Drug Status in USA : Approved Drug Status in Canada : Approved
pronunciation
pronounced as (sa kwin' a veer)
Why is this medication prescribed?
Saquinavir is used in combination with ritonavir (Norvir) and other medications to treat human immunodeficiency virus (HIV) infection. Saquinavir is in a class of medications called protease inhibitors. It works by decreasing the amount of HIV in the blood. Although saquinavir does not cure HIV, it may decrease your chance of developing acquired immunodeficiency syndrome (AIDS) and HIV-related illnesses such as serious infections or cancer. Taking these medications along with practicing safer sex and making other life-style changes may decrease the risk of transmitting the HIV virus to other people.
How should this medicine be used?
Saquinavir comes as a capsule and a tablet to take by mouth. It is usually taken with ritonavir (Norvir) two times a day within 2 hours after a full meal. It may be easier to remember to take saquinavir if you take it with meals. Take saquinavir at around the same times every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take saquinavir exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.
Continue to take saquinavir even if you feel well. Do not stop taking saquinavir without talking to your doctor. If you miss doses, take less than the prescribed dose or stop taking saquinavir, your condition may become more difficult to treat.
Your doctor or pharmacist will give you the manufacturer's patient information sheet (Medication Guide) when you begin treatment with saquinavir and each time you refill your prescription. Read the information carefully and ask your doctor or pharmacist if you have any questions. You can also visit the Food and Drug Administration (FDA) website (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) or the manufacturer's website to obtain the Medication Guide.
What are the precautions to be followed?
Before taking saquinavir,
tell your doctor and pharmacist if you are allergic to saquinavir, any other medications, or any of the ingredients in saquinavir capsules or tablets. Your doctor may tell you not to take saquinavir. Ask your pharmacist for a list of the ingredients.
tell your doctor if you are taking any of the following medications: alfuzosin (Uroxatral); cisapride (Propulsid) (not available in the U.S.); ergot medications such as dihydroergotamine (Migranal), ergoloid mesylates (Hydergine), ergonovine (Ergotrate), ergotamine (Cafergot, Wigraine), methylergonovine (Methergine), and methysergide (Sansert; no longer available in the U.S.); certain medications for irregular heartbeat such as amiodarone (Cordarone, Nexterone, Pacerone), dofetilide (Tikosyn), flecainide, lidocaine (Xylocaine), propafenone (Rhythmol), or quinidine (in Nuedexta); lovastatin (Altocor, Mevacor, in Advicor); midazolam (Versed) by mouth; pimozide (Orap); rifampin (Rifadin, Rimactane, in Rifamate); sildenafil (only Revatio brand used for lung disease); simvastatin (Zocor, in Simcor, in Vytorin); trazodone; or triazolam (Halcion).Your doctor will probably tell you not to take saquinavir if you are taking one or more of these medications.
tell your doctor and pharmacist what other prescription and nonprescription medications, vitamins, and nutritional supplements you are taking or plan to take. Be sure to mention any of the following: anticoagulants ('blood thinners') such as warfarin (Coumadin, Jantoven); antifungals such as fluconazole (Diflucan), itraconazole (Onmel, Sporanox), ketoconazole (Nizoral), and voriconazole (Vfend); benzodiazepines such as alprazolam (Xanax), clorazepate (Gen-Xene, Tranxene), diazepam (Valium), and flurazepam; beta blockers such as atenolol (Tenormin, in Tenoretic), labetalol (Trandate), metoprolol (Lopressor, Toprol XL), nadolol (Corgard, in Corzide), and propranolol (Hemangeol, Inderal, Innopran, in Inderide); bosentan (Tracleer); calcium channel blockers such as amlodipine (Norvasc, in Caduet), diltiazem (Cardizem, Cartia,, Tiazac, others), felodipine (Plendil), isradipine, nicardipine (Cardene), nifedipine (Adalat, Afeditab CR, Procardia), nimodipine (Nymalize), nisoldipine (Sular), and verapamil (Calan, Covera, Verelan); certain cholesterol-lowering medications (statins) such as atorvastatin (Lipitor, in Caduet, in Liptruzet) and rosuvastatin (Crestor); clarithromycin (Biaxin, in Prevpac); colchicine (Colcrys, Mitigare); dapsone (Aczone); dexamethasone; digoxin (Lanoxin); disopyramide (Norpace); erythromycin (E.E.S., E-mycin, Erythrocin); fentanyl (Abstral, Actiq, Duragesic, Fentora); fluticasone (Flovent, Veramyst, in Advair); certain immunosuppressants such as cyclosporine (Neoral, Sandimmune), tacrolimus (Astagraf XL, Protopic), or sirolimus (Rapamune); insulin or oral medications for diabetes; medications to treat HIV or AIDS including atazanavir (Reyataz, in Evotaz), delavirdine (Rescriptor), efavirenz (Sustiva, in Atripla), enfuvirtide (Fuzeon), indinavir (Crixivan), lopinavir (in Kaletra), maraviroc (Selzentry), nelfinavir (Viracept), nevirapine (Viramune), or tipranavir (Aptivus); certain medications for irregular heartbeat such as procainamide and sotalol (Betapace, Sorine); medications for mental illness and nausea; medications to treat seizures such as carbamazepine (Carbatrol, Epitol, Tegretol, others), phenytoin (Dilantin, Phenytek), and phenobarbital; methadone (Dolophine, Methadose); omeprazole (Prilosec, in Zegerid); pentamidine (Nebupent, Pentam); certain phosphodiesterase (PDE5) inhibitors such as sildenafil (Viagra), quetiapine (Seroquel); tadalafil (Adcirca, Cialis), and vardenafil (Levitra, Staxyn); rifabutin (Mycobutin); and certain tricyclic antidepressants including amitriptyline and imipramine (Surmontil, Tofranil). Other medications may interact with saquinavir, so be sure to tell your doctor and pharmacist about all the medications you are taking, even those that do not appear on this list. Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
tell your doctor what herbal products you are taking or plan to take, especially St. John's wort and garlic capsules.
