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Interaction Check

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Selected Drugs Clear All

  • remove Paxlovid
    nirmatrelvir and ritonavir
  • remove Xyrem
    sodium oxybate
  • remove Zoloft
    sertraline

multicheck MultiCheck Results - 2 Interactions

Smiley face Smiley face

Avoid/Use Alternative

Smiley face Smiley face Xyrem (sodium oxybate) + Zoloft (sertraline)

Avoid/Use Alternative


oxybate + sertraline

use alternative or monitor respiratory rate; decr. dose of one or both drugs: combo may incr. risk of profound CNS and respiratory depression, psychomotor impairment, hypotension, syncope (additive effects)

Monitor/Modify Tx

Smiley face Smiley face Paxlovid (nirmatrelvir and ritonavir) + Zoloft (sertraline)

Monitor/Modify Tx


ritonavir + sertraline

monitor ECG: combo may incr. sertraline levels, risk of QT prolongation, cardiac arrhythmias, other adverse effects (hepatic metabolism inhibited)

Additional Considerations

Smiley face Smiley face nirmatrelvir in Paxlovid

patients on ritonavir- or cobicistat-containing HIV or HCV regimens may continue their tx as indicated

Smiley face Smiley face sertraline in Zoloft

add MAO inhibitor to Interaction Check if recent (14 days) use

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