'''Nelfinavir''' (brand name '''Viracept''') is an [[antiretroviral drug]] used in the treatment of the [[human immunodeficiency virus]] (HIV). Nelfinavir belongs to the class of drugs known as [[protease inhibitor (pharmacology)|protease inhibitors]] (PIs) and like other PIs is generally used in combination with other antiretroviral drugs.
Nelfinavir mesylate (Viracept, formally AG1343) is a potent and orally bioavailable human immunodeficiency virus [[HIV-1 protease]] inhibitor (Ki=2nM) and is widely prescribed in combination with [[HIV]] reverse transcriptase inhibitors for the treatment of HIV infection.<ref>{{cite journal |author=Zhang KE, Wu E, Patick AK, ''et al.'' |title=Circulating metabolites of the human immunodeficiency virus protease inhibitor nelfinavir in humans: structural identification, levels in plasma, and antiviral activities |journal=Antimicrob. Agents Chemother. |volume=45 |issue=4 |pages=1086–93 |year=2001 |month=April |pmid=11257019 |pmc=90428 |doi=10.1128/AAC.45.4.1086-1093.2001 |url=}}</ref>
'''| [[Nelfinavir drug interactions|Drug Interactions]]'''
'''| [[Nelfinavir overdosage|Overdosage]]'''
'''| [[Nelfinavir dosage and administration|Dosage and Administration]]'''
'''| [[Nelfinavir how supplied|How Supplied]]'''
'''| [[Nelfinavir labels and packages|Labels and Packages]]'''
==Mechanism of Action==
:* Dosage
Nelfinavir is an inhibitor of the HIV-1 protease. Inhibition of the viral protease prevents cleavage of the gag and gag-pol polyprotein resulting in the production of immature, non-infectious virus.<ref name="dailymed.nlm.nih.gov">{{Cite web | last = | first = | title = VIRACEPT (NELFINAVIR MESYLATE) TABLET, FILM COATED VIRACEPT (NELFINAVIR MESYLATE) POWDER [AGOURON PHARMACEUTICALS INC] | url = http://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=e72c2bc6-9462-4a2e-8e1d-b97592376cbd#nlm34089-3 | publisher = | date = | accessdate}}</ref>
==References==
=====Condition4=====
{{Reflist|2}}
[[Category:Antibiotics]]
* Dosing Information
[[Category:Wikinfect]]
:* Dosage
<!--Off-Label Use and Dosage (Adult)-->
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|offLabelAdultGuideSupport======Condition1=====
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* Class of Recommendation:
* Strength of Evidence:
* Dosing Information
:* Dosage
=====Condition2=====
There is limited information regarding <i>Off-Label Guideline-Supported Use</i> of {{PAGENAME}} in adult patients.
<!--Non–Guideline-Supported Use (Adult)-->
|offLabelAdultNoGuideSupport======Condition1=====
* Dosing Information
:* Dosage
=====Condition2=====
There is limited information regarding <i>Off-Label Non–Guideline-Supported Use</i> of {{PAGENAME}} in adult patients.
<!--Pediatric Indications and Dosage-->
<!--FDA-Labeled Indications and Dosage (Pediatric)-->
|fdaLIADPed======Condition1=====
* Dosing Information
:* Dosage
=====Condition2=====
There is limited information regarding <i>FDA-Labeled Use</i> of {{PAGENAME}} in pediatric patients.
<!--Off-Label Use and Dosage (Pediatric)-->
<!--Guideline-Supported Use (Pediatric)-->
|offLabelPedGuideSupport======Condition1=====
* Developed by:
* Class of Recommendation:
* Strength of Evidence:
* Dosing Information
:* Dosage
=====Condition2=====
There is limited information regarding <i>Off-Label Guideline-Supported Use</i> of {{PAGENAME}} in pediatric patients.
<!--Non–Guideline-Supported Use (Pediatric)-->
|offLabelPedNoGuideSupport======Condition1=====
* Dosing Information
:* Dosage
=====Condition2=====
There is limited information regarding <i>Off-Label Non–Guideline-Supported Use</i> of {{PAGENAME}} in pediatric patients.
