofen. Naproxen. What it is: This NSAID medication’s effect is longer-lasting than other NSAIDs and acetaminophen—it is taken every 8 to 12 hours as needed, while the other OTC medicines are typically in the 4- to 6-hour range.Applies to: Paxlovid (nirmatrelvir / ritonavir) and azelastine / fluticasone nasal. Talk to your doctor before using ritonavir together with fluticasone nasal. Combining these medications may increase the absorption of fluticasone nasal into the blood stream. You may be more likely to experience side effects such as swelling, weight gain, high ...

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About 10% of patients can’t take Paxlovid because of potential drug interactions, according to Dr. Scott Dryden-Peterson, medical director of COVID outpatient therapy for Mass General Brigham.Yes. In general, it’s OK to take over-the-counter (OTC) cold and flu medicines with Paxlovid. OTC cold and flu medicines usually contain one or more of these ingredients: 1. Dextromethorphan, a cough suppressant 2. Guaifenesin, an expectorant 3. An antihistamine like doxylamine or … See moreUsing buPROPion and nicotine together can cause an increase in blood pressure. This can cause dizziness, confusion, uneven heartbeats, and chest pain. If you take both medications together, tell your doctor if you have any of these symptoms. You may need a dose adjustment or need your blood pressure checked more often if you take both medications.Home. Paxlovid. FAQ. Paxlovid side effects: 8 key things to know. Medically reviewed by Leigh Ann Anderson, PharmD. Last updated on Nov 6, 2023. Official …If you haven't subscribed yet, you can do that by ... In B.C. alone, roughly 300 people each week take Paxlovid, according to data cited by UBC's Therapeutics …Paxlovid is an antiviral therapy that consists of two medications packaged together. When you take the three-pill dose, two of those pills will be nirmatrelvir, the drug that inhibits the SARS-CoV-2 …Applies to: Paxlovid (nirmatrelvir / ritonavir) and mirtazapine. Ritonavir may increase the blood levels of mirtazapine in some patients. This can increase the risk and/or severity of side effects such as dizziness, drowsiness, restlessness, confusion, difficulty concentrating, impairment in thinking and judgment, dry mouth, constipation, low ...o People with chronic kidney disease may have a different dose prescribed (1 tablet of nirmatrelvir and 1 tablet of ritonavir = 2 tablets). o You must take all the morning tablets at the same time and all the evening tablets at the same time, for the full 5 days. o Always take PAXLOVID exactly as your care provider has told you to.Oct 12, 2022 · Paxlovid, an oral antiviral drug, was authorized in December for the treatment of mild to moderate Covid-19 in people 12 and older who are at high risk of severe illness, hospitalization or death ... Alcohol can increase the nervous system side effects of gabapentin such as dizziness, drowsiness, and difficulty concentrating. Some people may also experience impairment in thinking and judgment. You should avoid or limit the use of alcohol while being treated with gabapentin. Do not use more than the recommended dose of gabapentin, and avoid ...Dr. Johannes recommended using mints and gum to help distract from any unpleasant flavor. “People experiencing this may need to try different foods, drinks, or candies to see what can make it ...You take three Paxlovid pills twice daily for five days for a full course that adds up to 30 pills. It helps that the pills are packaged in a “dose card,” basically a medication blister pack that allows you to punch out the pills as needed. You must be older than 12, weigh at least 40 kilogrammes and be Covid-19 positive to receive Paxlovid ….

