{"id":48816,"date":"2022-02-09T15:28:43","date_gmt":"2022-02-09T20:28:43","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=48816"},"modified":"2025-10-17T11:26:48","modified_gmt":"2025-10-17T15:26:48","slug":"paxlovid-for-covid-19","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/news\/paxlovid-for-covid-19\/","title":{"rendered":"Everything you need to know about Paxlovid"},"content":{"rendered":"<p><i><span style=\"font-weight: 400;\">CORONAVIRUS UPDATE: As experts learn more about the novel coronavirus, news and information changes. For the latest on the COVID-19 pandemic, please visit the <\/span><\/i><a href=\"https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/index.html\" target=\"_blank\" rel=\"noopener\"><i><span style=\"font-weight: 400;\">Centers for Disease Control and Prevention<\/span><\/i><\/a><i><span style=\"font-weight: 400;\"> (CDC).<\/span><\/i><\/p>\n<p><span style=\"font-weight: 400;\"><a href=\"#what-is-paxlovid\">What is Paxlovid?<\/a> | <a href=\"#dose\">Dose<\/a> | <a href=\"#side-effects\">Side effects<\/a> | <a href=\"#restrictions\">Restrictions<\/a> | <a href=\"#availability\">Availability<\/a> | <a href=\"#where-to-buy\">Where to buy Paxlovid<\/a> | <a href=\"#cost\">Cost<\/a> | <a href=\"#other\">Other COVID treatments<\/a><\/span><\/p>\n<p><a href=\"https:\/\/www.rev.com\/blog\/transcripts\/joe-biden-covid-omicron-spike-speech-transcript\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">President Joe Biden<\/span><\/a><span style=\"font-weight: 400;\"> announced the shipment of the new COVID-19 antiviral drug Paxlovid (nirmatrelvir \/ ritonavir) when he addressed the nation on Jan. 4, 2022. The new \u201cCOVID pill\u201d is manufactured by Pfizer and was given emergency use authorization (EUA) on December 22, 2021 by the <\/span><a href=\"https:\/\/www.fda.gov\/news-events\/press-announcements\/coronavirus-covid-19-update-fda-authorizes-first-oral-antiviral-treatment-covid-19\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">U.S. Food and Drug Administration<\/span><\/a><span style=\"font-weight: 400;\"> (FDA). It is the first oral drug authorized for the novel coronavirus. The second one, created by Merck &amp; Co and Ridgeback Biotherapeutics is <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/news\/molnupiravir-covid-pill\/\"><span style=\"font-weight: 400;\">molnupiravir<\/span><\/a><span style=\"font-weight: 400;\">. Molnupiravir received its EUA the day after Paxlovid.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cThey\u2019re a game changer and have the potential to dramatically alter the impact of COVID-19, the impact it\u2019s had on this country and our people,\u201d President Biden said in his address.\u00a0<\/span><\/p>\n<h2 id=\"what-is-paxlovid\">What is Paxlovid?<\/h2>\n<p><span style=\"font-weight: 400;\">Paxlovid is an antiviral pill taken orally to treat mild to moderate COVID-19 in patients <\/span><a href=\"https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/hcp\/clinical-care\/underlyingconditions.html\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">at risk<\/span><\/a><span style=\"font-weight: 400;\"> of developing a more severe infection. It is a combination of nirmatrelvir (PF-07321332) and ritonavir. Nirmatrevlir prevents the virus from replicating while ritonavir is known as a \u201cbooster,\u201d which helps increase levels of nirmatrelvir in the body to those that are effective against SARS-CoV-2. Ritonavir (<\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/protease-inhibitors\"><span style=\"font-weight: 400;\">a protease inhibitor<\/span><\/a><span style=\"font-weight: 400;\">) has historically been used in the management of HIV, while nirmatrelvir is a new medication. Paxlovid works similarly to how <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/oseltamivir-phosphate\"><span style=\"font-weight: 400;\">Tamiflu (oseltamivir)<\/span><\/a><span style=\"font-weight: 400;\"> works for influenza (the flu) infections. A <\/span><a href=\"https:\/\/www.businesswire.com\/news\/home\/20211105005260\/en\/Pfizer%E2%80%99s-Novel-COVID-19-Oral-Antiviral-Treatment-Candidate-Reduced-Risk-of-Hospitalization-or-Death-by-89-in-Interim-Analysis-of-Phase-23-EPIC-HR-Study\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Pfizer study<\/span><\/a><span style=\"font-weight: 400;\"> found that use of Paxlovid, in patients at risk for severe illness, reduced risk of hospitalization or death by 89%.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cViruses like SARS-CoV-2 that cause COVID-19 need to replicate, or copy themselves, in order to spread in the body,\u201d says <\/span><a href=\"https:\/\/drwilliamli.com\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">William Li<\/span><\/a><span style=\"font-weight: 400;\">, MD, physician, scientist, and author of <\/span><i><span style=\"font-weight: 400;\">Eat To Beat Disease<\/span><\/i><span style=\"font-weight: 400;\">. \u201cThe more they copy, the more virus is around, and the more severe the infection. Paxlovid is an antiviral agent that blocks the virus from copying itself. It is like jamming the toner cartridge in a copy machine. You cannot make a copy once it&#8217;s jammed.