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Also known as: 155213-67-5, Norvir, Abt-538, A-84538, Abbott 84538, Abbott-84538
Molecular Formula
C37H48N6O5S2
Molecular Weight
720.9  g/mol
InChI Key
NCDNCNXCDXHOMX-XGKFQTDJSA-N
FDA UNII
O3J8G9O825

Ritonavir
An HIV protease inhibitor that works by interfering with the reproductive cycle of HIV. It also inhibits CYTOCHROME P-450 CYP3A.
Ritonavir is a Cytochrome P450 3A Inhibitor and Protease Inhibitor. The mechanism of action of ritonavir is as a HIV Protease Inhibitor and Cytochrome P450 3A Inhibitor and Cytochrome P450 2D6 Inhibitor and Cytochrome P450 2C19 Inducer and Cytochrome P450 3A Inducer and P-Glycoprotein Inhibitor and Breast Cancer Resistance Protein Inhibitor and Cytochrome P450 3A4 Inhibitor and Cytochrome P450 1A2 Inducer and Cytochrome P450 2C9 Inducer and Cytochrome P450 2B6 Inducer and UDP Glucuronosyltransferases Inducer.
1 2D Structure

Ritonavir

2 Identification
2.1 Computed Descriptors
2.1.1 IUPAC Name
1,3-thiazol-5-ylmethyl N-[(2S,3S,5S)-3-hydroxy-5-[[(2S)-3-methyl-2-[[methyl-[(2-propan-2-yl-1,3-thiazol-4-yl)methyl]carbamoyl]amino]butanoyl]amino]-1,6-diphenylhexan-2-yl]carbamate
2.1.2 InChI
InChI=1S/C37H48N6O5S2/c1-24(2)33(42-36(46)43(5)20-29-22-49-35(40-29)25(3)4)34(45)39-28(16-26-12-8-6-9-13-26)18-32(44)31(17-27-14-10-7-11-15-27)41-37(47)48-21-30-19-38-23-50-30/h6-15,19,22-25,28,31-33,44H,16-18,20-21H2,1-5H3,(H,39,45)(H,41,47)(H,42,46)/t28-,31-,32-,33-/m0/s1
2.1.3 InChI Key
NCDNCNXCDXHOMX-XGKFQTDJSA-N
2.1.4 Canonical SMILES
CC(C)C1=NC(=CS1)CN(C)C(=O)NC(C(C)C)C(=O)NC(CC2=CC=CC=C2)CC(C(CC3=CC=CC=C3)NC(=O)OCC4=CN=CS4)O
2.1.5 Isomeric SMILES
CC(C)C1=NC(=CS1)CN(C)C(=O)N[C@@H](C(C)C)C(=O)N[C@@H](CC2=CC=CC=C2)C[C@@H]([C@H](CC3=CC=CC=C3)NC(=O)OCC4=CN=CS4)O
2.2 Other Identifiers
2.2.1 UNII
O3J8G9O825
2.3 Synonyms
2.3.1 MeSH Synonyms

1. Abt 538

2. Abt-538

3. Abt538

4. Norvir

2.3.2 Depositor-Supplied Synonyms

1. 155213-67-5

2. Norvir

3. Abt-538

4. A-84538

5. Abbott 84538

6. Abbott-84538

7. Empetus

8. Ritomune

9. Ritovir

10. Viekirax

11. Viriton

12. Rtv

13. Abt 538

14. Chebi:45409

15. 1,3-thiazol-5-ylmethyl N-[(2s,3s,5s)-3-hydroxy-5-[[(2s)-3-methyl-2-[[methyl-[(2-propan-2-yl-1,3-thiazol-4-yl)methyl]carbamoyl]amino]butanoyl]amino]-1,6-diphenylhexan-2-yl]carbamate

16. Nsc-693184

17. O3j8g9o825

18. Ritonavir Related Compounds Mixture

19. Nsc693184

20. 2,7,10,12-tetraazatridecanoic Acid, 4-hydroxy-12-methyl-9-(1-methylethyl)-13-[2-(1-methylethyl)-4-thiazolyl]-8,11-dioxo-3,6-bis(phenylmethyl)-, 5-thiazolylmethyl Ester, (3s,4s,6s,9s)-

21. Thiazol-5-ylmethyl ((2s,3s,5s)-3-hydroxy-5-((s)-2-(3-((2-isopropylthiazol-4-yl)methyl)-3-methylureido)-3-methylbutanamido)-1,6-diphenylhexan-2-yl)carbamate

22. Ritonavir [usan]

23. Ncgc00159462-02

24. Ncgc00183130-01

25. Norvir Softgel

26. Dsstox_cid_28553

27. Dsstox_rid_82825

28. Dsstox_gsid_48627

29. N-[(2s,4s,5s)-4-hydroxy-1,6-diphenyl-5-{[(1,3-thiazol-5-ylmethoxy)carbonyl]amino}hexan-2-yl]-n~2~-(methyl{[2-(propan-2-yl)-1,3-thiazol-4-yl]methyl}carbamoyl)-l-valinamide

30. Rit

31. Abt538

32. Mfcd00927142

33. Drg-0244

34. 2,4,7,12-tetraazatridecan-13-oic Acid, 10-hydroxy-2-methyl-5-(1-methylethyl)-1-(2-(1-methylethyl)-4-thiazolyl)-3,6-dioxo-8,11-bis(phenylmethyl)-, 5-thiazolylmethyl Ester, (5s-(5r*,8r*,10r*,11r*))-

35. Smr000466395

36. Thiazol-5-ylmethyl (2s,3s,5s)-3-hydroxy-5-((s)-2-(3-((2-isopropylthiazol-4-yl)methyl)-3-methylureido)-3-methylbutanamido)-1,6-diphenylhexan-2-ylcarbamate

37. Thiazol-5-ylmethyl N-[(1s,2s,4s)-1-benzyl-2-hydroxy-4-[[(2s)-2-[[(2-isopropylthiazol-4-yl)methyl-methyl-carbamoyl]amino]-3-methyl-butanoyl]amino]-5-phenyl-pentyl]carbamate

38. Norvir (tm)

39. Norvir (tn)

40. Cas-155213-67-5

41. Hsdb 7160

42. 1,3-thiazol-5-ylmethyl N-[(2s,3s,5r)-3-hydroxy-5-[[(2s)-3-methyl-2-[[methyl-[(2-propan-2-yl-1,3-thiazol-4-yl)methyl]carbamoyl]amino]butanoyl]amino]-1,6-diphenyl-hexan-2-yl]carbamate

43. Ritonavirum

44. Tmc 114r

45. Unii-o3j8g9o825

46. 1hxw

47. 3prs

48. 3tne

49. 4eyr

50. Ritonavir [usan:usp:inn:ban]

51. Ritonavir- Bio-x

52. 2,4,7,12-tetraazatridecan-13-oic Acid, 10-hydroxy-2-methyl-5-(1-methylethyl)-1-[2-(1-methylethyl)-4-thiazolyl]-3,6-dioxo-8,11-bis(phenylmethyl)-, 5-thiazolylmethyl Ester, [5s-(5r*,8r*,10r*,11r*)]-

53. 2,7,10,12-tetraazatridecanoic Acid, 4-hydroxy-12-methyl-9-(1-methylethyl)-13-(2-(1-methylethyl)-4-thiazolyl)-8,11-dioxo-3,6-bis(phenylmethyl)-, 5-thiazolylmethyl Ester, (3s,4s,6s,9s)-

54. Ritonavir & Plga

55. 5-thiazolylmethyl ((alphas)-alpha-((1s,3s-1-hydroxy-3-((2s)-2-(3-((2-isopropyl-4-thiazolyl)methyl)-3-methylureido)-3-methylbutyramido)-4-phenylbutyl)phenethyl)carbamate

