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Lexiva

Fosamprenavir

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About Lexiva

Overview

Lexiva contains fosamprenavir, an antiviral medicine. It is used with other antiretroviral medicines to treat HIV-1 infection. In the body, fosamprenavir is converted to amprenavir, which blocks a viral enzyme called HIV protease.

What it treats

HIV-1 infection, in combination with other antiretroviral medicines.

Safety information

Side effects

Common side effects of Lexiva include diarrhea, rash, nausea, vomiting and headache. Vomiting and low levels of neutrophils, a type of white blood cell, were more frequent in children than in adults. Contact a doctor promptly for serious side effects. Severe or life-threatening skin reactions, including Stevens–Johnson syndrome, have been reported; Lexiva must be stopped if a severe skin reaction occurs. Other serious effects include new or worsening diabetes, high blood sugar, increased liver enzymes, kidney stones and spontaneous bleeding in people with hemophilia. People with hepatitis B or C have a higher risk of increased liver enzymes. Acute hemolytic anemia, in which red blood cells are destroyed, has been reported with amprenavir. Other reported effects include immune reconstitution syndrome, changes in body fat distribution, and increased cholesterol and triglycerides. Cholesterol and triglycerides should be checked before treatment and periodically during treatment. Certain medicines taken with Lexiva can cause serious or life-threatening reactions. Tell your doctor about all medicines you take and any known sulfonamide allergy.

When to call your doctor

• Seek medical attention immediately for a severe skin rash. • Seek medical attention immediately for bleeding that starts without an injury, especially if you have hemophilia.

If symptoms are severe or getting worse quickly, seek emergency care rather than waiting.

Before taking this medicine

Do not take Lexiva if you have had a clinically significant allergic reaction, including Stevens–Johnson syndrome, to fosamprenavir, any ingredient in Lexiva, or amprenavir. Do not take Lexiva with alfuzosin, rifampin, dihydroergotamine, ergonovine, ergotamine, methylergonovine, cisapride, St. John’s wort, lovastatin, simvastatin, pimozide, delavirdine, sildenafil used for pulmonary arterial hypertension (Revatio), midazolam or triazolam. These combinations may cause serious or life-threatening reactions or reduce antiviral effectiveness. If Lexiva is taken with ritonavir, flecainide and propafenone are also contraindicated, and ritonavir’s additional contraindications must be reviewed. Caution is needed if you have a sulfonamide allergy, hepatitis B or C, diabetes or hemophilia. Hepatitis B or C increases the risk of raised liver enzymes. New or worsening diabetes and high blood sugar can occur. People with hemophilia may develop spontaneous bleeding and may need additional factor VIII. Lexiva must be stopped if a severe skin reaction develops, including Stevens–Johnson syndrome. Other reported risks include immune reconstitution syndrome, changes in body fat distribution, increased cholesterol and triglycerides, and kidney stones. Cholesterol and triglycerides should be checked before treatment and periodically during treatment. Acute hemolytic anemia, a condition involving the rapid breakdown of red blood cells, has been reported with amprenavir.

Interactions

Medicines that increase the activity of the liver enzyme CYP3A4 may lower levels of amprenavir, the active substance formed from Lexiva, and could make treatment less effective. Medicines that block CYP3A4 may raise amprenavir levels. When Lexiva is taken with ritonavir, important interactions may also occur with medicines processed by the enzyme CYP2D6. Ritonavir has additional interactions that your doctor should check in its prescribing information. Ask your doctor to review your other medicines for interactions with Lexiva, especially if you also take ritonavir.

Using Lexiva

Dosing

Dosing is set by your prescriber. Each health care professional may prescribe medication differently according to a patient's medical history and condition, so follow the directions on your prescription label and speak to your doctor or pharmacist before changing anything.

Storage

Store below 25°C in a dry place, in the original pack, away from direct light and moisture. Do not keep it in a bathroom. Keep all medicines out of the sight and reach of children.

Clinical information on this page is summarised from the US FDA label LEXIVA (FOSAMPRENAVIR CALCIUM) TABLET, FILM COATED [STATE OF FLORIDA DOH CENTRAL PHARMACY] (DailyMed, retrieved 19 September 2026).

Patient information and references

Official and supporting information to read alongside advice from your prescriber or pharmacist.

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