<!--Contraindications-->
|contraindications=* Condition1
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|warnings=* Description
====Precautions====
* Description
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|clinicalTrials=There is limited information regarding <i>Clinical Trial Experience</i> of {{PAGENAME}} in the drug label.
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|postmarketing=There is limited information regarding <i>Postmarketing Experience</i> of {{PAGENAME}} in the drug label.
=====Body as a Whole=====
=====Cardiovascular=====
=====Digestive=====
=====Endocrine=====
=====Hematologic and Lymphatic=====
=====Metabolic and Nutritional=====
=====Musculoskeletal=====
=====Neurologic=====
=====Respiratory=====
=====Skin and Hypersensitivy Reactions=====
=====Special Senses=====
=====Urogenital=====
=====Miscellaneous=====
<!--Drug Interactions-->
|drugInteractions=* Drug
:* Description
<!--Use in Specific Populations-->
|useInPregnancyFDA=* '''Pregnancy Category'''
|useInPregnancyAUS=* '''Australian Drug Evaluation Committee (ADEC) Pregnancy Category'''
There is no Australian Drug Evaluation Committee (ADEC) guidance on usage of {{PAGENAME}} in women who are pregnant.
|useInLaborDelivery=There is no FDA guidance on use of {{PAGENAME}} during labor and delivery.
|useInNursing=There is no FDA guidance on the use of {{PAGENAME}} with respect to nursing mothers.
|useInPed=There is no FDA guidance on the use of {{PAGENAME}} with respect to pediatric patients.
|useInGeri=There is no FDA guidance on the use of {{PAGENAME}} with respect to geriatric patients.
|useInGender=There is no FDA guidance on the use of {{PAGENAME}} with respect to specific gender populations.
|useInRace=There is no FDA guidance on the use of {{PAGENAME}} with respect to specific racial populations.
|useInRenalImpair=There is no FDA guidance on the use of {{PAGENAME}} in patients with renal impairment.
|useInHepaticImpair=There is no FDA guidance on the use of {{PAGENAME}} in patients with hepatic impairment.
|useInReproPotential=There is no FDA guidance on the use of {{PAGENAME}} in women of reproductive potentials and males.
|useInImmunocomp=There is no FDA guidance one the use of {{PAGENAME}} in patients who are immunocompromised.
<!--Administration and Monitoring-->
|administration=* Oral
* Intravenous
|monitoring=There is limited information regarding <i>Monitoring</i> of {{PAGENAME}} in the drug label.
* Description
<!--IV Compatibility-->
|IVCompat=There is limited information regarding <i>IV Compatibility</i> of {{PAGENAME}} in the drug label.
<!--Overdosage-->
|overdose====Acute Overdose===
====Signs and Symptoms====
* Description
====Management====
* Description
===Chronic Overdose===
There is limited information regarding <i>Chronic Overdose</i> of {{PAGENAME}} in the drug label.
<!--Pharmacology-->
<!--Drug box 2-->
|drugBox=<!--Mechanism of Action-->
|mechAction=*
<!--Structure-->
|structure=*
: [[File:{{PAGENAME}}01.png|thumb|none|600px|This image is provided by the National Library of Medicine.]]
<!--Pharmacodynamics-->
|PD=There is limited information regarding <i>Pharmacodynamics</i> of {{PAGENAME}} in the drug label.
<!--Pharmacokinetics-->
|PK=There is limited information regarding <i>Pharmacokinetics</i> of {{PAGENAME}} in the drug label.
<!--Nonclinical Toxicology-->
|nonClinToxic=There is limited information regarding <i>Nonclinical Toxicology</i> of {{PAGENAME}} in the drug label.
<!--Clinical Studies-->
|clinicalStudies=There is limited information regarding <i>Clinical Studies</i> of {{PAGENAME}} in the drug label.
<!--How Supplied-->
|howSupplied=*
|packLabel=<!--Patient Counseling Information-->
|fdaPatientInfo=There is limited information regarding <i>Patient Counseling Information</i> of {{PAGENAME}} in the drug label.