56. Norvir, Norvir Softgel

57. 1sh9

58. Ritonavir [inn]

59. Ritonavir [jan]

60. Ritonavir [mi]

61. Ritonavir [hsdb]

62. Ritonavir [vandf]

63. Abbot 84538

64. Chembl163

65. Ritonavir [mart.]

66. Ritonavir [usp-rs]

67. Ritonavir [who-dd]

68. Ritonavir [who-ip]

69. Schembl6679

70. Ritonavir (jan/usp/inn)

71. Bidd:pxr0023

72. Ritonavir [ema Epar]

73. 5-thiazolylmethyl ((alphas)-alpha-((1s,3s)-1-hydroxy-3-((2s)-2-(3-((2-isopropyl-4-thiazolyl)methyl)-3-methylureido)-3-methylbutyramido)-4-phenylbutyl)phenethyl)carbamate

74. Mls000759541

75. Mls001424063

76. Mls006011764

77. Bidd:gt0387

78. Gtpl8804

79. Ritonavir [orange Book]

80. Dtxsid1048627

81. Ritonavir [usp Impurity]

82. Ritonavir, >=98% (hplc)

83. Ritonavir [usp Monograph]

84. Kaletra Component Ritonavir

85. Hms2051b08

86. Hms2235o10

87. Hms3715l22

88. Pharmakon1600-01502391

89. Paxlovid Component Ritonavir

90. Ritonavirum [who-ip Latin]

91. Viekirax Component Ritonavir

92. Zinc3944422

93. Tox21_112969

94. Tox21_113431

95. Ac-733

96. Bdbm50088504

97. Nsc760369

98. S1185

99. Stk634209

100. Ritonavir Component Of Kaletra

101. Akos000280930

102. Ritonavir & Poly-lactide-co-glycolide

103. Ritonavir Component Of Viekirax

104. Tox21_112969_1

105. Ccg-101007

106. Cs-0432

107. Db00503

108. Ks-5017

109. Nc00257

110. Nsc 693184

111. Nsc 760369

112. Nsc-760369

113. Mrf-0000287

114. Ncgc00159462-03

115. Ncgc00159462-04

116. Ncgc00159462-07

117. Ncgc00159462-20

118. Ritonavir 100 Microg/ml In Acetonitrile

119. Br164353

120. Hy-90001

121. Mls000759541-02

122. R0116

123. Sw197637-2

124. C07240

125. D00427

126. Ab00639991-06

127. Ab00639991-08

128. Ab00639991_09

129. Ab00639991_10

130. 213r675

131. A 84538

132. A904691

133. Q422618

134. J-009178

135. Ritonavir Related Compounds Mixture [usp-rs]

136. Brd-k51485625-001-07-6

137. Ritonavir Solution, 1.0 Mg/ml In Acetonitrile, Certified Reference Material

138. (2s, 3s, 5s)-5-(n-(n-((n-methyl-n-((2-isopropyl-4-thiazolyl)methyl)amino)carbonyl)valinvl)amino)-2-(n-((5-thiazolyl)methoxycarbonyl)amino)-1,6-diphenyl-3-hydroxyhexane

139. (2s,3s,5s )-5-(n-(n-((n-methyl-n-((2-isopropyl-4-thiazolyl) Methyl)amino)carbonyl)valinyl)amino)-2-(n-((5-thiazolyl) Methoxycarbonyl)amino)-1,6-diphenyl-3-hydroxyhexane

140. (2s,3s,5s)-5-(n-(n((n-methyl-n-((2-isopropyl-4-thiazolyl)methyl)amino)carbonyl)valinyl)amino)-2-(n-((5-thiazolyl)methoxycarbonyl)amino)-1,6-diphenyl-3-hydroxyhexane

141. (2s,3s,5s)-5-(n-(n-((n-methyi-n-((2-isopropyl-4-thiazolyl)methyl)amino)carbonyl)valinyl)amino)-2-(n-((5-thiazolyl)methoxycarbonyl)amino)-1.6-diphenyl-3-hydroxyhexane

142. (2s,3s,5s)-5-(n-(n-((n-methyl-n-((2-isopropyl-4-thiazolyl) Methyl)amino)carbonyl)valinyl)amino)-2-(n-((5-thiazolyl)methoxycarbonyl)amino)-1,6-diphenyl-3-hydroxyhexane

143. (2s,3s,5s)-5-(n-(n-((n-methyl-n-((2-isopropyl-4-thiazolyl)methyl)amino)carbonyl)valinyl)amino )-2-(n-((5-thiazolyl)methoxycarbonyl)amino)-1,6-diphenyl-3-hydroxyhexane

144. (2s,3s,5s)-5-(n-(n-((n-methyl-n-((2-isopropyl-4-thiazolyl)methyl)amino)carbonyl)valinyl)amino)-2-(n-((5-thiazolyl)methoxycarbonyl)amino)-1 .6-diphenyl-3-hydroxyhexane

145. (2s,3s,5s)-5-(n-(n-((n-methyl-n-((2-isopropyl-4-thiazolyl)methyl)amino)carbonyl)valinyl)amino)-2-(n-((5-thiazolyl)methoxycarbonyl)amino)-1,6-diphenyl-3-hydroxyhexane

146. (2s,3s,5s)-5-(n-(n-((n-methyl-n-((2-isopropyl-4-thiazolyl)methyl)amino)carbonyl)valinyl)amino)-2-(n-((5-thiazolyl)methoxycarbonyl)amino)-1,6-diphenyl-3hydroxyhexane

147. (2s,3s,5s)-5-(n-(n-((n-methyl-n-((2-isopropyl-4-thiazolyl)methyl)amino)carbonyl)valinyl)amino)-2-(n-((5-thiazolyl)methoxycarbonyl)amino)-1.6-diphenyl-3-hydroxyhexane

148. 1,3-thiazol-5-ylmethyl N-[(2s,3s,5s)-3-hydroxy-5-[(2s)-3-methyl-2-{[methyl({[2-(propan-2-yl)-1,3-thiazol-4-yl]methyl})carbamoyl]amino}butanamido]-1,6-diphenylhexan-2-yl]carbamate

149. 1,3-thiazol-5-ylmethyl N-[(2s,3s,5s)-3-hydroxy-5-[[(2s)-3-methyl-2-[[methyl-[(2-propan-2-yl-1,3-thiazol-4-yl)methyl]carbamoyl]amino]butanoyl]amino]-1,6-di(phenyl)hexan-2-yl]carbamate

150. 2,4,7,12-tetraazatridecan-13-oic Acid, 10-hydroxy-2-methyl-5-(1-methylethyl)-1-(2-(1-methylethyl)-4-thiazolyl)-3,6-dioxo-8,11-bis(phenylmethyl)-5-thiazolylmethyl Ester (5s-(5r*,8r*,10r*,11r*))-

151. 5-thiazolylmethyl ((.alpha.s)-.alpha.-((1s,3s)-1-hydroxy-3-((2s)-2-(3-((2-isopropyl-4-thiazolyl)methyl)-3-methylureido)-3-methylbutyramido)-4-phenylbutyl)phenethyl)carbamate

152. 5-thiazolylmethyl (3s,4s,6s,9s)-4-hydroxy-12-methyl-9-(1-methylethyl)-13-[2-(1-methylethyl)-4-thiazolyl]-8,11-dioxo-3,6-bis(phenylmethyl)-2,7,10,12-tetraazatridecanoate

153. N-[(2s,4s,5s)-4-hydroxy-1,6-diphenyl-5-{[(1,3-thiazol-5-ylmethoxy)carbonyl]amino}hexan-2-yl]-n(2)-(methyl{[2-(propan-2-yl)-1,3-thiazol-4-yl]methyl}carbamoyl)-l-valinamide

154. N1-((1s,3s,4s)-1-benzyl-3-hydroxy-5-phenyl-4-{[(1,3-thiazol-5-ylmethoxy)carbonyl]amino}pentyl)-n2-{[[(2-isopropyl-1,3-thiazol-4-yl)methyl](methyl)amino]carbonyl}-l-valinamide

155. Thiazol-5-ylmethyl((2s,3s,5s)-3-hydroxy-5-((s)-2-(3-((2-isopropylthiazol-4-yl)methyl)-3-methylureido)-3-methylbutanamido)-1,6-diphenylhexan-2-yl)carbamate

