Lopinavir and ritonavir and Paroxetine interaction

Lopinavir and ritonavir and Paroxetine: both prescribing labels describe 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 Lopinavir and ritonavir (Kaletra) label · effective 2026-07-23

Moderate

Antidepressant: bupropion ↓ bupropion ↓ active metabolite, hydroxybupropion Patients receiving KALETRA and bupropion concurrently should be monitored for an adequate clinical response to bupropion.

Drug interactionsby drug classView label on DailyMed
Moderate

Antidepressant: trazodone ↑ trazodone Adverse reactions of nausea, dizziness, hypotension and syncope have been observed following co-administration of trazodone and ritonavir.

Drug interactionsby drug classView label on DailyMed

From the Paroxetine (PAROXETINE HYDROCHLORIDE) label · effective 2026-09-16

Moderate

Fosamprenavir/Ritonavir Clinical Impact Co-administration of fosamprenavir/ritonavir with paroxetine significantly decreased plasma levels of paroxetine.

Drug interactionsnames Lopinavir 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.