Fenofibrate and paxlovid

Primary sclerosing cholangitis (PSC) is a chronic cholestatic liver disease characterized by fibroinflammatory damage to the biliary tree, typically in the setting of inflammatory bowel disease, with an increased risk of liver failure and cholangiocarcinoma. A complex pathophysiology, heterogeneity in clinical features, and the rare nature of the …

CoV-2) protease inhibitor nirmatrelvir/ritonavir (Paxlovid) has been granted authorization or approval in several countries for the treatment of patients with mild to moderate COVID-19 at high hibitors. risk of progression to severe disease and with no requirement for supplemental oxygen. Nirmatrelvir/ritonavir at an oral dose of Stop taking PAXLOVID and call your healthcare professional right away if you get any of the following symptoms of an allergic reaction: Hives, skin rash, blisters, or peeling skin. Painful sores or ulcers in the mouth, nose, throat, or genital area. Trouble swallowing or breathing. Swelling of the mouth, lips, tongue, or face.Paxlovid itself, the article tells us, was first synthesized on July 22nd of last year, with 1.4 kilos prepared by earlier November for tox studies. The fact that it's already being shipped out to pharmacies is mind-boggling. Production is of course still ramping up (see this blog post for some thoughts on that process), but this is the hands ...ritonavir nintedanib. Applies to: Paxlovid (nirmatrelvir / ritonavir) and Ofev (nintedanib) Ritonavir may increase the blood levels of nintedanib. This can increase the risk and/or severity of side effects such as liver problems, diarrhea, nausea, vomiting, intestinal wall perforation, bleeding, and cardiovascular problems such as heart attack ... The concomitant use of PAXLOVID and certain other drugs may result in potentially significant drug interactions 1. Coadministration of PAXLOVID can alter the plasma concentrations of other drugs. PAXLOVID (nirmatrelvir copackaged with ritonavir) is a strong inhibitor of CYP3A and an inhibitor of CYP2D6, P-gp, and OATP1B1.

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 ...Other assistance programs are available for Paxlovid, Lagevrio, and Veklury. Additional information on COVID-19 treatments can be found on the ASPR COVID-19 Treatments page. For questions regarding this site, contact 1-800-232-0233 (TTY 888-720-7489). To learn more about COVID-19 testing, including how to order free test kits, visit COVID.gov.Interpretation: Paxlovid showed no significant reduction in the risk of all-cause mortality on day 28 and the duration of SARS-CoV-2 RNA clearance in hospitalized adult COVID-19 patients with ...What doctors wish patients knew about COVID-19 oral antivirals. Nov 22, 2023. The federally declared COVID-19 public health emergency has ended, but the SARS-CoV-2 virus is still circulating. Previously, there was a rise in cases due to the Omicron variant followed by its subvariants XBB.1.5, EG.5 and FL.1.5.1, among others.Note and Update: Omicron variant XBB found to be resistant to monoclonal antibody treatments ( New England Journal of Medicine . Dec 2022) HCQ 200 mg twice a day 7 days or IVM (weight based 0.4/kg) 20-36 mg daily 2-5 days Fenofibrate (Tricor - anti-lipid) 145 mg daily (inflammatory/cytokine phase.