2.4 Create Date
2005-03-26
3 Chemical and Physical Properties
Molecular Weight 720.9 g/mol
Molecular Formula C37H48N6O5S2
XLogP36
Hydrogen Bond Donor Count4
Hydrogen Bond Acceptor Count9
Rotatable Bond Count18
Exact Mass720.31276100 g/mol
Monoisotopic Mass720.31276100 g/mol
Topological Polar Surface Area202 Ų
Heavy Atom Count50
Formal Charge0
Complexity1040
Isotope Atom Count0
Defined Atom Stereocenter Count4
Undefined Atom Stereocenter Count0
Defined Bond Stereocenter Count0
Undefined Bond Stereocenter Count0
Covalently Bonded Unit Count1
4 Drug and Medication Information
4.1 Drug Information
1 of 4  
Drug NameNorvir
PubMed HealthRitonavir (By mouth)
Drug ClassesAntiretroviral Agent
Drug LabelNORVIR (ritonavir) is an inhibitor of HIV-1 protease with activity against the Human Immunodeficiency Virus (HIV) type 1.Ritonavir is chemically designated as 10-Hydroxy-2-methyl-5-(1-methylethyl)-1- [2-(1-methylethyl)-4-thiazolyl]-3,6-dioxo-8,11-bis...
Active IngredientRitonavir
Dosage FormTablet; Capsule; Solution
RouteOral
Strength80mg/ml; 100mg
Market StatusPrescription
CompanyAbbvie

2 of 4  
Drug NameRitonavir
PubMed HealthRitonavir (By mouth)
Drug ClassesAntiretroviral Agent
Drug LabelNORVIR (ritonavir) is an inhibitor of HIV-1 protease with activity against the Human Immunodeficiency Virus (HIV) type 1.Ritonavir is chemically designated as 10-Hydroxy-2-methyl-5-(1-methylethyl)-1- [2-(1-methylethyl)-4-thiazolyl]-3,6-dioxo-8,11-bis...
Active IngredientRitonavir
Dosage FormTablet
RouteOral
Strength100mg
Market StatusTentative Approval
CompanyRoxane

3 of 4  
Drug NameNorvir
PubMed HealthRitonavir (By mouth)
Drug ClassesAntiretroviral Agent
Drug LabelNORVIR (ritonavir) is an inhibitor of HIV-1 protease with activity against the Human Immunodeficiency Virus (HIV) type 1.Ritonavir is chemically designated as 10-Hydroxy-2-methyl-5-(1-methylethyl)-1- [2-(1-methylethyl)-4-thiazolyl]-3,6-dioxo-8,11-bis...
Active IngredientRitonavir
Dosage FormTablet; Capsule; Solution
RouteOral
Strength80mg/ml; 100mg
Market StatusPrescription
CompanyAbbvie

4 of 4  
Drug NameRitonavir
PubMed HealthRitonavir (By mouth)
Drug ClassesAntiretroviral Agent
Drug LabelNORVIR (ritonavir) is an inhibitor of HIV-1 protease with activity against the Human Immunodeficiency Virus (HIV) type 1.Ritonavir is chemically designated as 10-Hydroxy-2-methyl-5-(1-methylethyl)-1- [2-(1-methylethyl)-4-thiazolyl]-3,6-dioxo-8,11-bis...
Active IngredientRitonavir
Dosage FormTablet
RouteOral
Strength100mg
Market StatusTentative Approval
CompanyRoxane

4.2 Therapeutic Uses

Ritonavir is indicated in combination with nucleoside analogs or as monotherapy for the treatment of HIV infection or AIDS. /Included in US product labeling/

MICROMEDEX Thomson Health Care. USPDI - Drug Information for the Health Care Professional. 23rd ed. Volume 1. MICROMEDEX Thomson Health Care, Greenwood Village, CO. 2003. Content Reviewed and Approved by the U.S. Pharmacopeial Convention, Inc., p. 2401


Lopinavir/ritonavir has demonstrated antiviral activity in the HIV-infected adult. The objective of this study was to investigate a liquid coformulation of lopinavir/ritonavir, in combination with reverse transcriptase inhibitors, in HIV-infected children. One hundred antiretroviral (ARV)-naive and ARV-experienced, nonnucleoside reverse transcriptase inhibitor-naive children between 6 months and 12 years of age participated in this Phase I/II, open label, multicenter trial. Subjects initially received either 230/57.5 mg/sq m or 300/75 mg/sq m lopinavir/ritonavir twice daily; ARV-naive subjects also received stavudine and lamivudine, whereas ARV-experienced subjects also received nevirapine and one or two nucleoside reverse transcriptase inhibitors. Lopinavir/ritonavir pharmacokinetics, safety and efficacy were evaluated. All subjects were escalated to the 300/75 mg/sq m twice daily dose based on results from an interim pharmacokinetic and safety evaluation. The pharmacokinetics of lopinavir did not appear to be dependent on age when dosing was based on body surface area but were decreased on coadministration with nevirapine. Overall 79% of subjects had HIV RNA levels <400 copies/mL at Week 48 (intent-to-treat: missing = failure). Mean increases in absolute and relative (percent) CD4 counts from baseline to Week 48 were observed in both ARV-naive subjects (404 cells/cu mm; 10.3%) and ARV-experienced subjects (284 cells/cu mm; 5.9%). Only one subject prematurely discontinued the study because of a study drug-related adverse event. The liquid coformulation of lopinavir/ritonavir demonstrated durable antiviral activity and was safe and well-tolerated after 48 weeks of treatment in HIV-infected children.

PMID:12634581 Saez-Llorens X et al; Pediatr Infect Dis J 22 (3): 216-24 (2003)


4.3 Drug Warning

The most frequent adverse effects associated with ritonavir therapy involve the GI tract. In one clinical study in HIV-infected patients, nausea occurred in 25.6%, vomiting in 13.7%, diarrhea in 15.4%, taste perversion in 11.1%, abdominal pain in 6%, local throat irritation in 1.7%, anorexia in 1.7%, and flatulence in 0.9% of patients who received ritonavir monotherapy. In clinical studies in patients with HIV infection who received ritonavir in conjunction with nucleoside antiretroviral therapy or ritonavir in conjunction with saquinavir, nausea occurred in 18.4-46.6%, vomiting in 7.1-23.3%, diarrhea in 22.7-25%, taste perversion in 5-17.2%, anorexia in 4.3-8.6%, abdominal pain in 2.1-8.3%, local throat irritation in 0.9-2.8%, and flatulence in 1.7-3.5% of patients. Constipation, dyspepsia, or fecal incontinence occurred in 0.2-3.4, 0.7-5.9, or 2.8%, respectively, of patients receiving ritonavir with other antiretroviral agents; these effects were not reported in patients receiving ritonavir monotherapy. Many adverse GI effects reported with ritonavir are transient; vomiting persists for an average of 1 week, nausea for 2-3 weeks, and diarrhea for 5 weeks.

McEvoy, G.K. (ed.). American Hospital Formulary Service - Drug Information 2003. Bethesda, MD: American Society of Health-System Pharmacists, Inc. 2003 (Plus Supplements)., p. 689


Adverse GI effects reported in less than 2% of patients receiving ritonavir alone or in conjunction with other antiretroviral agents include abnormal stools, bloody diarrhea, cheilitis, cholangitis, colitis, dry mouth, dysphagia, enlarged abdomen, eructation, esophageal ulcer, esophagitis, gastritis, gastroenteritis, GI disorder, GI hemorrhage, gingivitis,ileus, melena, mouth ulcer, pseudomembranous colitis, rectal disorder, rectal hemorrhage, sialadenitis, stomatitis, taste loss, tenesmus, thirst, tongue edema, and ulcerative colitis.

McEvoy, G.K. (ed.). American Hospital Formulary Service - Drug Information 2003. Bethesda, MD: American Society of Health-System Pharmacists, Inc. 2003 (Plus Supplements)., p. 689


Peripheral paresthesia occurred in 6% and paresthesia or circumoral paresthesia occurred in 2.6-3.4% of patients with HIV infection receiving ritonavir monotherapy in one clinical study (study 245). In clinical studies in patients receiving ritonavir in conjunction with nucleoside antiretroviral therapy (studies 245 and 247) or in conjunction with saquinavir (study 462), peripheral paresthesia was reported in 55.7%, paresthesia in 2.1-5.2%, and circumoral paresthesia in 5.2-6.7% of patients. Asthenia occurred in 10.3% of patients receiving ritonavir monotherapy and in 15.3-28.4% of patients receiving ritonavir with other antiretroviral agents. Many of these adverse effects are transient; peripheral paresthesia persists for an average of 34 weeks and circumoral paresthesia and asthenia persist for 35 weeks.