\u201d<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/flu-shot-tamiflu-for-coronavirus\/\"><b>Does Tamiflu work for COVID-19?<\/b><\/a><\/p>\n<h3 id=\"dose\">Dosage<\/h3>\n<p><span style=\"font-weight: 400;\">Pfizer\u2019s Paxlovid is only approved for use for adults and children aged 12 and older who weigh at least 88 pounds. This treatment of COVID-19 is used after you develop COVID-19 symptoms and test positive. Paxlovid does not prevent infection. COVID-19 vaccines are the best way to avoid illness. This drug should be taken as soon as possible, but at most five days of symptom onset and can be taken at home.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Paxlovid consists of two different drugs\u2014nirmatrelvir and ritonavir\u2014that are packaged together. Each dose is 300 mg of nirmatrelvir (two oval, pink 150\u202fmg tablets) and one tablet of 100 mg of ritonavir (one ovaloid, white 100 mg tablet). The dose is the same for all ages. You may require a lower dose if you have kidney disease. Paxlovid is taken by mouth in the morning and at night for five days. All three pills should be taken together, twice a day.<\/span><\/p>\n<h3 id=\"side-effects\">Side effects<\/h3>\n<p><span style=\"font-weight: 400;\">Paxlovid is a new COVID medication that only a limited number of people have taken. Even though this drug has been researched and proven more effective than placebo in clinical trials, there may be <\/span><a href=\"https:\/\/www.fda.gov\/media\/155051\/download\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">side effects<\/span><\/a><span style=\"font-weight: 400;\"> that did not appear in the test subjects. If you experience any side effects, contact your healthcare provider. Paxlovid can <\/span><a href=\"https:\/\/www.covid19treatmentguidelines.nih.gov\/therapies\/statement-on-paxlovid-drug-drug-interactions\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">cause a multitude of serious drug interactions<\/span><\/a><span style=\"font-weight: 400;\"> with other medications and vitamins like St. John\u2019s Wort. Make sure to tell your healthcare provider about all medications and vitamins that you currently take. You may be advised to modify dosages of other medications, stop taking them altogether for the time you\u2019re taking Paxlovid, or in limited situations be advised against taking Paxlovid. Here are some possible serious side effects:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Liver problems:<\/b><span style=\"font-weight: 400;\"> Symptoms related to liver problems are loss of appetite, yellowing of your skin and the whites of eyes (jaundice), dark-colored urine, pale colored stools, itchy skin, and abdominal pain.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Resistance to HIV medicines: <\/b><span style=\"font-weight: 400;\">If you have untreated HIV infection Paxlovid may make some HIV medicines ineffective when you seek treatment.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">These are also some less serious side effects:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Altered sense of taste\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Diarrhea\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">High blood pressure<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Muscle aches<\/span><\/li>\n<\/ul>\n<h3 id=\"restrictions\">Contraindications and restrictions<\/h3>\n<p><span style=\"font-weight: 400;\">Paxlovid is not for everyone. Some restrictions apply to certain medical conditions. Ritonavir may cause liver damage, so if someone has liver issues such as preexisting liver diseases, liver enzyme abnormalities, or liver inflammation they may not be able to take Paxlovid. Also, if you have severe kidney problems Paxlovid is not recommended. You should not take Paxlovid if you are allergic to nirmatrelvir, ritonavir, or any of the ingredients in Paxlovid. If you are pregnant or breastfeeding, there has not been research about how this medication may affect you or your baby. Discuss your options with your prescribing physician or pharmacist.