Paxlovid and Unithroid drug interactions - a phase IV clinical study of FDA data

Summary:

Drug interactions are reported among people who take Paxlovid (nirmatrelvir; ritonavir) and Unithroid (levothyroxine sodium). Common drug interactions include disease recurrence among females and disease recurrence among males.

The phase IV clinical study analyzes what interactions people have when they take Paxlovid and Unithroid. It is created by eHealthMe based on reports of 18 people who take the same drugs from the FDA, and is updated regularly.

What is Paxlovid?

Paxlovid has active ingredients of nirmatrelvir; ritonavir. eHealthMe is studying from 38,421 Paxlovid users. Check the latest studies of Paxlovid.

What is Unithroid?

Unithroid has active ingredients of levothyroxine sodium. It is often used in hypothyroidism. eHealthMe is studying from 890 Unithroid users. Check the latest studies of Unithroid.



On Jul, 16, 2026

18 people who take Paxlovid and Unithroid together, and have interactions are studied.

Paxlovid and Unithroid drug interactions.

What are the common drug interactions of Paxlovid and Unithroid, by gender? *:

female:

  1. Disease recurrence
  2. Arthralgia (joint pain)
  3. Fatigue (feeling of tiredness)
  4. Gastrointestinal disorder (functional problems of gastrointestinal tract)
  5. Gastrooesophageal reflux disease (stomach contents (food or liquid) leak backwards from the stomach into the oesophagus)
  6. Initial insomnia (feeling of inadequate or poor-quality sleep)
  7. Musculoskeletal stiffness (stiffness of the body's muscles, joints, tendons, ligaments and nerves)
  8. Nasal congestion (blockage of the nasal passages usually due to membranes lining the nose becoming swollen from inflamed blood vessels)
  9. Nausea (feeling of having an urge to vomit)
  10. Oral candidiasis (fungal infection of mouth)

male:

  1. Disease recurrence

What are the common drug interactions of Paxlovid and Unithroid, by age (0-1 to 60+)? *:

0-1:

n/a

2-9:

n/a

10-19:

n/a

20-29:

n/a

30-39:

n/a

40-49:

  1. Gastrooesophageal reflux disease (stomach contents (food or liquid) leak backwards from the stomach into the oesophagus)

50-59:

  1. Disease recurrence
  2. Arthralgia (joint pain)
  3. Fatigue (feeling of tiredness)
  4. Headache (pain in head)
  5. Initial insomnia (feeling of inadequate or poor-quality sleep)
  6. Musculoskeletal stiffness (stiffness of the body's muscles, joints, tendons, ligaments and nerves)
  7. Nasal congestion (blockage of the nasal passages usually due to membranes lining the nose becoming swollen from inflamed blood vessels)
  8. Oropharyngeal pain
  9. Visual impairment

60+:

  1. Disease recurrence
  2. Dysgeusia (disorder of the sense of taste)
  3. Nausea (feeling of having an urge to vomit)
  4. Oral candidiasis (fungal infection of mouth)
  5. Oxygen saturation increased
  6. Tongue blistering
  7. Tooth disorder (tooth disease)
  8. Decreased appetite
  9. Diarrhoea
  10. Protein total increased

What are the existing conditions these people have? *

  1. Thyroid Diseases: 2 people, 11.11%
  2. Asthma: 2 people, 11.11%
  3. Prostatomegaly (enlargement of the prostate): 1 person, 5.56%
  4. High Blood Cholesterol: 1 person, 5.56%

* Approximation only. Some reports may have incomplete information.

Do you take Paxlovid and Unithroid?

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Related studies:

Effectiveness of, side effects of, and alternative drugs to the 2 drugs:

Browse all drug interactions of Paxlovid and Unithroid:

a b c d e f g h i j k l m n o p q r s t u v w x y z

Sub-studies by gender and age:

Female: 0-1 2-9 10-19 20-29 30-39 40-49 50-59 60+

Male: 0-1 2-9 10-19 20-29 30-39 40-49 50-59 60+

Browse all side effects of Paxlovid:

a b c d e f g h i j k l m n o p q r s t u v w x y z

Browse all side effects of Unithroid:

a b c d e f g h i j k l m n o p q r s t u v w x y z

Browse all interactions between Paxlovid and drugs from A to Z:

a b c d e f g h i j k l m n o p q r s t u v w x y z

Browse all interactions between Unithroid and drugs from A to Z:

a b c d e f g h i j k l m n o p q r s t u v w x y z

How the study uses the data?

The study uses data from the FDA. It is based on nirmatrelvir; ritonavir and levothyroxine sodium (the active ingredients of Paxlovid and Unithroid, respectively), and Paxlovid and Unithroid (the brand names). Other drugs that have the same active ingredients (e.g. generic drugs) are not considered. Dosage of drugs is not considered in the study.

How to use the study?

DO NOT STOP MEDICATIONS without first consulting your doctor. If there are any serious or long term adverse effects discovered in the study, discuss the study with your doctor to ensure that proper medication management will be in place if applicable.

Who is eHealthMe?

With medical big data and proven AI/ML algorithms, eHealthMe provides a platform for everyone to run phase IV clinical trials. We study millions of patients and 5,000 more each day. Results of our real-world drug study have been referenced on 800+ peer-reviewed medical publications, including The Lancet, Mayo Clinic Proceedings, and Nature. Our analysis results are available to researchers, health care professionals, patients (testimonials), and software developers (open API).

WARNING, DISCLAIMER, USE FOR PUBLICATION

WARNING: Please DO NOT STOP MEDICATIONS without first consulting a physician since doing so could be hazardous to your health.

DISCLAIMER: All material available on eHealthMe.com is for informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare provider. All information is observation-only. Our phase IV clinical studies alone cannot establish cause-effect relationship. Different individuals may respond to medication in different ways. Every effort has been made to ensure that all information is accurate, up-to-date, and complete, but no guarantee is made to that effect. The use of the eHealthMe site and its content is at your own risk.

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