The most common side effects of Paxlovid are a metallic taste and diarrhea. Keep an eye out for rare but serious side effects like liver toxicity (symptoms may include pale stools …Applies to: Paxlovid (nirmatrelvir / ritonavir) and Trulicity (dulaglutide) Ritonavir may interfere with blood glucose control and reduce the effectiveness of dulaglutide and other diabetic medications. Monitor your blood sugar levels closely. You may need a dose adjustment of your diabetic medications during and after treatment with ritonavir.Our previous study showed that Paxlovid could reduce the incidence of lung infection and shorten the length of hospital stay in COVID-19 patients with early-stage AKI, and could lower the rate of RRT in COVID-19 patients with late-stage AKI ( Hong et al., 2022 ). There is little data about Paxlovid usage in CKD patients.Because ritonavir-boosted nirmatrelvir is the only highly effective oral antiviral for the treatment of COVID-19, drug interactions that can be safely managed should not preclude the use of this medication. Box 1. Select Outpatient Medications Not Expected to Have Clinically Relevant Interactions With Ritonavir-Boosted Nirmatrelvir (Paxlovid ...Paxlovid: a valuable tool against COVID-19. The “Nirmatrelvir-ritonavir combination known as Paxlovid is used to treat symptomatic, non-hospitalized patients with coronavirus disease-2019 (COVID ...Applies to: Xanax (alprazolam) and Paxlovid (nirmatrelvir / ritonavir) Ritonavir may increase the blood levels and effects of ALPRAZolam. This can increase the risk of side effects including excessive drowsiness and breathing difficulties. You may need a dose adjustment or more frequent monitoring by your doctor to safely use both medications.Paxlovid is the first-choice treatment for mild to moderate COVID in people with a higher risk of severe illness. In initial clinical studies, it was about 90% effective at preventing COVID-related hospitalization and death. While serious side effects are rare, Paxlovid can cause a bitter or bad taste in your mouth while you’re taking it. Famotidine is in the drug class H2 antagonists . Famotidine is used to treat the following conditions: Allergic Urticaria (off-label) Cutaneous Mastocytosis. Duodenal Ulcer. Duodenal Ulcer Prophylaxis. Erosive Esophagitis. GERD. Hiatal Hernia (off-label) Feb 6, 2024 · According to the National Institutes of Health, you should not take Paxlovid with any of the following prescription medications: Seizure medications, including Tegretol (carbamazepine), Sezaby (phenobarbital), and Dilantin (phenytoin) Heart medications, including Pacerone (amiodarone), Plavix (clopidogrel), Norpace (disopyramide), flecainide ... Can i take excedrin with paxlovid, Applies to: simvastatin and Paxlovid (nirmatrelvir / ritonavir) Using simvastatin together with ritonavir is not recommended. Combining these medications may significantly increase the blood levels of simvastatin. This can increase the risk of side effects such as liver damage and a rare but serious condition called rhabdomyolysis that involves ..., View drug interactions between cyclobenzaprine and Paxlovid. These medicines may also interact with certain foods or diseases., Paxlovid. A total of 665 drugs are known to interact with Paxlovid. Paxlovid is in the drug class antiviral combinations. Paxlovid is used to treat COVID-19. Vitamin D3. A total of 72 drugs are known to interact with Vitamin D3. Vitamin d3 is in the drug class vitamins., Potential Paxlovid side effect: Metallic taste in mouth. Paxlovid's primary side effect is a metallic taste in the mouth during the five days of treatment. It goes away at the end. "The side ..., o People with chronic kidney disease may have a different dose prescribed (1 tablet of nirmatrelvir and 1 tablet of ritonavir = 2 tablets). o You must take all the morning tablets at the same time and all the evening tablets at the same time, for the full 5 days. o Always take PAXLOVID exactly as your care provider has told you to., Lemonade is launching in the U.K. with a little help from Aviva, one of the oldest and largest insurance providers in the U.K. New York-based insurance giant Lemonade is officially..., Paxlovid is an important drug for immunocompromised patients to know about because they may have a higher risk of severe COVID-19 — which is something a doctor would consider when prescribing the drug. “One of the advantages of Paxlovid is that it’s pretty easy to take, and another advantage is that it works independently of the person ..., Ask your doctor before using aspirin together with ethanol. Do not drink alcohol while taking aspirin. Alcohol can increase your risk of stomach bleeding caused by aspirin. Call your doctor at once if you have symptoms of bleeding in your stomach or intestines. This includes black, bloody, or tarry stools, or coughing up blood or vomit that ..., Tamiflu (oseltamivir) is a prescription medication that can treat and prevent the flu. It doesn’t interact with many medications. Tamiflu may lower the effectiveness of FluMist, the nasal spray flu vaccine. But Tamiflu doesn’t interact with other vaccines. Tamiflu can be taken with over-the-counter (OTC) cold and flu medications, such as ..., , Dr. Johannes recommended using mints and gum to help distract from any unpleasant flavor. “People experiencing this may need to try different foods, drinks, or candies to see what can make it ..., Applies to: fluticasone and Paxlovid (nirmatrelvir / ritonavir) Talk to your doctor before using ritonavir together with fluticasone. Combining these medications may increase the absorption of fluticasone into the blood stream. You may be more likely to experience side effects such as swelling, weight gain, high blood pressure, high blood ..., There are specific guidelines in place for who is eligible to take Paxlovid. In order for someone to be eligible to take the medication, they