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It is also not recommended that you take Paxlovid if you are taking any of the following medicines because of the risk for drug interactions:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Alfuzosin<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pethidine, piroxicam, propoxyphene<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ranolazine<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Amiodarone, dronedarone, flecainide, propafenone, quinidine<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Colchicine<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Lurasidone, pimozide, clozapine<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dihydroergotamine, ergotamine, methylergonovine<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Lovastatin, simvastatin<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Revatio (sildenafil) for pulmonary arterial hypertension (PAH)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Triazolam, oral midazolam<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Apalutamide<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Carbamazepine, phenobarbital, phenytoin<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Rifampin<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">St. John\u2019s Wort\u00a0<\/span><\/li>\n<\/ul>\n<h2 id=\"availability\">When will Paxlovid be available?<\/h2>\n<p><span style=\"font-weight: 400;\">\u201cThis is a new product that is not widely available in regular cities due to supply,\u201d says <\/span><a href=\"https:\/\/www.linkedin.com\/in\/delmargirl\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Banita Sehgal<\/span><\/a><span style=\"font-weight: 400;\">, MD, a physician at <\/span><span style=\"font-weight: 400;\">LifeMD<\/span><span style=\"font-weight: 400;\"> in California. \u201cMany emergency rooms have initial access to it.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Paxlovid is now available for <\/span><a href=\"https:\/\/www.covid19treatmentguidelines.nih.gov\/therapies\/statement-on-patient-prioritization-for-outpatient-therapies\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">limited use<\/span><\/a><span style=\"font-weight: 400;\"> for patients with mild to moderate COVID-19 symptoms who are within five days of symptoms and who have risk factors for the progression to severe disease. Hopefully, Paxlovid will be more widely available in the coming months. But the drug takes a long time to manufacture which may slow down the distribution process.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Since Paxlovid is a COVID-19 pill that patients can easily swallow and take at home, the medication requires less training for healthcare providers as opposed to monoclonal antibodies therapy that needs to be administered by an intravenous (IV) infusion.<\/span><\/p>\n<h2 id=\"where-to-buy\">Where to buy Paxlovid<\/h2>\n<p><span style=\"font-weight: 400;\">Currently Paxlovid is being distributed to states throughout the country. Paxlovid must be prescribed, but where you pick up that prescription varies by state since supplies are limited. In New York City, a specific company delivers the prescription to your home. In other states, a prescription can be filled at local healthcare centers.\u00a0<\/span><\/p>\n<h2 id=\"cost\">How much does Paxlovid cost?<\/h2>\n<p><span style=\"font-weight: 400;\">The federal government purchased 20 million treatment courses of Paxlovid\u2014costing about $530 per course. Currently, Paxlovid is free for the public since it was purchased by the federal government for public health during the pandemic. In the future, insurance might cover the cost.<\/span><\/p>\n<h2 id=\"other\">Other COVID treatment updates<\/h2>\n<p><span style=\"font-weight: 400;\">These are the current therapeutics for COVID-19 that are available but might be in limited supply or limited to high-risk patients:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/dexamethasone\"><b>Dexamethasone<\/b><\/a> <span style=\"font-weight: 400;\">is a corticosteroid used to treat patients with anti-inflammatory issues like arthritis. This medication is used to help severe COVID-19 patients who are on a ventilator or need oxygen in the hospital to recover.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/remdesivir\"><b>Remdesivir<\/b><\/a><span style=\"font-weight: 400;\">, was the first treatment to be approved for hospitalized patients diagnosed with COVID-19. Originally the medication was being investigated to treat hepatitis C and has also demonstrated some efficacy in treating Ebola and Marburg virus infections. The <\/span><a href=\"https:\/\/www.fda.gov\/news-events\/press-announcements\/fda-takes-actions-expand-use-treatment-outpatients-mild-moderate-covid-19\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">FDA expanded the approval indications<\/span><\/a><span style=\"font-weight: 400;\"> on Jan. 21, 2022 for using remdesivir as an outpatient treatment.