Levocetirizine and Nirmatrelvir and ritonavir interaction

Levocetirizine and Nirmatrelvir and ritonavir: the Levocetirizine prescribing label describes an interaction that usually calls for monitoring, a dose change, or spacing the doses.

Moderate

Usually manageable with monitoring or a dose change. Tell your pharmacist you take both.

What the FDA labels say

From the Levocetirizine (Xyzal) label · effective 2025-07-22

Moderate

Ritonavir Ritonavir increased the plasma AUC of cetirizine by about 42% accompanied by an increase in half-life (53%) and a decrease in clearance (29%) of cetirizine.

Drug interactionsnames Nirmatrelvir and ritonavirView label on DailyMed
Minor

The disposition of ritonavir was not altered by concomitant cetirizine administration.

Drug interactionsnames Nirmatrelvir and ritonavirView label on DailyMed

Taking more than these two? Interactions stack. Check your whole list at once; it stays in your browser.

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.