The renal dose is for patients with moderate renal impairment. PAXLOVID TM (nirmatrelvir tablets; ritonavir tablets) is not recommended for use in patients with severe renal impairment (eGFR <30 mL/min) or patients with end stage renal disease (eGFR <15 mL/min) receiving dialysis until more data are available. PAXLOVID has not been approved, but has been authorized for emergency use by FDA ...Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit. Moderately clinically significant. Usually avoid combinations; use it only under special circumstances. Minimally clinically significant. Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk ...Paxlovid® (nirmatrelvir co-packaged with ritonavir) for the treatment of mild to moderate COVID-19 in outpatients with a high risk of progression to severe illness (including hospitalization or death). b. Paxlovid® is dispensed as nirmatrelvir 150 mg tablets co-packaged with ritonavir 100 mg tablets as a 5-day course of treatment.Paxlovid is a combination antiviral medication that contains nirmatrelvir (a protease inhibitor) and ritonavir (originally used to treat HIV infections). Paxlovid is a treatment for the respiratory virus COVID-19. The U.S. Food and Drug Administration (FDA) has approved it for adults with mild to moderate COVID-19 who risk developing severe ...• PAXLOVID consists of 2 medicines: nirmatrelvir tablets and ritonavir tablets. The 2 medicines are taken together 2 times each day for 5 days. o Nirmatrelvir is an oval, pink tablet.All of this is true. It also does not change the big picture. Covid is a deadly virus, especially for older people, and Paxlovid reduces Covid's severity. It does so by inhibiting the virus's ...

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Paxlovid (nirmatrelvir / ritonavir) is an oral antiviral FDA approved to treat mild to moderate COVID-19 in certain people. After finishing a course of Paxlovid, some people get better and then start having symptoms again. This has been referred to as "Paxlovid rebound.". Rebound COVID symptoms are not a side effect of Paxlovid.The fenofibrate group compared with the placebo group showed no significant decrease in major cardiovascular events, with an annual event rate of 2.2% and 2.4%, respectively.Like any medication, Paxlovid also has side effects. Alcohol can worsen these side effects, like nausea, diarrhea, and vomiting. Dehydration. Alcohol consumption leads to dehydration in the body, affecting the medication's efficiency. Overdose Potential. Paxlovid is a medication that can cause overdose if taken more than doctors prescribe.Mixing Paxlovid with herbal remedies and supplements. Do not take St John's wort, the herbal remedy for depression, while you are being treated with Paxlovid. This is because it may make your course of treatment less effective. There is not enough information to say that other herbal remedies or supplements are safe to take with Paxlovid.

Researchers hypothesize that Paxlovid may be able to make a measurable impact on that leftover virus, if that is indeed what causes long Covid. Stanford's study aims to enroll 200 adults who have ...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 against all coronaviruses that are known to infect humans. 2 Nirmatrelvir is packaged with ritonavir (as Paxlovid), a strong cytochrome P450 (CYP) 3A4 inhibitor and ...High levels of potassium can cause weakness, irregular heartbeat, confusion, tingling of the extremities, or feelings of heaviness in the legs. Call your doctor at once if you have any of these symptoms. In some patients grapefruits and grapefruit juice may decrease the efficacy of losartan. Grapefruits and grapefruit juice should be avoided if ...increased thirst. indigestion. joint pain or swelling. light-colored stools. loss of appetite. lower back or side pain. pains in the stomach, side, or abdomen, possibly radiating to the back. pale skin. swelling of the face, fingers, or lower legs.pains in the stomach, side, or abdomen, possibly radiating to the back. pale skin. swelling of the face, fingers, or lower legs. upper right stomach pain. weight gain. Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine.Paxlovid has provisional approval for the treatment of coronavirus disease 2019 (COVID 19) in adults 18 years of age and older, who do not require initiation of supplemental oxygen due to COVID 19 and are at increased risk of progression to hospitalisation or death (see Section 5.1 Pharmacodynamic properties, clinical trials). ...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 irregularities, excessive growth of facial or body hair, and abnormal distribution of body fat ...The target Prescription Drug User Fee Act (PDUFA) action date for a decision by the FDA is May 2023 Pfizer Inc. (NYSE: PFE) announced today that the U.S. Food and Drug Administration's (FDA) Antimicrobial Drugs Advisory Committee (AMDAC) voted 16 to 1 that available data support the safety and effectiveness of PAXLOVID™ (nirmatrelvir tablets and ritonavir tablets) for the treatment of mild ...

Drugs like Paxlovid could profoundly reduce the severity of COVID-19 and enable a global transition to manageable coexistence with the virus. However, providing equitable and effective global access to SARS-CoV-2 antiviral drugs would require both ample supplies and broad-reaching test-and-treat programs.