tell your doctor if you have or have ever had liver disease, a prolonged QT interval (rare heart problem that may cause irregular heartbeat, fainting, or sudden death), or low levels of potassium or magnesium in your blood. Also tell your doctor if you have complete atrioventricular (AV) block (slowed electrical activity in the heart) and you do not have a pacemaker. Your doctor will probably tell you not to take saquinavir.
tell your doctor if you drink or have ever drunk large amounts of alcohol, if you have ever taken any form of saquinavir in the past, and if you or anyone in your family has or has ever had diabetes. Also tell your doctor if you have or have ever had an irregular heartbeat, high cholesterol or triglycerides (fats in the blood); hemophilia (a bleeding disorder); or heart or kidney disease.
tell your doctor if you are pregnant or plan to become pregnant. If you become pregnant while taking saquinavir, call your doctor. You should not breast-feed if you are infected with HIV or are taking saquinavir.
you should know that saquinavir may decrease the effectiveness of hormonal contraceptives (birth control pills, patches, rings, or injections). Talk to your doctor about using another form of birth control.
if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking saquinavir.
you should be aware that your body fat may increase or move to different areas of your body, such as your upper back, neck (''buffalo hump''), breasts, and around your stomach. You may notice a loss of body fat from your face, legs, and arms.
you should know that you may experience hyperglycemia (increases in your blood sugar) while you are taking this medication, even if you do not already have diabetes. Tell your doctor immediately if you have any of the following symptoms while you are taking saquinavir: extreme thirst, frequent urination, extreme hunger, blurred vision, or weakness. It is very important to call your doctor as soon as you have any of these symptoms, because high blood sugar that is not treated can cause a serious condition called ketoacidosis. Ketoacidosis may become life-threatening if it is not treated at an early stage. Symptoms of ketoacidosis include: dry mouth, nausea and vomiting, shortness of breath, breath that smells fruity, and decreased consciousness.
you should know that while you are taking medications to treat HIV infection, your immune system may get stronger and begin to fight other infections that were already in your body. This may cause you to develop symptoms of those infections. If you have new or worsening symptoms after starting treatment with saquinavir, be sure to tell your doctor.
What are possible side effects of this medication ?
Saquinavir may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:
diarrhea
stomach pain
nausea
vomiting
constipation
tiredness
back pain
dry lips or skin
fever
Some side effects can be serious. If you experience any of these symptoms, call your doctor immediately or get emergency medical treatment:
rash
itching
blistering or peeling skin
flu-like symptoms
fever
yellowing of the skin or eyes
extreme tiredness
lack of energy
loss of appetite
pain in the upper right part of the stomach
dizziness
lightheadedness
slow, irregular, or pounding heartbeat
fainting
Saquinavir may cause other side effects. Call your doctor if you have any unusual problems while you are taking this medication.
How to store the medication and dispose it of after its use later?
Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Throw away any medication that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medication.
Drug Category/Class
HIV Protease Inhibitors
Protease Inhibitors
Direct Acting Antivirals
Antivirals for Systemic Use
Antiinfectives for Systemic Use
Cytochrome P-450 CYP3A Inhibitors
Combined Inhibitors of CYP3A4 and P-glycoprotein
CYP2D6 Inducers
CYP2D6 Inducers (strong)
Cytochrome P-450 CYP2C9 Inhibitors
Cytochrome P-450 CYP2C9 Inducers
Cytochrome P-450 CYP2C19 Inducers
Cytochrome P-450 CYP2
Prescribed
For the treatment of HIV-1 with advanced immunodeficiency together with antiretroviral nucleoside analogues.