McEvoy, G.K. (ed.). American Hospital Formulary Service - Drug Information 2003. Bethesda, MD: American Society of Health-System Pharmacists, Inc. 2003 (Plus Supplements)., p. 689


Dizziness, insomnia, or somnolence have been reported in 2.6% of patients receiving ritonavir monotherapy and in 3.9-8.5, 2-3.4, or 2.4-2.6%, respectively, of patients receiving ritonavir with other antiretroviral agents. Headache, depression, or abnormal thinking were reported in 4.3-7.8, 1.7-7.1, or 0.7-2.6%, respectively, of patients receiving ritonavir in conjunction with other antiretroviral agents. Anxiety or confusion were reported in up to 2.1% of patients receiving ritonavir with other antiretroviral agents.

McEvoy, G.K. (ed.). American Hospital Formulary Service - Drug Information 2003. Bethesda, MD: American Society of Health-System Pharmacists, Inc. 2003 (Plus Supplements)., p. 690


For more Drug Warnings (Complete) data for RITONAVIR (34 total), please visit the HSDB record page.


4.4 Drug Indication

Ritonavir is indicated in combination with other antiretroviral agents for the treatment of HIV-1 infection. Ritonavir is also authorized by the FDA for emergency use in Paxlovid - a COVID-19 antiviral treatment which includes [nirmatrelvir] - for the treatment of mild-to-moderate COVID-19 in adults and pediatric patients (12 years of age and older weighing at least 40 kg) with positive results of direct SARS-CoV-2 viral testing, and who are at high risk for progression to severe COVID-19, including hospitalization or death.


FDA Label


Ritonavir is indicated in combination with other antiretroviral agents for the treatment of HIV 1 infected patients (adults and children of 2 years of age and older).


Ritonavir is indicated in combination with other antiretroviral agents for the treatment of HIV-1-infected patients (adults and children of two years of age and older).


5 Pharmacology and Biochemistry
5.1 Pharmacology

Ritonavir is a protease inhibitor with activity against Human Immunodeficiency Virus Type 1 (HIV-1). Protease inhibitors block the part of HIV called protease. HIV-1 protease is an enzyme required for the proteolytic cleavage of the viral polyprotein precursors into the individual functional proteins found in infectious HIV-1. Ritonavir binds to the protease active site and inhibits the activity of the enzyme. This inhibition prevents cleavage of the viral polyproteins resulting in the formation of immature non-infectious viral particles. Protease inhibitors are almost always used in combination with at least two other anti-HIV drugs. Modern protease inhibitors require the use of low-dose ritonavir to boost pharmacokinetic exposure through inhibition of metabolism via the cytochrome P450 3A4 enzyme pathway.


5.2 MeSH Pharmacological Classification

HIV Protease Inhibitors

Inhibitors of HIV PROTEASE, an enzyme required for production of proteins needed for viral assembly. (See all compounds classified as HIV Protease Inhibitors.)


Cytochrome P-450 CYP3A Inhibitors

Drugs and compounds which inhibit or antagonize the biosynthesis or actions of CYTOCHROME P-450 CYP3A. (See all compounds classified as Cytochrome P-450 CYP3A Inhibitors.)


5.3 FDA Pharmacological Classification
5.3.1 Active Moiety
RITONAVIR
5.3.2 FDA UNII
O3J8G9O825
5.3.3 Pharmacological Classes
Cytochrome P450 1A2 Inducers [MoA]; Cytochrome P450 2B6 Inducers [MoA]; Cytochrome P450 2C19 Inducers [MoA]; Cytochrome P450 2C9 Inducers [MoA]; Cytochrome P450 2D6 Inhibitors [MoA]; Cytochrome P450 3A Inducers [MoA]; Cytochrome P450 3A Inhibitor [EPC]; Cytochrome P450 3A Inhibitors [MoA]; Cytochrome P450 3A4 Inhibitors [MoA]; HIV Protease Inhibitors [MoA]; P-Glycoprotein Inhibitors [MoA]; Protease Inhibitor [EPC]; UDP Glucuronosyltransferases Inducers [MoA]; Breast Cancer Resistance Protein Inhibitors [MoA]
5.4 ATC Code

J05AE03


J05AE03


J05AE03

S76 | LUXPHARMA | Pharmaceuticals Marketed in Luxembourg | Pharmaceuticals marketed in Luxembourg, as published by d'Gesondheetskeess (CNS, la caisse nationale de sante, www.cns.lu), mapped by name to structures using CompTox by R. Singh et al. (in prep.). List downloaded from https://cns.public.lu/en/legislations/textes-coordonnes/liste-med-comm.html. Dataset DOI:10.5281/zenodo.4587355


J - Antiinfectives for systemic use

J05 - Antivirals for systemic use

J05A - Direct acting antivirals

J05AE - Protease inhibitors

J05AE03 - Ritonavir


5.5 Absorption, Distribution and Excretion

Absorption

The absolute bioavailability of ritonavir has not been determined. Following oral administration, peak concentrations are reached after approximately 2 hours and 4 hours (Tmax) after dosing under fasting and non-fasting conditions, respectively. It should be noted that ritonavir capsules and tablets are not considered bioequivalent.


Route of Elimination

Ritonavir is primarily eliminated in the feces. Following oral administration of a single 600mg dose of radiolabeled ritonavir, approximately 11.3 2.8% of the dose was excreted into the urine, of which 3.5 1.8% was unchanged parent drug. The same study found that 86.4 2.9% of the dose was excreted in the feces, of which 33.8 10.8% was unchanged parent drug.


Volume of Distribution

The estimated volume of distribution of ritonavir is 0.41 0.25 L/kg.


Clearance

The apparent oral clearance at steady-state is 8.8 3.2 L/h. Renal clearance is minimal and estimated to be <0.1 L/h.


Ritonavir and its metabolites are eliminated from the body predominantly in the feces (86% of unchanged drug and metabolites), with minor urinary elimination (11%, mostly metabolites).

Hardman, J.G., L.E. Limbird, P.B., A.G. Gilman. Goodman and Gilman's The Pharmacological Basis of Therapeutics. 10th ed. New York, NY: McGraw-Hill, 2001., p. 1369


Absorption of ritonavir is only slightly affected by diet, and this is somewhat dependent on the formulation. The overall absorption of ritonavir from the capsule formulation may increase by 15% when taken with meals. ... There is greater than sixfold variability in drug trough concentrations among patients given 600 mg of ritonavir every 12 hours.

Hardman, J.G., L.E. Limbird, P.B., A.G. Gilman. Goodman and Gilman's The Pharmacological Basis of Therapeutics. 10th ed. New York, NY: McGraw-Hill, 2001., p. 1369


The extent of oral absorption is high and is not affected by food. Within the clinical concentration range, ritonavir is approximately 98 to 99% bound to plasma proteins, including albumin and alpha 1-acid glycoprotein. Cerebrospinal fluid (CSF) drug concentrations are low in relation to total plasma concentration. However, parallel decreases in the viral burden have been observed in the plasma, CSF and other tissues. ... About 34% and 3.5% of a 600 mg dose is excreted as unchanged drug in the feces and urine, respectively. The clinically relevant t1/2 beta is about 3 to 5 hours. Because of autoinduction, plasma concentrations generally reach steady state 2 weeks after the start of administration. The pharmacokinetics of ritonavir are relatively linear after multiple doses, with apparent oral clearance averaging 7 to 9 L/hr.

