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Drug Safety-related Labeling Changes (SrLC)

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VIRACEPT (NDA-020778)

(NELFINAVIR MESYLATE)

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

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03/24/2021 (SUPPL-42)

Approved Drug Label (PDF)

8 Use in Specific Populations

8.1 Pregnancy

(PLLR conversion. Please refer to label for complete information.)

8.2 Lactation

(PLLR conversion. Please refer to label for complete information.)

8.3 Females and Males of Reproductive Potential

(PLLR conversion. Please refer to label for complete information.)

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

PATIENT COUNSELING INFORMATION

(Additions and/or revisions underlined)

Drug Interactions

VIRACEPT may interact with some drugs; therefore, advise patients to report to their healthcare provider the use of any other prescription, non-prescription medication or herbal products, including St. John’s wort [see Contraindications (4), Drug Interactions (7.3), and Use in Specific Populations (8.3)].

Advise patients that there is a pregnancy exposure registry that monitors pregnancy outcomes in women exposed to VIRACEPT during pregnancy [see Use in Specific Populations (8.1)].

Lactation

Instruct patients with HIV-1 infection not to breastfeed because HIV-1 can be passed to the infant in the breast milk [see Use in Specific Populations (8.2)].

Females and Males of Reproductive Potential

Advise females of reproductive potential that VIRACEPT may reduce the effectiveness of estrogen-based contraceptives, and to use alternative non-hormonal contraception [see Drug Interactions (7.3), Use in Specific Populations (8.3)].

Patient Information

(Extensive changes; please refer to label)

09/15/2016 (SUPPL-41)

Approved Drug Label (PDF)

4 Contraindications

Table 3: Drugs That Are Contraindicated With VIRACEPT

Drug Class : Antipsychotics (added)

        Drugs Within Class That AreContraindicated With VIRACEPT:

              Lurasidone

Clinical Comment: Potential for serious and/or life-threatening reactions.

         

      Pimozide

Clinical Comment : Potential for serious and/or life-threatening reactions such as arrhythmias.

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

Do not take VIRACEPT if you take any of the following medicines:

·       lurasidone (Latuda®) ( added)