Drug reference
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
Antiretroviral therapy for HIV
NACO · Infectious Diseases · 2018
Skin and soft tissue infections
IDSA · Infectious Diseases · 2010
Hepatitis B — chronic infection
EASL · Gastroenterology · 2025
Urinary tract infection
EAU · Urology · 2024
Childhood pneumonia and respiratory infection
MOHFW · Paediatrics · 2021
Other Antiretroviral drugs
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Sources: BNF·Verified: 2026-05-10 · House clinical team