PMID:9812178 Hsu A et al; Clin Pharmacokinet 35 (4): 275-91 (1998)


Ritonavir is excreted principally in the feces, both as unchanged drug and metabolites. Following oral administration of 600 mg of radiolabeled ritonavir as the oral solution, 86.4% of the dose is excreted in feces (33.8% as unchanged drug) and 11.3% of the dose is excreted in urine (3.5% as unchanged drug).

McEvoy, G.K. (ed.). American Hospital Formulary Service - Drug Information 2003. Bethesda, MD: American Society of Health-System Pharmacists, Inc. 2003 (Plus Supplements)., p. 697


For more Absorption, Distribution and Excretion (Complete) data for RITONAVIR (6 total), please visit the HSDB record page.


5.6 Metabolism/Metabolites

Ritonavir circulates in the plasma predominantly as unchanged drug. Five metabolites have been identified. The isopropylthiazole oxidation metabolite (M-2) is the major metabolite in low plasma concentrations and retains similar antiviral activity to unchanged ritonavir. The cytochrome P450 enzymes CYP3A and CYP2D6 are the enzymes primarily involved in the metabolism of ritonavir.


... Ritonavir is primarily metabolised by cytochrome P450 (CYP) 3A isozymes and, to a lesser extent, by CYP2D6. Four major oxidative metabolites have been identified in humans, but are unlikely to contribute to the antiviral effect. ...

PMID:9812178 Hsu A et al; Clin Pharmacokinet 35 (4): 275-91 (1998)


Five ritonavir metabolites have been identified in human urine and feces. The isopropylthiazole oxidation metabolite (M2) appears to be the major metabolite. M2 (but not other metabolites) has antiviral activity similar to that of ritonavir; however, only very low concentrations of this metabolite are present in plasma. Other metabolites identified in in vitro studies include a decarbamoylated metabolite (M1) and a product of N-dealkylation at the urea terminus (M11).

McEvoy, G.K. (ed.). American Hospital Formulary Service - Drug Information 2003. Bethesda, MD: American Society of Health-System Pharmacists, Inc. 2003 (Plus Supplements)., p. 697


5.7 Biological Half-Life

The approximate half-life of ritonavir is 3-5 hours.


The clinically relevant t1/2 beta is about 3 to 5 hours.

PMID:9812178 Hsu A et al; Clin Pharmacokinet 35 (4): 275-91 (1998)


5.8 Mechanism of Action

Ritonavic inhibits the HIV viral proteinase enzyme that normally cleaves the structural and replicative proteins that arise from major HIV genes, such as *gag* and *pol*. *Gag* encodes proteins involved in the core and the nucleocapsid, while *pol* encodes the the HIV reverse transcriptase, ribonuclease H, integrase, and protease. The *pol*-encoded proteins are initially translated in the form of a larger precursoe polypeptide, *gag-pol*, and needs to be cleaved by HIV protease to form other complement proteins. Ritonavir prevents the cleavage of the *gag-pol* polyprotein, which results in noninfectious, immature viral particles. Ritonavir is a potent inhibitor of cytochrome P450 CYP3A4 isoenzyme present both in the intestinal tract and liver. It is a type II ligand that perfectly fits into the CYP3A4 active site cavity and irreversibly binds to the heme iron via the thiazole nitrogen, which decreases the redox potential of the protein and precludes its reduction with the redox partner, cytochrome P450 reductase. Ritonavir may also play a role in limiting cellular transport and efflux of other protease inhibitors via the P-glycoprotein and MRP efflux channels.


Unlike nucleoside antiretroviral agents, the antiviral activity of ritonavir does not depend on intracellular conversion to an active metabolite. Ritonavir and other HIV protease inhibitors (e.g., amprenavir, indinavir, lopinavir, nelfinavir, saquinavir) act at a different stage of the HIV replication cycle than nucleoside and nonnucleoside reverse transcriptase inhibitors, and results of in vitro studies indicate that the antiretroviral effects of HIV protease inhibitors and some nucleoside or nonnucleoside antiretroviral agents may be additive or synergistic.

McEvoy, G.K. (ed.). American Hospital Formulary Service - Drug Information 2003. Bethesda, MD: American Society of Health-System Pharmacists, Inc. 2003 (Plus Supplements)., p. 696


Ritonavir is a selective, competitive, reversible inhibitor of HIV protease. HIV protease, an aspartic endopeptidase that functions as a homodimer, plays an essential role in the HIV replication cycle and the formation of infectious virus. During HIV replication, HIV protease cleaves viral polypeptide products of the gag and gag-pol genes (i.e., p55 and p160) to form structural proteins of the virion core (i.e., p17, p24, p9, and p7) and essential viral enzymes (i.e., reverse transcriptase, integrase, and protease). By interfering with the formation of these essential proteins and enzymes, ritonavir blocks maturation of the virus and causes formation of nonfunctional, immature, noninfectious virions. Ritonavir is active in both acutely and chronically infected cells since it targets the HIV replication cycle after translation and before assembly. Thus, the drug is active in chronically infected cells (e.g., monocytes and macrophages) that generally are not affected by nucleoside reverse transcriptase inhibitors (e.g., didanosine, lamivudine, stavudine, zalcitabine, zidovudine). Ritonavir does not affect early stages of the HIV replication cycle; however, the drug interferes with production of infectious HIV and limits further infectious spread of the virus.

McEvoy, G.K. (ed.). American Hospital Formulary Service - Drug Information 2003. Bethesda, MD: American Society of Health-System Pharmacists, Inc. 2003 (Plus Supplements)., p. 696


While the complete mechanisms of antiviral activity of ritonavir have not been fully elucidated, ritonavir apparently inhibits replication of retroviruses, including human immunodeficiency virus type 1 (HIV-1) and 2 (HIV-2), by interfering with HIV protease. The drug, therefore, exerts a virustatic effect against retroviruses by acting as an HIV protease inhibitor.

McEvoy, G.K. (ed.). American Hospital Formulary Service - Drug Information 2003. Bethesda, MD: American Society of Health-System Pharmacists, Inc. 2003 (Plus Supplements)., p. 696


