Ritonavir + Sertraline = Precautionary

Effect on Concentration

Ritonavir
No change
Applies within class?
No
Sertraline
Decrease
Applies within class?
No

Pharmacologic Effects

Ritonavir
Effect
N/A
Applies within class?
No
Sertraline
Effect
N/A
Applies within class?
No

Interaction History

N/A

Last Updated 22-Nov-2022

Summary

Darunavir and ritonavir (DRV/r) were given to healthy subjects as 400mg/100mg twice daily with either paroxetine 20mg once daily or sertraline 50mg once daily. There was a 49% decrease in sertraline AUC and a 39% decrease in paroxetine AUC when co-administered with DRV/r as compared to sertraline or paroxetine alone. Dose titration of an SSRI is recommended when given with DRV/r with close monitoring of clinical response.

Sources

Darunavir/r vs sertraline or paroxetine ^

Study Design

Study Results

Study Conclusions

References

V Sekar, et al. Pharmacokinetic interaction between darunavir (tmc114), a new protease inhibitor, and the selective serotonin reuptake inhibitors (ssris), paroxetine and sertraline. 8th International Congress On Drug Therapy In Hiv Infection. Glascow, Scotland. ; 2006.