Fenofibrate side effects. Get emergency medical help if you have signs of an allergic reaction to fenofibrate (hives, difficult breathing, swelling in your face or throat) or a severe skin reaction (fever, sore throat, burning in your eyes, skin pain, red or purple skin rash that spreads and causes blistering and peeling).Paxlovid (EUA) 300 Mg (150 X 2)-100 Tablet Pharmacoenhancer - Cytochrome P450 Inhibitors - Uses, Side Effects, and More Generic Name(S): nirmatrelvir-ritonavirPaxlovid is contraindicated in patients with severe renal impairment (eGFR <30 mL/min). Refer to the product information for further details on dose adjustment. Patients receiving an adjusted dose must be made aware that as the tablets are dispensed in pre-dosed blistered cards, only one tablet of nirmatrelvir with the tablet of ritonavir ...Paxlovid is authorized for the treatment of mild to moderate COVID-19 in patients 12 years of age and older weighing at least 40kg with positive results of direct SARS-CoV-2 testing, and who are ...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.PAXLOVID TM (nirmatrelvir tablets; ritonavir tablets) has not been approved, but has been authorized for emergency use by FDA under an Emergency Use Authorization (EUA), for the treatment of mild-to-moderate COVID-19 in pediatric patients (12 years of age and older weighing at least 40 kg) who are at high risk for progression to severe COVID-19, including hospitalization or death.The release of Paxlovid is still a game-changer in the fight against COVID-19, but because of the risk for serious medication interactions, taking the antiviral is a decision your entire care team needs to make together. If your prescription plan include Express Scripts ® Pharmacy, our specially trained pharmacists are here for you 24/7 to ...Paxlovid’s FDA fact sheet says “The tablets should be swallowed whole and not chewed, broken, or crushed.” but does not provide a reason why. The likely reason is that Paxlovid uses nanoparticle or amorphous solid dispersion technology. Two relatively new dosage form technologies are nanocrystals and amorphous solid dispersions. PAXLOVID drug interaction. A physician prescribed PAXLOVID (nirmatrelvir and ritonavir) for a 34-year-old patient with flu-like symptoms who tested positive for coronavirus disease 2019 (COVID-19). On day 3 of treatment, the patient presented with signs and symptoms of fatigue and bradycardia, with a heart rate below 40 beats per minute.

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unexplained muscle pain, tenderness, or weakness; muscle weakness in your hips, shoulders, neck, and back; trouble lifting your arms, trouble climbing or standing; fever, unusual tiredness; upper stomach pain, loss of appetite; dark colored urine; or. jaundice (yellowing of the skin or eyes). Common side effects of ezetimibe and simvastatin may ... 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. Absorption. Oral terbinafine is >70% absorbed but only 40% bioavailable after first pass metabolism, reaching a C max of 1µg/mL with a T max of 2 hours an an AUC of 4.56µg*h/mL. 10 Over the course of a week, 1% topical terbinafine's C max increases from 949-1049ng/cm 2 and the AUC increases from 9694-13,492ng/cm 2 /h. 4. Volume …Interactions that result in increased concentrations of concomitant medicinal product as Paxlovid inhibits their CYP3A4 metabolic pathway. Alpha 1-adrenoreceptor antagonist. alfuzosin. Increased plasma concentrations of alfuzosin may lead to severe hypotension.The fenofibrate group compared with the placebo group showed no significant decrease in major cardiovascular events, with an annual event rate of 2.2% and 2.4%, respectively.Updates Full-Year 2023 Revenue and Adjusted Diluted EPS Guidance Ranges. Pfizer also announced that it now anticipates full-year 2023 revenues to be in the range of $58.0 to $61.0 billion, versus ...Final data available from all high-risk patients enrolled in EPIC-HR study (n= 2,246) confirmed prior results of interim analysis showing PAXLOVID™ (nirmatrelvir [PF-07321332] tablets and ritonavir tablets) reduced risk of hospitalization or death by 89% (within three days of symptom onset) and 88% (within