Nirmatrelvir/Ritonavir
INDICATIONS
FDA
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.
There's more to see -- the rest of this topic is available only to subscribers.
Last updated: November 20, 2025
Citation
Dzintars, Kathryn, and Paul G Auwaerter. "Nirmatrelvir/Ritonavir." Johns Hopkins ABX Guide, The Johns Hopkins University, 2025. Pediatrics Central, peds.unboundmedicine.com/pedscentral/view/Johns_Hopkins_ABX_Guide/540766/all/Nirmatrelvir_Ritonavir.
Dzintars K, Auwaerter PG. Nirmatrelvir/Ritonavir. Johns Hopkins ABX Guide. The Johns Hopkins University; 2025. https://peds.unboundmedicine.com/pedscentral/view/Johns_Hopkins_ABX_Guide/540766/all/Nirmatrelvir_Ritonavir. Accessed November 20, 2025.
Dzintars, K., & Auwaerter, P. G. (2025). Nirmatrelvir/Ritonavir. In Johns Hopkins ABX Guide. The Johns Hopkins University. https://peds.unboundmedicine.com/pedscentral/view/Johns_Hopkins_ABX_Guide/540766/all/Nirmatrelvir_Ritonavir
Dzintars K, Auwaerter PG. Nirmatrelvir/Ritonavir [Internet]. In: Johns Hopkins ABX Guide. The Johns Hopkins University; 2025. [cited 2025 November 20]. Available from: https://peds.unboundmedicine.com/pedscentral/view/Johns_Hopkins_ABX_Guide/540766/all/Nirmatrelvir_Ritonavir.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC
T1 - Nirmatrelvir/Ritonavir
ID - 540766
A1 - Dzintars,Kathryn,Pharm.D., BCPS
AU - Auwaerter,Paul,M.D.
Y1 - 2025/11/20/
BT - Johns Hopkins ABX Guide
UR - https://peds.unboundmedicine.com/pedscentral/view/Johns_Hopkins_ABX_Guide/540766/all/Nirmatrelvir_Ritonavir
PB - The Johns Hopkins University
DB - Pediatrics Central
DP - Unbound Medicine
ER -

Johns Hopkins ABX Guide

