Ritonavir Quinine 1089

Clinical Bottom Line
Minimal data to guide interaction: risks likely to outweigh benefits
Drug 1
Drug 1 dose
200 mg Q12 h x 9 days
Drug 1 effect

Ritonavir AUC increased 21%; Cmax increased 15%

Drug 2
Drug 2 dose
600 mg x 1
Drug 2 effect

Quinine AUC increased 341%; Cmax increased 284%

Clinical Effects

Increased quinine effects

Management

Avoid combination and use alternative agents. If combination must be used a potential four-fold reduction in quinine dosage may be needed

Import ID
1089