five days of symptom onset) compared to placebo; no deaths compared to placebo in non ...Applies to: pravastatin and Paxlovid (nirmatrelvir / ritonavir) Using ritonavir together with pravastatin may decrease the effects of pravastatin. Contact your doctor if your condition changes or if your cholesterol increases. If your doctor does prescribe these medications together, you may need a dose adjustment or special test to safely use ...A number of mental health drugs can be managed with Paxlovid, Thompson said. For the antipsychotic drug quetiapine, (Seroquel), a "substantial decrease in dose is required." Viagra for ED Can Be ...Applies to: warfarin and Paxlovid (nirmatrelvir / ritonavir) Ritonavir may both increase or decrease the blood levels and effects of warfarin. Early in your treatment with ritonavir, the interaction may be more unpredictable. However, beyond the first week or so of continued use, it is more common for patients to experience a reduced response ...Paxlovid is a co-packaged combination of nirmatrelvir, a second generation protease inhibitor, and ritonavir, a pharmacological enhancer, that is used to treated infection with the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) , the cause of the novel and severe coronavirus disease, 2019 (COVID-19). Paxlovid is given orally for 5 days in patients early in the course of infection ... ….

ritonavir tamsulosin. Applies to: Paxlovid (nirmatrelvir / ritonavir) and Flomax (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 ...The SARS-CoV-2 protease inhibitor, nirmatrelvir (coadministered with the Cyp-3A4 inhibitor ritonavir in Paxlovid ... Fenofibrate is used to treat dyslipidemia [ ... 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 ... Owen says the team had already established a good supply chain for the latter component. To make their antiviral candidate Paxlovid, the team combined PF-07321332 with the HIV antiviral ritonavir. Owen says this approach was one the researchers thought they might have to take from the beginning of the project.Fenofibrate is predicted to increase the anticoagulant effect of Warfarin. Manufacturer advises monitor INR and adjust dose. See the list of drugs that interact with Fenofibrate. Includes information on severity of interaction and the level of evidence for it.Ozempic, rosuvastatin, Jardiance, simvastatin, Trulicity, fenofibrate, Crestor, Victoza, Brilinta, Lovaza. Images. Vascepa 1 gram (VASCEPA) View larger images. Drugs.com Mobile Apps. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Available for Android and iOS devices.Indications and dose For fenofibrate Adjunct to diet and other appropriate measures in mixed hyperlipidaemia if statin contraindicated or not tolerated, Adjunct to diet and other appropriate measures in severe hypertriglyceridaemia, Adjunct to statin in mixed hyperlipidaemia if triglycerides and HDL-cholesterol inadequately controlled in patients …Fenofibrate stimulates lipoprotein lipase (LP) through activating PPAR-α and inhibiting apoprotein C-III, which inhibits LP activity [].Furthermore, fenofibrate causes lipolysis and lowers triglycerides by converting small low-density lipoprotein (LDL) particles into large particles with a higher affinity for cholesterol receptors, resulting in rapid catabolism of these large particles. Fenofibrate and paxlovid, PAXLOVID is an oral prescription medication available under an EUA that can treat children 12 years and older weighing at least 88 pounds who: have mild-to-moderate COVID-19, and. have had symptoms for 5 days or fewer, and. have a high-risk factor for progression to severe COVID-19, such as having certain health conditions and/or lifestyle factors., ritonavir rosuvastatin. Applies to: Paxlovid (nirmatrelvir / ritonavir) and 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. , Interactions that result in increased concentrations of concomitant medicinal product as Paxlovid inhibits their CYP3A4 metabolic pathway. Alpha 1-adrenoreceptor antagonist. alfuzosin. Increased plasma concentrations of alfuzosin may lead to severe hypotension. , Not even the relatively brief appearance of the crowd-sourced Pretzelnator burger McDonald’s launched