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/drug-classes\/monoclonal-antibodies\"><b>Monoclonal antibodies (MAb)<\/b><\/a> <span style=\"font-weight: 400;\">are created in a laboratory to mimic antibodies you naturally create to fight off infections. Monoclonal antibody therapy is used when someone has already tested positive for COVID-19 and is at high risk for developing serious symptoms. <\/span><span style=\"font-weight: 400;\">Three different MAb treatments have been authorized to prevent severe disease in those already infected (bamlanivimab with etesevimab, casirivimab with imdevimab, and sotorovimab).<\/span> <span style=\"font-weight: 400;\">This form of treatment is most effective when given early\u2014when the person first shows symptoms. <\/span><span style=\"font-weight: 400;\">On Feb. 11, 2022, the <\/span><a href=\"https:\/\/www.fda.gov\/news-events\/press-announcements\/coronavirus-covid-19-update-fda-authorizes-new-monoclonal-antibody-treatment-covid-19-retains\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">FDA issued an EUA<\/span><\/a><span style=\"font-weight: 400;\"> for yet another monoclonal antibody for treatment of mild to moderate COVID-19, known as <\/span><a href=\"https:\/\/www.fda.gov\/media\/156153\/download\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">bebtelovimab.<\/span><\/a><span style=\"font-weight: 400;\"> The dose is a single 175 mg injection, which can be administered in those at high risk of progressing to severe disease within seven days of symptom onset.<\/span> <span style=\"font-weight: 400;\">Data on efficacy of these monoclonal antibodies against circulating <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/news\/new-covid-strain\/\"><span style=\"font-weight: 400;\">variants<\/span><\/a><span style=\"font-weight: 400;\"> and subvariants is always evolving, and may make certain MAbs preferable for treatment over others. <\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.fda.gov\/news-events\/press-announcements\/coronavirus-covid-19-update-fda-authorizes-new-long-acting-monoclonal-antibodies-pre-exposure\" target=\"_blank\" rel=\"noopener\"><b>Evusheld<\/b><\/a><span style=\"font-weight: 400;\"> is a type of monoclonal antibodies given emergency use authorization to prevent infection with COVID-19 for people who are at high risk of severe COVID-19 and who may not have a good immune response from the vaccine or cannot be vaccinated. It\u2019s not a substitute for vaccination.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.fda.gov\/news-events\/press-announcements\/coronavirus-covid-19-update-fda-authorizes-additional-oral-antiviral-treatment-covid-19-certain\" target=\"_blank\" rel=\"noopener\"><b>Molnupiravir<\/b><\/a> <span style=\"font-weight: 400;\">is an antiviral medication for COVID-19 similar to Paxlovid. The medication was co-developed by the pharmaceutical companies Merck &amp; Co and Ridgeback Biotherapeutics. On Dec. 23, 2021 the medication received emergency use authorization and became the second authorized antiviral treatment for COVID-19. Similar to Paxlovid you take the medication at home for 5 days within 5 days of the onset of symptoms. But the medications work differently. \u201cPaxlovid inhibits viral replication whereas molnupiravir causes lethal mutations in the virus so it eventually dies out,\u201d says <\/span><a href=\"https:\/\/progressivepediatrics.com\/team\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Noha Polack<\/span><\/a><span style=\"font-weight: 400;\">, MD, a pediatrician at Progressive Pediatrics in Union City, New Jersey. Paxlovid has been approved for children 12 years and older whereas molnupiravir has only been approved for people 18 years and older. Paxlovid has shown to be 89% effective in preventing hospitalization or death whereas molnupiravir is 30% effective in preventing the same composite outcome.\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">These medications appear to be effective against the latest variants, including the Omicron and Delta variants.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>CORONAVIRUS UPDATE: As experts learn more about the novel coronavirus, news and information changes. For the latest on the COVID-19 pandemic, please visit the Centers for Disease Control and Prevention (CDC). What is Paxlovid? | Dose | Side effects | Restrictions | Availability | Where to buy Paxlovid | Cost | Other COVID treatments President [&hellip;]<\/p>\n","protected":false},"author":94,"featured_media":50650,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4589,4114],"tags":[14636,788,4141],"coauthors":[20598],"class_list":["post-48816","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-info","category-news","tag-coronavirus","tag-drug-safety","tag-fda-approvals","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Paxlovid for COVID-19: Dose, side effects, cost<\/title>\n<meta name=\"description\" content=\"Paxlovid is the first authorized oral antiviral treatment for COVID-19. 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