Nirmatrelvir/Ritonavir

Kathryn Dzintars, Pharm.D., BCPS, Paul G. Auwaerter, M.D.

INDICATIONS

FDA

The FDA fully approved drug (2023) after initial Emergency Use Authorization (EUA) for the emergency use of Paxlovid (nirmatrelvir/ritonavir) for the treatment of mild-to-moderate COVID-19 disease in adults and children ≥ 12 years of age who are at high risk for progressing to severe COVID-19 illness, including hospitalization and death.

  • Risk factors for severe disease include diabetes, being overweight (BMI > 25), chronic lung disease, chronic kidney disease, being a current smoker, immunosuppressive disease or immunosuppressive treatment, cardiovascular disease, hypertension, sickle cell disease, neurodevelopmental disorders, active cancer, and being over 60 years of age.
  • The FDA removed an earlier requirement for a positive SARS-CoV-2 test from the EUA in February 2023.

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Last updated: November 20, 2025