earlier this year got Germans excited about eating there. Not even the relativ..., Concomitant use of neratinib with Paxlovid is contraindicated due to serious and/or life threatening potential reactions including hepatotoxicity. Serum concentrations may be increased due to CYP3A inhibition by ritonavir, resulting in increased risk of tumour lysis syndrome at the dose initiation and during the ramp-up phase (refer to the ..., The recommended dosage range is 5 mg to 10 mg orally once daily in patients aged 8 years to less than 10 years and 5 mg to 20 mg orally once daily in patients aged 10 years and older. Dosage in Pediatric Patients 7 Years of Age and Older with HoFH. The recommended dosage is 20 mg orally once daily., In patients 65 and older, most of whom had been vaccinated or previously had Covid, hospitalizations were reduced by 73% and deaths by 79%. Still, several factors have obstructed Paxlovid's use ..., However, use of this checklist is not required to prescribe PAXLOVID under the EUA. Medical History. Has mild to moderate COVID-191. Age ≥ 18 years OR > 12 years of age and weighing at least 40 ..., With clinical evidence behind it growing, the combination treatment is moving from the laboratory to patients around the world at record speed, reports Andy Extance Paxlovid is an antiviral combination developed by the pharmaceutical giant Pfizer. The treatment includes the newly developed antiviral drug nirmatrelvir and ritonavir, a potent …, Medications That Have Clinically Relevant Drug-Drug Interactions With Ritonavir-Boosted Nirmatrelvir (Paxlovid) Clinicians should be aware that, in some cases, drug-drug interactions with ritonavir-boosted nirmatrelvir may lead to serious or life-threatening drug toxicities., In conclusion, Paxlovid is a highly promising new drug combination for treatment of COVID-19 that has important safety risks for patients with transplants or kidney disease. Yet, these patients are at higher risk related to COVID-19, and there is a great need for an efficacious new agent like Paxlovid. Clinicians must individualize treatment ..., Examples include Paxlovid (nirmatrelvir / ritonavir), grapefruit, and St. John’s wort. These interactions can lead to more intense Rinvoq side effects or a drop in its effectiveness. You should avoid live vaccines, such as the intranasal flu vaccine and the measles, mumps, and rubella vaccine, while taking Rinvoq., Examples include Paxlovid (nirmatrelvir / ritonavir), grapefruit, and St. John’s wort. These interactions can lead to more intense Rinvoq side effects or a drop in its effectiveness. You should avoid live vaccines, such as the intranasal flu vaccine and the measles, mumps, and rubella vaccine, while taking Rinvoq. They may cause an …, Information Sheet - Paxlovid Eligibility and Effectiveness. • While vaccination continues to provide the best protection against COVID-19, therapies are widely available to help treat eligible people who do get sick and are at risk of developing severe disease. • There is strong scientific evidence that antiviral treatment of outpatients at ..., Paxlovid is a co-packaged combination of nirmatrelvir, a second generation protease inhibitor, and ritonavir, a pharmacological enhancer, that is used to treated infection with the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) , the cause of the novel and severe coronavirus disease, 2019 (COVID-19). Paxlovid is given orally for 5 days in patients early in the course of infection ..., By Josh Bloom — December 2, 2021. A new rumor claims that Paxlovid, Pfizer's Covid drug, is merely a "dressed up" ivermectin molecule with little difference other than price. The term "Pfizermectin" is even being used to emphasize this. But biochemical and pharmacokinetic data say otherwise. Here are the numbers., Editorial. Multimedia. Listen to. The FDA has updated a checklist designed to help evaluate potential drug interactions and other patient factors before prescribing Paxlovid (copackaged nirmatrelvir and ritonavir tablets) for COVID-19., Paxlovid Vs. Ivermectin. Published On: April 18, 2022. Download JPG. This helpful infographic compares newly approved antiviral Paxlovid to ivermectin in regard to