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Lopinavir with ritonavir

Antiretroviral

Also known as Kaletra, ALUVIA

Antiretroviral
CDSCO approvedSchedule H
EXCRETION
not curated
INTERACTIONS
none in our sources
PREGNANCY
not curated

Mechanism

Lopinavir with ritonavir is a combination of protease inhibitors used in the treatment of HIV infection. Protease inhibitors work by binding to the active site of the HIV-1 protease enzyme, thereby preventing the proteolytic cleavage of Gag and Gag-Pol polyproteins. This inhibition results in the production of immature, non-infectious viral particles, disrupting the viral life cycle.

Indications

HIV infection in combination with other antiretroviral drugsHIV-1 infection in adults and children above the age of 2 years (tablet formulation)

Dosing

Adult
By mouth using tablets: 400/100 mg twice daily, alternatively 800/200 mg once daily (once daily dose to be used only in adults with a HIV strain that has less than 3 mutations to protease inhibitors). By mouth using oral solution: 5 mL twice daily.

Contraindications

  • Cardiac conduction disorders
  • Pancreatitis
  • Patients at high risk of cardiovascular disease
  • Structural heart disease

Side effects

Common
Increased risk of infectionLeucopeniaLymphadenopathyMenstrual cycle irregularitiesMigraineMuscle weaknessMyopathyNight sweatsPainSexual dysfunction
Serious
  • Atherosclerosis
  • Atrioventricular block
  • Cholangitis
  • Constipation
  • Deep vein thrombosis
  • Haemorrhage
  • Hyperbilirubinaemia
  • Hypogonadism
  • Myocardial infarction
  • Nephritis
  • Stomatitis
  • Stroke
  • Tinnitus
  • Tremor
  • Tricuspid valve incompetence
  • Vasculitis
  • Vertigo
  • Visual impairment

Related guidelines

Other Antiretroviral drugs

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Sources: BNF·Verified: 2026-05-10 · House clinical team