must meet the following criteria: Be an adult or child who is at least 12 years old and weighs at least 88 pounds. Have a positive COVID-19 test. Be at high risk for progression to severe COVID-19 ..., Ritonavir, a white or off-white pill, boosts the activity of nirmatrelvir. How long does it take for Paxlovid to kick in? Paxlovid is given in a five-day course with three pills taken twice..., Visit a pharmacy clinic. Some pharmacies have store-based clinics with authorized staff who can test, evaluate, prescribe, and dispense Paxlovid. However, if the clinic is not affiliated with the Test to Treat program, you could be charged for the evaluation. If your insurance does not cover it, the fees can range from $50 to $150., Get ratings and reviews for the top 10 gutter companies in La Verne, CA. Helping you find the best gutter companies for the job. Expert Advice On Improving Your Home All Projects F..., Applies to: Bactrim (sulfamethoxazole / trimethoprim) and Paxlovid (nirmatrelvir / ritonavir) Ritonavir-containing oral solutions are formulated with alcohol. In rare cases, sulfamethoxazole may affect the breakdown of alcohol leading to what is termed a "disulfiram reaction." This condition produces unpleasant side effects such as flushing ..., Under new rules just issued by the Food and Drug Administration (FDA), you no longer need a positive COVID-19 test to get a prescription for Paxlovid, an antiviral drug that treats the virus. The FDA revised the emergency use authorization (EUA) for both Paxlovid and Lagevrio on Wednesday. Fact sheets regarding the updated EUA note a …, Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan. Unknown: No interaction information available. Further information. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances., ritonavir rosuvastatin. Applies to: Paxlovid (nirmatrelvir / ritonavir) and Crestor (rosuvastatin) Ritonavir may significantly increase the blood levels of rosuvastatin. This can increase the risk of side effects such as liver damage and a rare but serious condition called rhabdomyolysis that involves the breakdown of skeletal muscle tissue., Drug-drug interactions can be checked more completely at Liverpool COVID-19 Drug-Drug Interaction website. Please view Appendix B to identify preferred pharmacist to contact for questions. 1Recommendation (inhibition resolves approximately 3 days after Paxlovid is discontinued. Unless otherwise stated, interacting medications should be managed ..., According to the National Institutes of Health, you should not take Paxlovid with any of the following prescription medications: Seizure medications, including …, Tamiflu (oseltamivir) is a prescription medication that can treat and prevent the flu. It doesn’t interact with many medications. Tamiflu may lower the effectiveness of FluMist, the nasal spray flu vaccine. But Tamiflu doesn’t interact with other vaccines. Tamiflu can be taken with over-the-counter (OTC) cold and flu medications, such as ..., The Paxlovid dose for people with mild to moderate kidney problems is 150 mg (1 tablet) of nirmatrelvir and 100 mg (1 tablet) of ritonavir by mouth every 12 hours for 5 days. This medication isn’t recommended for people with severe kidney or liver problems. You can take Paxlovid with or without food. But the tablets should be swallowed whole., CYP3A4 inhibition takes place ~ day 2 of ritonavir and can take 2-3 days after ritonavir cessation. · Dosing: Paxlovid is administered at a dose of 300 mg (two 150 mg tablets) of nirmatrelvir with one 100 mg tablet of ritonavir given twice daily for five days. In patients with renal impairment (GFR 31-60, Paxlovid (nirmatrelvir / ritonavir) is a first-choice treatment option for mild to moderate COVID-19. Many people notice that Paxlovid starts relieving symptoms in about 1 to 2 days. But it often takes about 2 to 4 days for symptoms to fully resolve. Recent studies show that Paxlovid is about 37% effective in preventing hospitalization and ..., The most common side effects of Paxlovid are a metallic taste and diarrhea. Keep an eye out for rare but serious side effects like liver toxicity (symptoms may include pale stools …, 6. In principle, the risk of interactions considering the profile of the drug and Paxlovid is probably very low. In any case, the combination of should be performed considering the general precautions of any combination. 7. Risk of increased Paxlovid concentrations due to increased absorption from reduced first pass in the gut. …, This question is about the Home Depot® Credit Card @WalletHub • 10/21/19 This answer was first published on 12/05/17 and it was last updated on 10/21/19.For the most current inform..., However, another component of Paxlovid, ritonavir, can negatively interact with anti-rejection medications taken by immunocompromised people, most notably …, Feb 6, 2024 · According to the National Institutes of Health, you should not take Paxlovid with any of the following prescription medications: Seizure medications, including Tegretol (carbamazepine), Sezaby (phenobarbital), and Dilantin (phenytoin) Heart medications, including Pacerone (amiodarone), Plavix (clopidogrel), Norpace (disopyramide), flecainide ... , It's important that you start taking Paxlovid within 5 days (or 7 days, if advised by a healthcare professional) of getting COVID-19 symptoms. Swallow the tablets whole with a drink of water. Do not chew, break or crush the tablets. You can take them with or without food. Take one dose of 3 tablets in the morning and one dose of 3 tablets in ..., propranolol ritonavir. Applies to: propranolol and Paxlovid (nirmatrelvir / ritonavir) Ritonavir may increase the blood levels and effects of propranolol. You may need a dose adjustment or more frequent monitoring by your doctor to safely use both medications. Contact your doctor if your condition changes or you experience increased side effects.