treating COVID-19. Return to my search., Prescription medicines that can raise your glucose include: Steroids (also called corticosteroids). They treat diseases caused by inflammation, like rheumatoid arthritis, lupus, and allergies ..., Visit a test-to-treat site. Another route to getting Paxlovid is visiting one of the 2,300 health centers, urgent care clinics and pharmacies that are designated by the government as "test to ..., Paxlovid® (nirmatrelvir co-packaged with ritonavir) for the treatment of mild to moderate COVID-19 in outpatients with a high risk of progression to severe illness (including hospitalization or death). b. Paxlovid® is dispensed as nirmatrelvir 150 mg tablets co-packaged with ritonavir 100 mg tablets as a 5-day course of treatment., Finobrate 160 Tablet is a medicine used to treat high cholesterol. This medicine helps by lowering triglycerides and "bad" cholesterol (LDL), while at the same time raising the levels of "good" cholesterol (HDL). Lowering cholesterol levels reduces the risk of heart attack and stroke. Finobrate 160 Tablet should be taken in the dose and ..., Managing Paxlovid Drug-Drug Interactions. 24 July, 2023. Because ritonavir-boosted nirmatrelvir (brand name Paxlovid) is co-formulated with ritonavir as a …, Almost all states require drivers to carry liability insurance. If you cancel your car insurance and do not immediately obtain coverage, your registration will also be canceled. Ev..., Ritonavir-boosted nirmatrelvir is approved by the Food and Drug Administration (FDA) for the treatment of mild to moderate COVID-19 in adults who are …, PAXLOVID drug interaction. A physician prescribed PAXLOVID (nirmatrelvir and ritonavir) for a 34-year-old patient with flu-like symptoms who tested positive for coronavirus disease 2019 (COVID-19). On day 3 of treatment, the patient presented with signs and symptoms of fatigue and bradycardia, with a heart rate below 40 beats per minute. , ritonavir + bosentan contraindicated when ritonavir is given as part of fixed-dose combo for HCV; D/C bosentan at least 36h prior to nirmatrelvir/ritonavir tx; otherwise start bosentan 62.5 mg qd or qod if on stable protease inhibitor tx; if on stable bosentan tx, hold x36h, start protease inhibitor x10 days, then restart bosentan 62.5 mg qd or qod: combo may decr. ritonavir levels, efficacy ..., By Josh Bloom — December 2, 2021. A new rumor claims that Paxlovid, Pfizer's Covid drug, is merely a "dressed up" ivermectin molecule with little difference other than price. The term "Pfizermectin" is even being used to emphasize this. But biochemical and pharmacokinetic data say otherwise. Here are the numbers., Managing Paxlovid Drug-Drug Interactions. 24 July, 2023. Because ritonavir-boosted nirmatrelvir (brand name Paxlovid) is co-formulated with ritonavir as a pharmacologic booster, and ritonavir can alter levels of many drugs, clinicians should be aware of and identify any potential drug interactions. At the same time, NIH guidelines advise that ..., • PAXLOVID consists of 2 medicines: nirmatrelvir tablets and ritonavir tablets. The 2 medicines are taken together 2 times each day for 5 days. o Nirmatrelvir is an oval, pink tablet., Amid the Omicron outbreak, Paxlovid has proven to be a safe and effective treatment for reducing hospitalization durations for patients with mild to moderate COVID-19. Safety and efficacy of Paxlovid in the treatment of adults with mild to moderate COVID-19 during the omicron epidemic: a multicentre study from China , pravastatin ritonavir. Applies to: pravastatin and Paxlovid (nirmatrelvir / ritonavir) Using ritonavir together with pravastatin may decrease the effects of pravastatin. Contact your doctor if your condition changes or if your cholesterol increases. If your doctor does prescribe these medications together, you may need a dose adjustment or ..., Fenofibrate should be used with caution in patients with kidney disorders. Serum creatinine levels may increase with long-term usage of Fenofibrate but is completely reversible. The evidence of kidney damage with this medicine is rare still the kidney function blood test should be done regularly if there is a possibility of kidney damage.