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LTD","customerCountry":"INDIA","quantity":"276.00","actualQuantity":"276","unit":"KGS","unitRateFc":"300","totalValueFC":"84208","currency":"USD","unitRateINR":"23580","date":"20-May-2022","totalValueINR":"6508080","totalValueInUsd":"84208","indian_port":"HYDERABAD AIR","hs_no":"29341000","bill_no":"8766561","productDescription":"Intermediate","marketType":"REGULATED MARKET","country":"CHINA","selfForZScoreResived":"Pharma Grade","supplierPort":"NA","supplierAddress":"","customerAddress":"PLOT NO.2, MAITRIVIHAR BEHIND MAITRIVANAM, AMEERPET"},{"dataSource":"API Import","activeIngredients":"","year":"2023","qtr":"Q1","strtotime":1676226600,"product":"RITONAVIR INTERMEDIATE-B(BDH PURE)((2S,3S,5S,)-5-(TERT-BUTYLOXYCARBONYL)-AMINO-2-AMINO-3-HYDROXY-1 6-DIPHENYLHEXANE)","address":"PLOT NO.2, MAITRIVIHAR BEHIND MAITRIVANAM, AMEERPET","city":"HYDERABAD","supplier":"ANHUI BIOCHEM PHARMACEUTICAL COLTD","supplierCountry":"CHINA","foreign_port":"NA","customer":"AUROBINDO PHARMA LTD","customerCountry":"INDIA","quantity":"1065.00","actualQuantity":"1065","unit":"KGS","unitRateFc":"300","totalValueFC":"320118.9","currency":"USD","unitRateINR":"24825","date":"13-Feb-2023","totalValueINR":"26438625","totalValueInUsd":"320118.9","indian_port":"HYDERABAD AIR","hs_no":"29341000","bill_no":"4624426","productDescription":"Intermediate","marketType":"REGULATED MARKET","country":"CHINA","selfForZScoreResived":"Pharma Grade","supplierPort":"NA","supplierAddress":"","customerAddress":"PLOT NO.2, MAITRIVIHAR BEHIND MAITRIVANAM, AMEERPET"},{"dataSource":"API Import","activeIngredients":"","year":"2023","qtr":"Q3","strtotime":1694716200,"product":"RITONAVIR INTERMEDIATE-B (BDH PURE)[ (2S, 3S, 5S)-5(TERT-BUTYLOXYCARBONYL)-AMINO-2- AMINO-3-HYDROXY-1, 6-DIPHENYLHEXANE]","address":"PLOT NO.2, MAITRIVIHAR,","city":"HYDERABAD\/ANDHRA PRADESH","supplier":"ANHUI BIOCHEM PHARMACEUTICAL COLTD","supplierCountry":"CHINA","foreign_port":"SHANGHAI - PU DONG","customer":"AUROBINDO PHARMA LTD","customerCountry":"INDIA","quantity":"824.00","actualQuantity":"824","unit":"KGS","unitRateFc":"270","totalValueFC":"225004.2","currency":"USD","unitRateINR":"22666.5","date":"15-Sep-2023","totalValueINR":"18677196","totalValueInUsd":"225004.2","indian_port":"Hyderabad Air","hs_no":"29341000","bill_no":"7852856","productDescription":"Intermediate","marketType":"REGULATED MARKET","country":"CHINA","selfForZScoreResived":"Pharma Grade","supplierPort":"SHANGHAI - PU DONG","supplierAddress":"ZONE B,INNOVATION AVENUE TAIHE INDUSTRIAL PARK ANHUI CHINASDNF China","customerAddress":"PLOT NO.2, MAITRIVIHAR,"},{"dataSource":"API Import","activeIngredients":"","year":"2024","qtr":"Q4","strtotime":1730140200,"product":"RITONAVIR (PREMIX)(AMORPHOUS )","address":"HETERO CORPORATE, NO. 7-2-A2,","city":"HYDERABAD","supplier":"HETERO DRUGS LTD UNIT IX","supplierCountry":"INDIA","foreign_port":"HIPL SEZ","customer":"HETERO LABS LTD","customerCountry":"INDIA","quantity":"336.51","actualQuantity":"336.51","unit":"KGS","unitRateFc":"1177.2","totalValueFC":"400480.6","currency":"USD","unitRateINR":"100000","date":"29-Oct-2024","totalValueINR":"33651000","totalValueInUsd":"400480.6","indian_port":"Vizag-HIPL SEZ","hs_no":"29341000","bill_no":"6397426","productDescription":"Re-Import","marketType":"REGULATED MARKET","country":"INDIA","selfForZScoreResived":"Pharma Grade","supplierPort":"HIPL SEZ","supplierAddress":"PLOT NO 1 HETERO INFRASTRUCTURE SEZ N.NARASAPURAM (V), NAKKAPALLY SDNF India","customerAddress":"HETERO CORPORATE, NO. 7-2-A2,"},{"dataSource":"API Import","activeIngredients":"","year":"2024","qtr":"Q4","strtotime":1730226600,"product":"RITONAVIR PREMIX (AMORPHOUS )","address":"HETERO CORPORATE, NO. 7-2-A2,,INDU","city":"HYDERABAD,TELANGANA","supplier":"HETERO DRUGS LTD UNIT IX","supplierCountry":"INDIA","foreign_port":"HIPL SEZ","customer":"HETERO LABS LTD","customerCountry":"INDIA","quantity":"963.49","actualQuantity":"963.49","unit":"KGS","unitRateFc":"1177.2","totalValueFC":"1146649.4","currency":"USD","unitRateINR":"100000","date":"30-Oct-2024","totalValueINR":"96349000","totalValueInUsd":"1146649.4","indian_port":"Vizag-HIPL SEZ","hs_no":"29341000","bill_no":"6427295","productDescription":"Re-Import","marketType":"REGULATED MARKET","country":"INDIA","selfForZScoreResived":"Pharma Grade","supplierPort":"HIPL SEZ","supplierAddress":"PLOT NO 1 HETERO INFRASTRUCTURE SEZ N.NARASAPURAM (V), NAKKAPALLY SDNF India","customerAddress":"HETERO CORPORATE, NO. 7-2-A2,,INDU"},{"dataSource":"API Import","activeIngredients":"","year":"2024","qtr":"Q4","strtotime":1732559400,"product":"RITONAVIR PREMIX (AMORPHOUS) IH","address":"HETERO CORPORATE, NO. 7-2-A2,","city":"HYDERABAD","supplier":"HETERO DRUGS LTD UNIT IX","supplierCountry":"INDIA","foreign_port":"HIPL SEZ","customer":"HETERO LABS LTD","customerCountry":"INDIA","quantity":"323.00","actualQuantity":"323","unit":"KGS","unitRateFc":"1171.6","totalValueFC":"382755","currency":"USD","unitRateINR":"100000","date":"26-Nov-2024","totalValueINR":"32300000","totalValueInUsd":"382755","indian_port":"Vizag-HIPL SEZ","hs_no":"29341000","bill_no":"6894188","productDescription":"Re-Import","marketType":"REGULATED MARKET","country":"INDIA","selfForZScoreResived":"Pharma Grade","supplierPort":"HIPL SEZ","supplierAddress":"PLOT NO 1 HETERO INFRASTRUCTURE SEZ N.NARASAPURAM (V), NAKKAPALLY SDNF India","customerAddress":"HETERO CORPORATE, NO. 7-2-A2,"},{"dataSource":"API Import","activeIngredients":"","year":"2025","qtr":"Q1","strtotime":1735756200,"product":"RITONAVIR PREMIX (AMORPHOUS) IH","address":"HETERO CORPORATE, NO. 7-2-A2,,INDU","city":"HYDERABAD,TELANGANA","supplier":"HETERO DRUGS LTD UNIT IX","supplierCountry":"INDIA","foreign_port":"HIPL SEZ","customer":"HETERO LABS LTD","customerCountry":"INDIA","quantity":"324.00","actualQuantity":"324","unit":"KGS","unitRateFc":"756.3","totalValueFC":"244232.8","currency":"USD","unitRateINR":"65000","date":"02-Jan-2025","totalValueINR":"21060000","totalValueInUsd":"244232.8","indian_port":"Vizag-HIPL SEZ","hs_no":"29341000","bill_no":"7570870","productDescription":"Re-Import","marketType":"REGULATED MARKET","country":"INDIA","selfForZScoreResived":"Pharma Grade","supplierPort":"HIPL SEZ","supplierAddress":"PLOT NO 1 HETERO INFRASTRUCTURE SEZ N.NARASAPURAM (V), NAKKAPALLY SDNF India","customerAddress":"HETERO CORPORATE, NO. 7-2-A2,,INDU"},{"dataSource":"API Import","activeIngredients":"","year":"2025","qtr":"Q1","strtotime":1738521000,"product":"RITONAVIR PREMIX (AMORPHOUS) IH","address":"HETERO CORPORATE, NO. 7-2-A2,,INDU","city":"HYDERABAD,TELANGANA","supplier":"HETERO DRUGS LTD UNIT IX","supplierCountry":"INDIA","foreign_port":"HIPL SEZ","customer":"HETERO LABS LTD","customerCountry":"INDIA","quantity":"199.62","actualQuantity":"199.62","unit":"KGS","unitRateFc":"1148.1","totalValueFC":"229543","currency":"USD","unitRateINR":"100000","date":"03-Feb-2025","totalValueINR":"19962000","totalValueInUsd":"229543","indian_port":"Vizag-HIPL SEZ","hs_no":"29341000","bill_no":"8137340","productDescription":"Re-Import","marketType":"REGULATED MARKET","country":"INDIA","selfForZScoreResived":"Pharma Grade","supplierPort":"HIPL SEZ","supplierAddress":"PLOT NO 1 HETERO INFRASTRUCTURE SEZ N.NARASAPURAM (V), NAKKAPALLY SDNF India","customerAddress":"HETERO CORPORATE, NO. 7-2-A2,,INDU"},{"dataSource":"API Import","activeIngredients":"","year":"2025","qtr":"Q1","strtotime":1739212200,"product":"RITONAVIR PREMIX (AMORPHOUS) IH","address":"HETERO CORPORATE, NO. 7-2-A2,,INDU","city":"HYDERABAD,TELANGANA","supplier":"HETERO DRUGS LTD UNIT IX","supplierCountry":"INDIA","foreign_port":"HIPL SEZ","customer":"HETERO LABS LTD","customerCountry":"INDIA","quantity":"112.77","actualQuantity":"112.77","unit":"KGS","unitRateFc":"1131.2","totalValueFC":"129674.2","currency":"USD","unitRateINR":"100000","date":"11-Feb-2025","totalValueINR":"11277000","totalValueInUsd":"129674.2","indian_port":"Vizag-HIPL SEZ","hs_no":"29341000","bill_no":"8288923","productDescription":"Re-Import","marketType":"REGULATED MARKET","country":"INDIA","selfForZScoreResived":"Pharma Grade","supplierPort":"HIPL SEZ","supplierAddress":"PLOT NO 1 HETERO INFRASTRUCTURE SEZ N.NARASAPURAM (V), NAKKAPALLY SDNF India","customerAddress":"HETERO CORPORATE, NO. 7-2-A2,,INDU"},{"dataSource":"API Import","activeIngredients":"","year":"2025","qtr":"Q2","strtotime":1743618600,"product":"RITONAVIR USP","address":"HETERO CORPORATE, NO. 7-2-A2,","city":"HYDERABAD","supplier":"HETEROLABSLTDUNITIXHETERO INFRASTRUCTURE SEZ LTD","supplierCountry":"INDIA","foreign_port":"HIPL SEZ","customer":"HETERO LABS LTD","customerCountry":"INDIA","quantity":"130.80","actualQuantity":"130.8","unit":"KGS","unitRateFc":"435.3","totalValueFC":"58064.2","currency":"USD","unitRateINR":"38000","date":"03-Apr-2025","totalValueINR":"4970400","totalValueInUsd":"58064.2","indian_port":"Vizag-HIPL SEZ","hs_no":"29420090","bill_no":"9268872","productDescription":"Re-Import","marketType":"REGULATED MARKET","country":"INDIA","selfForZScoreResived":"Pharma Grade","supplierPort":"HIPL SEZ","supplierAddress":"PLOT-NO.2,NAKKAPALLIMANDAL, N.NARASAPURAMVILLAGE,ANAKAPALLIDIST SDNF India","customerAddress":"HETERO CORPORATE, NO. 7-2-A2,"},{"dataSource":"API Import","activeIngredients":"","year":"2025","qtr":"Q2","strtotime":1744741800,"product":"RITONAVIR USP","address":"HETERO CORPORATE, NO. 7-2-A2,","city":"HYDERABAD","supplier":"HETEROLABSLTDUNITIXHETERO INFRASTRUCTURE SEZ LTD","supplierCountry":"INDIA","foreign_port":"HIPL SEZ","customer":"HETERO LABS 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LTD","customerCountry":"INDIA","quantity":"260.52","actualQuantity":"260.52","unit":"KGS","unitRateFc":"438.8","totalValueFC":"115649","currency":"USD","unitRateINR":"38000","date":"16-Apr-2025","totalValueINR":"9899760","totalValueInUsd":"115649","indian_port":"Vizag-HIPL SEZ","hs_no":"29349990","bill_no":"9517383","productDescription":"Re-Import","marketType":"REGULATED MARKET","country":"INDIA","selfForZScoreResived":"Pharma Grade","supplierPort":"HIPL SEZ","supplierAddress":"PLOT-NO.2,NAKKAPALLIMANDAL, N.NARASAPURAMVILLAGE,ANAKAPALLIDIST SDNF India","customerAddress":"HETERO CORPORATE, NO. 7-2-A2,"},{"dataSource":"API Import","activeIngredients":"","year":"2025","qtr":"Q2","strtotime":1745346600,"product":"RITONAVIR F-II USP (SIONC)","address":"564\/A\/22, ROAD NO.92","city":"HYDERABAD,ANDHRA PRADESH","supplier":"MYLAN LABORATORIES LTD FDF UNIT 3","supplierCountry":"INDIA","foreign_port":"NASIK","customer":"MYLAN LABORATORIES LTD","customerCountry":"INDIA","quantity":"399.39","actualQuantity":"399.385","unit":"KGS","unitRateFc":"411","totalValueFC":"165690","currency":"USD","unitRateINR":"35513","date":"23-Apr-2025","totalValueINR":"14183359.51","totalValueInUsd":"165690","indian_port":"Indore-EPZ\/SEZ","hs_no":"29341000","bill_no":"9649948","productDescription":"Re-Import","marketType":"REGULATED MARKET","country":"INDIA","selfForZScoreResived":"Pharma Grade","supplierPort":"NASIK","supplierAddress":"SEZ Plot No 11,12 & 13, SEZ Phase I ISEZ, Sector 3, Pithampur,Dist Dhar SDNF India","customerAddress":"564\/A\/22, ROAD NO.92"},{"dataSource":"API Import","activeIngredients":"","year":"2025","qtr":"Q2","strtotime":1745778600,"product":"RITONAVIR PREMIX (AMORPHOUS) IH","address":"HETERO CORPORATE, NO. 7-2-A2,","city":"HYDERABAD","supplier":"HETERO DRUGS LTD UNIT IX","supplierCountry":"INDIA","foreign_port":"HIPL SEZ","customer":"HETERO LABS LTD","customerCountry":"INDIA","quantity":"1.50","actualQuantity":"1.5","unit":"KGS","unitRateFc":"1157.4","totalValueFC":"1752.3","currency":"USD","unitRateINR":"100000","date":"28-Apr-2025","totalValueINR":"150000","totalValueInUsd":"1752.3","indian_port":"Vizag-HIPL SEZ","hs_no":"29341000","bill_no":"9749014","productDescription":"Re-Import","marketType":"REGULATED MARKET","country":"INDIA","selfForZScoreResived":"Pharma Grade","supplierPort":"HIPL SEZ","supplierAddress":"PLOT NO 1 HETERO INFRASTRUCTURE SEZ N.NARASAPURAM (V), NAKKAPALLY SDNF India","customerAddress":"HETERO CORPORATE, NO. 7-2-A2,"}]
15-Jan-2022
16-May-2025
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DOSAGE - TABLET;ORAL - 12.5MG;75MG;50MG **Fed...DOSAGE - TABLET;ORAL - 12.5MG;75MG;50MG **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**