<!--Precautions with Alcohol-->
|alcohol=* Alcohol-{{PAGENAME}} interaction has not been established. Talk to your doctor about the effects of taking alcohol with this medication.
<!--Brand Names-->
|brandNames=* ®<ref>{{Cite web | title = | url = }}</ref>
<!--Look-Alike Drug Names-->
|lookAlike=* A® — B®<ref name="www.ismp.org">{{Cite web | last = | first = | title = http://www.ismp.org | url = http://www.ismp.org | publisher = | date = }}</ref>
There is limited information regarding Off-Label Guideline-Supported Use of Nelfinavir in adult patients.
|offLabelAdultNoGuideSupport======Condition1=====
Dosing Information
Dosage
Condition2
There is limited information regarding Off-Label Non–Guideline-Supported Use of Nelfinavir in adult patients.
|fdaLIADPed======Condition1=====
Dosing Information
Dosage
Condition2
There is limited information regarding FDA-Labeled Use of Nelfinavir in pediatric patients.
|offLabelPedGuideSupport======Condition1=====
Developed by:
Class of Recommendation:
Strength of Evidence:
Dosing Information
Dosage
Condition2
There is limited information regarding Off-Label Guideline-Supported Use of Nelfinavir in pediatric patients.
|offLabelPedNoGuideSupport======Condition1=====
Dosing Information
Dosage
Condition2
There is limited information regarding Off-Label Non–Guideline-Supported Use of Nelfinavir in pediatric patients.
|contraindications=* Condition1
|warnings=* Description
Precautions
Description
|clinicalTrials=There is limited information regarding Clinical Trial Experience of Nelfinavir in the drug label.
Body as a Whole
Cardiovascular
Digestive
Endocrine
Hematologic and Lymphatic
Metabolic and Nutritional
Musculoskeletal
Neurologic
Respiratory
Skin and Hypersensitivy Reactions
Special Senses
Urogenital
Miscellaneous
|postmarketing=There is limited information regarding Postmarketing Experience of Nelfinavir in the drug label.
Body as a Whole
Cardiovascular
Digestive
Endocrine
Hematologic and Lymphatic
Metabolic and Nutritional
Musculoskeletal
Neurologic
Respiratory
Skin and Hypersensitivy Reactions
Special Senses
Urogenital
Miscellaneous
|drugInteractions=* Drug
Description
|useInPregnancyFDA=* Pregnancy Category
|useInPregnancyAUS=* Australian Drug Evaluation Committee (ADEC) Pregnancy Category
There is no Australian Drug Evaluation Committee (ADEC) guidance on usage of Nelfinavir in women who are pregnant.
|useInLaborDelivery=There is no FDA guidance on use of Nelfinavir during labor and delivery.
|useInNursing=There is no FDA guidance on the use of Nelfinavir with respect to nursing mothers.
|useInPed=There is no FDA guidance on the use of Nelfinavir with respect to pediatric patients.
|useInGeri=There is no FDA guidance on the use of Nelfinavir with respect to geriatric patients.
|useInGender=There is no FDA guidance on the use of Nelfinavir with respect to specific gender populations.
|useInRace=There is no FDA guidance on the use of Nelfinavir with respect to specific racial populations.
|useInRenalImpair=There is no FDA guidance on the use of Nelfinavir in patients with renal impairment.
|useInHepaticImpair=There is no FDA guidance on the use of Nelfinavir in patients with hepatic impairment.
|useInReproPotential=There is no FDA guidance on the use of Nelfinavir in women of reproductive potentials and males.
|useInImmunocomp=There is no FDA guidance one the use of Nelfinavir in patients who are immunocompromised.
|administration=* Oral
Intravenous
|monitoring=There is limited information regarding Monitoring of Nelfinavir in the drug label.
Description
|IVCompat=There is limited information regarding IV Compatibility of Nelfinavir in the drug label.
|overdose====Acute Overdose===
Signs and Symptoms
Description
Management
Description
Chronic Overdose
There is limited information regarding Chronic Overdose of Nelfinavir in the drug label.