HIV POSITIVE  Treatment
Protease Inhibitors  NEW!


Medications that should not be used
with Protease Inhibitors

Drug Category Invirase™ Roche
saquinavir
Norvir™ Abbott
ritonavir
Crixivan® Merck
indinavir
Potential Alternatives
(these alternatives may not be therapeutically equivalent)
Analgesic
meperidine (Demerol)
piroxicam (Fledene)
propoxyphene (Darvon, others)

acetaminophen (Tylenol, others)
aspirin (Bayer, others)
oxycodon (Percocet, others)
Cardiovascular (antiarrhythmic)
amiodarone (Cordarone)
encainide (Enkaid)
flecainide (Tambocor)
propafenone (Rythmol)
quinidine (various)

very limited clinical experience
Antimycobacterial rifampin (Rifadin,others) rifabutin (Mycobutin) rifampin (Rifadin, others) alternatives for rifabutin (Mycobutin): clarithromycin (Biaxin), ethambutol (Myambutol)
Cardiovascular (calcium channel blocker)
bepridil (Vascor)
very limited clinical experience
Ergot Alkaloid
(vasoconstrictor)

dihydroergotamine
(D.H.E. 45)
Ergotamine (various)


Cold and Allergy (antihistamine) astemizole (Hismanal)
terfenadine (Seldane)
astemizole (Hismanal)
terfenadine (Seldane)
astemizole (Hismanal)
terfenadine (Seldane)
loratadine (Claritin)
Gastrointestinal cisapride (Propulsid) cisapride (Propulsid) cisapride (Propulsid) very limited clinical experience
Psychotropic (antidepressant)
bupropion (Wellbutrin)
fluoxetine (Prozac)
desipramine (Norpramin)
Psychotropic (neuroleptic)
clozapine (Clozaril)
pimozide (Orap)

very limited clinical experience
Psychotropic (sedative/hypnotic)
alprazolam (Xanax)
clorazepate (Tranxene)
diazepam (Valium)
estazolam (ProSom)
flurazepam (Dalmane)
midazolam (Versed)
triazolam (Halcion)
zolpidem (Ambien)
midazolam (Versed)
triazolam (Halcion)
temazepam (Restoril)
lorazepam (Ativan)


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