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Drug Safety-related Labeling Changes (SrLC)

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NORVIR (NDA-209512)

(RITONAVIR)

Safety-related Labeling Changes Approved by FDA Center for Drug Evaluation and Research (CDER)

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07/23/2026 (SUPPL-10)

Approved Drug Label (PDF)

4 Contraindications

Additions and/or revisions underlined:

    • Non-opioid Analgesic (selective blocker of Nav1.8 sodium channels): suzetrigine

7 Drug Interactions

7.2 Established and Other Potentially Significant Drug Interactions

Addition to table 43; please refer to label for complete information

17 PCI/PI/MG (Patient Counseling Information/Patient Information/Medication Guide)

PATIENT INFORMATION

Additions and/or revisions underlined:

Who should not take NORVIR?

Do not take NORVIR if you or your child:

  • are allergic to ritonavir or any of the ingredients in NORVIR. See the end of this leaflet for a complete list of ingredients in NORVIR.

  • take any of the following medicines:

    • alfuzosin

    • suzetrigine

…

Serious problems can happen if you or your child takes any of these medicines with NORVIR. This is not a complete list of medicines. Tell your healthcare provider about all of the medicines you or your child take.

…

Before taking NORVIR, tell your healthcare provider about all of your medical conditions, including if you or your child:

…

  • are breastfeeding or plan to breastfeed. Do not breastfeed if you take NORVIR.

    Talk to your healthcare provider about the following risks to your baby from breastfeeding during treatment with NORVIR:

    • The HIV-1 virus may pass to your baby if your baby does not have HIV-1.

    • The HIV-1 virus may become harder to treat if your baby has HIV-1.

    • Your baby may get side effects from NORVIR.

…

What are the possible side effects of NORVIR?

…

•           Changes in your heart rhythm and the electrical activity of your heart called PR prolongation. PR prolongation can cause irregular heartbeats.. These changes may be seen on an EKG (electrocardiogram). Your risk for these problems may be higher if you have a history of abnormal heart rhythm or certain types of heart problems.

…

How should I store NORVIR?

…

NORVIR oral powder:

  • Store at or below 30°C (86°F).

  • NORVIR oral powder comes in child-resistant packets.

10/21/2020 (SUPPL-7)

Approved Drug Label (PDF)

6 Adverse Reactions

6.2 Postmarketing Experience

(Additions underlined)

…

Renal and Urinary Disorders:

Nephrolithiasis

…

17 PCI/PI/MG (Patient Counseling Information/Patient Information/Medication Guide)

PATIENT INFORMATION

(Additions underlined)

…

What are the possible side effects of NORVIR?

NORVIR can cause serious side effects including:

…

  • Kidney stones

 

…

12/19/2019 (SUPPL-6)

Approved Drug Label (PDF)

4 Contraindications

(Additions underlined)

NORVIR is contraindicated with drugs that are potent CYP3A inducers where significantly reduced ritonavir plasma concentrations may be associated with the potential for loss of virologic response and possible resistance and cross-resistance [see Drug Interactions (7.2) and Clinical Pharmacology (12.3)].

Anticancer Agents: apalutamide

7 Drug Interactions

Potential for NORVIR to Affect Other Drugs

(Newly added information)

These examples are a guide and not considered a comprehensive list of all possible drugs that may interact with ritonavir. The healthcare provider should consult appropriate references for comprehensive information.

(Table 4 updated to add several drug interactions; see label for complete information)

17 PCI/PI/MG (Patient Counseling Information/Patient Information/Medication Guide)

Patient Information

(Additions underlined)

Do not take NORVIR if you or your child:

-     If you take any of the following medicines:

Apalutamide

08/21/2019 (SUPPL-5)

Approved Drug Label (PDF)

4 Contraindications

Section has been revised from a chart format to a bulleted line listing.

Addition of the lipid modifying agent lomitapide

7 Drug Interactions

7.2 Established and Other Potentially Significant Interactions

Addition of the following drug-drug interaction information to Table 4 Established and Other Potentially Significant Drug Interactions:

anticancer agents: neratinib and abemaciclib

lipid modifying agent: Microsomal triglyceride transfer protein (MTTP) Inhibitor: lomitapide

hepatitis C direct acting antivirals: glecaprevir/pibrentasvir

17 PCI/PI/MG (Patient Counseling Information/Patient Information/Medication Guide)

PATIENT INFORMATION

Do not take NORVIR if you or your child:

  • If you take any of the following medicines:

Addition of ‘lomitapide’

11/15/2018 (SUPPL-4)

Approved Drug Label (PDF)

7 Drug Interactions

7.2 Established and Other Potentially Significant Drug Interactions

(added ibrutinib to the list of Anticancer Agents under Table 5, please refer to label to view Table 5)

09/29/2017 (SUPPL-2)

Approved Drug Label (PDF)

17 PCI/PI/MG (Patient Counseling Information/Patient Information/Medication Guide)

Patient Information

(Additions and/or revisions are underlined)

How should I take NORVIR?

  • Contact your doctor if you are planning to take Norvir Oral Solution through a feeding tube because some feeding tubes are not recommended for use with ethanol and/or propylene glycol-containing products like NORVIR.

06/29/2017 (SUPPL-1)

Approved Drug Label (PDF)

4 Contraindications

(additions to Table 2; please refer to label)

7 Drug Interactions

7.2 Established and Other Potentially Significant Drug Interactions

(additions to Table 5, please refer to label)

17 PCI/PI/MG (Patient Counseling Information/Patient Information/Medication Guide)

Patient Information

(additions and revisions; please refer to label)