Drug Information Sheet("Kusuri-no-Shiori")
Internal
Revised: 05/2024
The information on this sheet is based on approvals granted by the Japanese regulatory authority. Approvaldetails may vary by country. Medicines have adverse reactions (risks) as well as efficacies (benefits). It is
important to minimize adverse reactions and maximize efficacy. To obtain a better therapeutic response,patients should understand their medication and cooperate with the treatment.

Brand name:PaxlovidPACK300
Active ingredient:1. Nirmatrelvir
2. Ritonavir
Dosage form:1. Nirmatrelvir/ pale red tablet, major axis: 17.5 mm, minor axis: 8.5mm, thickness: 5.7 mm 2. Ritonavir/ white to faintly yellowish whitetablet, major axis: approx. 17 mm, minor axis: approx. 9 mm, thickness:approx. 6 mm
Imprint or print on wrapping:パキロビッドパック 300, リトナビル, 100mg, 朝服用分, 同時に 2 錠, ニルマトレルビル, 150mg, 300, Company mark,Pfizer, Paxlovid PACK 300, 夕方服用分, 同時に 2 錠, PFE,3CL, NK
Effects of this medicine
This medicine belongs to the group called antiviral medicines. Nirmatrelvir inhibits the SARS-CoV-2 main protease
and thereby suppresses the reproduction of the virus. Ritonavir inhibits the metabolism of nirmatrelvir and thereby
increases plasma level of nirmatrelvir.
It is usually used to treat SARS-CoV-2 infection.
The following patients may need to be careful when using this medicine.Be sure to tell your doctor andpharmacist.
・If you have previously experienced any allergic reactions (itch, rash, etc.) to any medicines or foods.
If you have: HIV infection, renal dysfunction or liver dysfunction.
・If you are pregnant or breastfeeding.
・If you are taking any other medicinal products. (Some medicines may interact to enhance or diminish medicinal
effects. Beware of over-the-counter medicines and dietary supplements as well as other prescription medicines.)
Dosing schedule (How to take this medicine)・Your dosing schedule prescribed by your doctor is((to be written by a healthcare professional))
・In general, for adults and children 12 years or over with body weight 40 kg or over, and with moderate renal
dysfunction, take 1 nirmatrelvir tablet (150 mg of the active ingredient) concomitantly with 1 ritonavir tablet (100mg of the active ingredient) at a time, twice a day, for 5 days. Strictly follow the instructions.
・One sheet contains the doses for one day (two doses: for morning and evening).
・Swallow the tablet without chewing, cracking or crushing.
・If you miss a dose and notice it within 8 hours after the scheduled dosing time, take the missed dose as soon aspossible. If you notice it more than 8 hours after the scheduled dosing time, skip the missed dose and follow yourregular dosing schedule. You should never take two doses at one time.
・If you accidentally take more than your prescribed dose, consult with your doctor or pharmacist.
・Do not stop taking this medicine unless your doctor instructs you to do so.
Precautions while taking this medicine
・Refrain from taking any food containing St. John's Wort (a kind of herb) or tobacco (smoking), since it may diminish
medicinal effects.
Possible adverse reactions to this medicine
The most commonly reported adverse reactions include dysgeusia (taste disorder) and diarrhea/loose stool. If any ofthese symptoms occur, consult with your doctor or pharmacist.
The symptoms described below are rarely seen as initial symptoms of the adverse reactions indicatedin brackets. If any of these symptoms occur, stop taking this medicine and see your doctor
immediately.
・general malaise, loss of appetite, nausea [liver dysfunction]・high fever, lip erosion/eye bloodshot/sore throat, redness/blister of skin/mucosa [toxic epidermal necrolysis(TEN), oculomucocutaneous syndrome]・dyspnea, hives, general itch [anaphylaxis]
The above symptoms do not describe all the adverse reactions to this medicine. Consult with yourdoctor or pharmacist if you notice any symptoms of concern other than those listed above.

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Storage conditions and other information
・Keep out of the reach of children. Store at room temperature (1 to 30 degrees Celsius) away from direct sunlightand moisture.
・Discard the remainder. Do not store them. If you do not know how to discard, seek advice of your pharmacy or
medical institution. Do not give the unused medicines to others.
For healthcare professional use only/
/For further information, talk to your doctor or pharmacist.

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