Saquinavir (Invirase) – Side Effects, Interactions, Uses, Dosage, Warnings

Saquinavir is an antiviral medicine that prevents human immunodeficiency virus (HIV) from multiplying in your body.

Saquinavir is used together with ritonavir to treat HIV, the virus that can cause acquired immunodeficiency syndrome (AIDS). Neither saquinavir nor ritonavir will cure HIV or AIDS.

Saquinavir may also be used for purposes not listed in this medication guide.

uses

What is Saquinavir (Invirase) used for?

  • HIV Infection
  • Occupational Exposure
  • Nonoccupational Exposure

warnings

What is the most important information I should know about Saquinavir (Invirase)?

You should not take saquinavir if you are allergic to it, or if you have:

  • a serious heart condition called "AV block" (unless you have a pacemaker);
  • long QT syndrome (in you or a family member);
  • severe liver disease;
  • low levels of potassium or magnesium in your blood;
  • if you also take medicine that contains cobicistat; or
  • if you have taken rilpivirine in the past 2 weeks.

Life-threatening side effects may occur if you take saquinavir and ritonavir with certain other medicines. Your doctor may change your treatment plan if you also use:

  • other HIV medicines–atazanavir, rilpivirine;
  • alfuzosin;
  • oral midazolam, or triazolam;
  • sildenafil (Revatio, for treating pulmonary arterial hypertension);
  • tacrolimus;
  • antidepressant or anti-psychotic medicine–chlorpromazine, clozapine, haloperidol, lurasidone, mesoridazine, pimozide, thioridazine, trazodone, ziprasidone;
  • cancer medicine–dasatinib, sunitinib;
  • certain anti-infective medicines–clarithromycin, dapsone, erythromycin, halofantrine, pentamidine, rifampin;
  • cholesterol medication–lovastatin, simvastatin;
  • ergot medicine–dihydroergotamine, ergotamine, ergonovine, methylergonovine; or
  • heart rhythm medicine–amiodarone, disopyramide, dofetilide, flecainide, lidocaine, propafenone, or quinidine.

Tell your doctor if you have ever had:

  • heart disease;
  • liver disease (including hepatitis B or C);
  • hemophilia (a bleeding disorder);
  • cirrhosis, alcoholism;
  • diabetes; or
  • hereditary galactose intolerance, severe lactase deficiency, or glucose-galactose malabsorption.

To prevent HIV in a newborn baby, use all medications to control your infection during pregnancy. Your name may be listed on an antiviral pregnancy registry.

Saquinavir can make birth control pills less effective. Ask your doctor about other birth control options such as an injection, implant, skin patch, vaginal ring, condom, diaphragm, cervical cap, or contraceptive sponge.

Women with HIV should not breastfeed. The virus can pass to your baby in your breast milk.

Not approved for use by anyone younger than 16 years old.

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Side Effects

What are the side effects of Saquinavir (Invirase)?

Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have:

  • heart rhythm problems–fast or pounding heartbeats, fluttering in your chest, shortness of breath, sudden dizziness (like you might pass out);
  • high blood sugar–increased thirst, increased urination, dry mouth, fruity breath odor; or
  • liver problems–upper stomach pain, itching, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes).

Saquinavir affects your immune system, which may cause certain side effects (even weeks or months after you've taken this medicine). Tell your doctor if you have:

  • signs of a new infection–fever, night sweats, swollen glands, cold sores, cough, wheezing, diarrhea, weight loss;
  • trouble speaking or swallowing, problems with balance or eye movement, weakness or prickly feeling; or
  • swelling in your neck or throat (enlarged thyroid), menstrual changes, impotence.

Common side effects may include:

  • nausea, vomiting, diarrhea, stomach pain;
  • tired feeling; or
  • changes in the shape or location of body fat (especially in your arms, legs, face, neck, breasts, and waist).

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Pregnancy & Breastfeeding

Can I take Saquinavir (Invirase) if I’m pregnant or breastfeeding?

B
No evidence of risk in humans
Based on FDA pregnancy categories

To prevent HIV in a newborn baby, use all medications to control your infection during pregnancy. Your name may be listed on an antiviral pregnancy registry.

Saquinavir can make birth control pills less effective. Ask your doctor about other birth control options such as an injection, implant, skin patch, vaginal ring, condom, diaphragm, cervical cap, or contraceptive sponge.

Women with HIV should not breastfeed. The virus can pass to your baby in your breast milk.

Interactions

What drugs and food should I avoid while taking Saquinavir (Invirase)?

Using this medicine will not prevent your disease from spreading. Do not have unprotected sex or share razors or toothbrushes. Ask your doctor how to prevent HIV transmission during sex. Sharing drug or medicine needles is never safe.

Dosage Guidelines & Tips

How to take Saquinavir (Invirase)?

Use Saquinavir (Invirase) exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.

Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed.

Saquinavir must be taken together with ritonavir and it should not be used alone.

Take your medicine with food or within 2 hours after eating a full meal. Take the medicine at the same times each day.

You will need frequent medical tests.

Use all HIV medications as directed. Do not change your dose or stop using a medicine without your doctor's advice. Remain under the care of a doctor.

Store at room temperature away from moisture and heat. Keep the bottle tightly closed when not in use.

What should I do if I missed a dose of Saquinavir (Invirase)?

Take the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time.

Get your prescription refilled before you run out of medicine completely. Skipping doses may increase the risk of your virus becoming resistant to antiviral medicine.

Overdose Signs

What happens if I overdose on Saquinavir (Invirase)?

If you think you or someone else may have overdosed on: Saquinavir (Invirase),  call your doctor or the Poison Control center

(800) 222-1222

If someone collapses or isn't breathing after taking Saquinavir (Invirase), call 911

911

Images

1 of 2

SQV 500, ROCHE

Color: orange

Shape: oblong

Form: film coated

Imprint: SQV 500, ROCHE

ROCHE 0245, ROCHE 0245

Color: brown/green

Shape: capsule

Imprint: ROCHE 0245, ROCHE 0245

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