USFDA APPLICATION NUMBER - 207931

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DOSAGE - TABLET, EXTENDED RELEASE;ORAL - EQ 2...DOSAGE - TABLET, EXTENDED RELEASE;ORAL - EQ 200MG BASE;8.33MG;50MG;33.33MG **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**

USFDA APPLICATION NUMBER - 208624

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DOSAGE - CAPSULE;ORAL - 100MG **Federal Regis...DOSAGE - CAPSULE;ORAL - 100MG **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**

USFDA APPLICATION NUMBER - 20945

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DOSAGE - TABLET;ORAL - 100MG;25MG

USFDA APPLICATION NUMBER - 21906

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DOSAGE - TABLET;ORAL - 200MG;50MG

USFDA APPLICATION NUMBER - 21906

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DOSAGE - TABLET;ORAL - 100MG

USFDA APPLICATION NUMBER - 22417

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ABOUT THIS PAGE

Looking for 155213-67-5 / Ritonavir API manufacturers, exporters & distributors?

Ritonavir manufacturers, exporters & distributors 1

10

PharmaCompass offers a list of Ritonavir API manufacturers, exporters & distributors, which can be sorted by GMP, USDMF, JDMF, KDMF, CEP (COS), WC, Price,and more, enabling you to easily find the right Ritonavir manufacturer or Ritonavir supplier for your needs.

Send us enquiries for free, and we will assist you in establishing a direct connection with your preferred Ritonavir manufacturer or Ritonavir supplier.

PharmaCompass also assists you with knowing the Ritonavir API Price utilized in the formulation of products. Ritonavir API Price is not always fixed or binding as the Ritonavir Price is obtained through a variety of data sources. The Ritonavir Price can also vary due to multiple factors, including market conditions, regulatory modifications, or negotiated pricing deals.

API | Excipient name

Ritonavir

Synonyms

155213-67-5, Norvir, Abt-538, A-84538, Abbott 84538, Abbott-84538

Cas Number

155213-67-5

Unique Ingredient Identifier (UNII)

O3J8G9O825

About Ritonavir

An HIV protease inhibitor that works by interfering with the reproductive cycle of HIV. It also inhibits CYTOCHROME P-450 CYP3A.

RIT Manufacturers

A RIT manufacturer is defined as any person or entity involved in the manufacture, preparation, processing, compounding or propagation of RIT, including repackagers and relabelers. The FDA regulates RIT manufacturers to ensure that their products comply with relevant laws and regulations and are safe and effective to use. RIT API Manufacturers are required to adhere to Good Manufacturing Practices (GMP) to ensure that their products are consistently manufactured to meet established quality criteria.

click here to find a list of RIT manufacturers with USDMF, JDMF, KDMF, CEP, GMP, COA and API Price related information on PhamaCompass.

RIT Suppliers

A RIT supplier is an individual or a company that provides RIT active pharmaceutical ingredient (API) or RIT finished formulations upon request. The RIT suppliers may include RIT API manufacturers, exporters, distributors and traders.

click here to find a list of RIT suppliers with USDMF, JDMF, KDMF, CEP, GMP, COA and API Price related information on PharmaCompass.

RIT USDMF

A RIT DMF (Drug Master File) is a document detailing the whole manufacturing process of RIT active pharmaceutical ingredient (API) in detail. Different forms of RIT DMFs exist exist since differing nations have different regulations, such as RIT USDMF, ASMF (EDMF), JDMF, CDMF, etc.

A RIT DMF submitted to regulatory agencies in the US is known as a USDMF. RIT USDMF includes data on RIT's chemical properties, information on the facilities and procedures used, and details about packaging and storage. The RIT USDMF is kept confidential to protect the manufacturer’s intellectual property.

click here to find a list of RIT suppliers with USDMF on PharmaCompass.

RIT JDMF

The Pharmaceuticals and Medical Devices Agency (PMDA) established the Japan Drug Master File (JDMF), also known as the Master File (MF), to permit Japanese and foreign manufacturers of drug substances, intermediates, excipients, raw materials, and packaging materials (‘Products’) to voluntarily register confidential information about the production and management of their products in Japan.

The RIT Drug Master File in Japan (RIT JDMF) empowers RIT API manufacturers to present comprehensive information (e.g., production methods, data, etc.) to the review authority, i.e., PMDA (Pharmaceuticals & Medical Devices Agency).

PMDA reviews the RIT JDMF during the approval evaluation for pharmaceutical products. At the time of RIT JDMF registration, PMDA checks if the format is accurate, if the necessary items have been included (application), and if data has been attached.

click here to find a list of RIT suppliers with JDMF on PharmaCompass.

RIT KDMF

In Korea, the Ministry of Food and Drug Safety (MFDS) is in charge of regulating pharmaceutical products and services.

Pharmaceutical companies submit a RIT Drug Master File in Korea (RIT KDMF) to the MFDS, which includes comprehensive information about the production, processing, facilities, materials, packaging, and testing of RIT. The MFDS reviews the RIT KDMF as part of the drug registration process and uses the information provided in the RIT KDMF to evaluate the safety and efficacy of the drug.

After submitting a RIT KDMF to the MFDS, the registered manufacturer can provide importers or distributors with the registration number without revealing confidential information to Korean business partners. Applicants seeking to register their RIT API can apply through the Korea Drug Master File (KDMF).

click here to find a list of RIT suppliers with KDMF on PharmaCompass.

RIT CEP

A RIT CEP of the European Pharmacopoeia monograph is often referred to as a RIT Certificate of Suitability (COS). The purpose of a RIT CEP is to show that the European Pharmacopoeia monograph adequately controls the purity of RIT EP produced by a given manufacturer. Suppliers of raw materials can prove the suitability of RIT to their clients by showing that a RIT CEP has been issued for it. The manufacturer submits a RIT CEP (COS) as part of the market authorization procedure, and it takes on the role of a RIT CEP holder for the record. Additionally, the data presented in the RIT CEP (COS) is managed confidentially and offers a centralized system acknowledged by numerous nations, exactly like the RIT DMF.

A RIT CEP (COS) is recognised by all 36 nations that make up the European Pharmacopoeia Convention. RIT CEPs may be accepted in nations that are not members of the Ph. Eur. at the discretion of the authorities there.

click here to find a list of RIT suppliers with CEP (COS) on PharmaCompass.

RIT WC

A RIT written confirmation (RIT WC) is an official document issued by a regulatory agency to a RIT manufacturer, verifying that the manufacturing facility of a RIT active pharmaceutical ingredient (API) adheres to the Good Manufacturing Practices (GMP) regulations of the importing country. When exporting RIT APIs or RIT finished pharmaceutical products to another nation, regulatory agencies frequently require a RIT WC (written confirmation) as part of the regulatory process.

click here to find a list of RIT suppliers with Written Confirmation (WC) on PharmaCompass.

RIT NDC

National Drug Code is a comprehensive database maintained by the FDA that contains information on all drugs marketed in the US. This directory includes information about finished drug products, unfinished drug products, and compounded drug products, including those containing RIT as an active pharmaceutical ingredient (API).

Finished drug products

The FDA updates the NDC directory daily. The NDC numbers for RIT API and other APIs are published in this directory by the FDA.

Unfinished drugs

The NDC unfinished drugs database includes product listing information submitted for all unfinished drugs, such as active pharmaceutical ingredients (APIs), drugs intended for further processing and bulk drug substances for compounding.

Pharmaceutical companies that manufacture RIT as an active pharmaceutical ingredient (API) must furnish the FDA with an updated record of all drugs that they produce, prepare, propagate, compound, or process for commercial distribution in the US at their facilities.

Compounded drug products

The NDC directory also contains data on finished compounded human drug products that contain RIT and are produced by outsourcing facilities. While these outsourcing facilities are not mandated to assign a RIT NDC to their finished compounded human drug products, they may choose to do so.

click here to find a list of RIT suppliers with NDC on PharmaCompass.

RIT GMP

RIT Active pharmaceutical ingredient (API) is produced in GMP-certified manufacturing facility.

GMP stands for Good Manufacturing Practices, which is a system used in the pharmaceutical industry to make sure that goods are regularly produced and monitored in accordance with quality standards. The FDA’s current Good Manufacturing Practices requirements are referred to as cGMP or current GMP which indicates that the company follows the most recent GMP specifications. The World Health Organization (WHO) has its own set of GMP guidelines, called the WHO GMP. Different countries can also set their own guidelines for GMP like China (Chinese GMP) or the EU (EU GMP).

PharmaCompass offers a list of RIT GMP manufacturers, exporters & distributors, which can be sorted by USDMF, JDMF, KDMF, CEP (COS), WC, API price, and more, enabling you to easily find the right RIT GMP manufacturer or RIT GMP API supplier for your needs.

RIT CoA

A RIT CoA (Certificate of Analysis) is a formal document that attests to RIT's compliance with RIT specifications and serves as a tool for batch-level quality control.

RIT CoA mostly includes findings from lab analyses of a specific batch. For each RIT CoA document that a company creates, the USFDA specifies specific requirements, such as supplier information, material identification, transportation data, evidence of conformity and signature data.

RIT may be tested according to a variety of international standards, such as European Pharmacopoeia (RIT EP), RIT JP (Japanese Pharmacopeia) and the US Pharmacopoeia (RIT USP).

Inform the supplier about your product requirements, specifying if you need a product with particular monograph like EP (Ph. Eur.), USP, JP, BP, or any other quality. In addition, clarify whether you need hydrochloride (HCl), anhydricum, base, micronisatum or a specific level of purity. To find reputable suppliers, utilize the filters and select those certified by GMP, FDA, or any other certification as per your requirement.
For your convenience, we have listed synonyms and CAS numbers to help you find the best supplier. The use of synonyms and CAS numbers can be helpful in identifying potential suppliers, but it is crucial to note that they might not always indicate the exact same product. It is important to confirm the product details with the supplier before making a purchase to ensure that it meets your requirements.
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