Please note: a valid prescription is required for all prescription medication.
Aptivus® Capsules for HIV-1
Buy More, Save More: Get 20% off when you buy 3 or more of any one product using code LESS20 at checkout.
Applies to all products originating from Canada. Maximum allowable quantity equal to a 90-day supply per single order.
Black Friday Bonus: Enjoy free standard shipping on all orders over $250.
Offer can be combined with the 20% “Buy More, Save More” discount. Enter each coupon code separately at checkout to claim your offers. Offer ends December 5, 2025.
$1,200.00
Secure Encrypted Payments
Aptivus® is a protease inhibitor used with ritonavir for HIV-1 in patients with prior treatment. This page explains uses, dosing, safety, and how US delivery from Canada works. You can review options and typical access for Aptivus without insurance.
What Aptivus Is and How It Works
Aptivus® contains tipranavir, a protease inhibitor. It helps block HIV-1 protease, which the virus needs to make mature, infectious particles. Taken with ritonavir, it reaches levels that can suppress resistant virus when paired with a fully active background regimen.
Border Free Health connects U.S. patients with licensed Canadian partner pharmacies; prescriptions are verified with prescribers before dispensing.
This medicine is for treatment-experienced adults and certain children. It is not usually started in people new to therapy. The treatment must be combined with other antiretrovirals as directed by your prescriber. Regular lab monitoring helps check response and liver health.
Who It’s For
This therapy is indicated for HIV-1 infection in treatment-experienced adults and pediatric patients who have evidence of ongoing replication and resistance to multiple protease inhibitors. It is used only with ritonavir and with other active agents.
People with moderate or severe liver impairment should not use it. Those with chronic hepatitis may face higher liver risks. Discuss any history of bleeding, especially in hemophilia, because bleeding events have occurred. Tell your clinician about any sulfa allergy, as the drug has a sulfonamide component. Hormonal contraceptives may be less effective; use an additional barrier method.
Dosage and Usage
Adults typically take two capsules with ritonavir twice daily with food. Swallow capsules whole. Do not change doses without medical guidance. Pediatric dosing is weight-based; the official label should guide care for children.
Always take this treatment with food to support absorption and reduce stomach upset. Avoid taking extra vitamin E supplements because the capsule formulation already contains vitamin E. If using other antiretrovirals, follow the schedule your prescriber set, and keep a consistent routine each day.
If you are unsure about timing, or if other conditions affect dosing, defer to the official prescribing information or ask your healthcare professional for clarification.
Strengths and Forms
- Aptivus 250 mg capsules
- Tipranavir oral solution 100 mg/mL (availability may vary)
Availability can differ by pharmacy and region. Your prescriber may choose a form based on age, ability to swallow capsules, and overall regimen needs.
Missed Dose and Timing
If you miss a dose, take it when you remember unless it is close to the next scheduled dose. If it is nearly time for the next dose, skip the missed dose and resume your regular schedule. Do not double up doses. Keeping a daily reminder or pairing doses with regular meals can help reduce missed doses.
Storage and Travel Basics
Store capsules at room temperature in the original container with the cap closed. Protect from excess moisture and heat. Keep out of reach of children and pets. If you receive the oral solution, follow the label for storage and use-by guidance.
For travel, pack this medicine in your carry-on with the pharmacy label visible. Carry a copy of your prescription and your prescriber’s contact details. Bring extra doses for delays. Keep medicines away from direct sunlight inside cars or windows. Do not transfer capsules to pill organizers if the label advises keeping them in the original container.
Benefits
As part of a combination regimen, this protease inhibitor can help reduce viral load in people with resistance to other agents. Taking it with ritonavir provides pharmacokinetic boosting that may help maintain target levels. Twice-daily dosing with food fits many daily routines. When used with active companion medicines, the treatment can support durable suppression as measured by lab tests.
Side Effects and Safety
- Digestive symptoms: diarrhea, nausea, vomiting, stomach pain
- Headache or fatigue
- Rash or itching
- Increased liver enzymes on blood tests
- Changes in cholesterol or triglycerides
Serious risks can include severe liver injury and rare intracranial hemorrhage. Stop the medicine and seek care for signs of severe liver problems, such as yellowing skin or eyes, dark urine, persistent nausea, or abdominal pain. Severe rash, blistering skin, swelling of the face or throat, or trouble breathing need urgent evaluation. Your clinician may monitor lipids and glucose, and adjust the background regimen if needed.
Drug Interactions and Cautions
This treatment interacts with many medicines via CYP3A and P-gp pathways. Do not take with rifampin, St. John’s wort, certain ergot derivatives, some antiarrhythmics, or midazolam/triazolam. Some statins, especially simvastatin and lovastatin, are not recommended. Monitor when using warfarin and certain anticonvulsants. Hormonal birth control can be less effective; add a barrier method. Always share a full medication and supplement list with your prescriber and pharmacist.
Alcohol can worsen liver stress. If you have hepatitis B or C, your clinician may schedule more frequent labs. This therapy is not usually combined with other protease inhibitors except for ritonavir boosting as directed.
What to Expect Over Time
With consistent use as part of an effective regimen, viral load may decline over weeks and months. CD4 counts can improve as suppression continues. Your clinician will check viral load and liver tests regularly. If side effects occur, supportive care or regimen adjustments may be considered. Adherence is key. Use alarms, calendars, or blister packs to maintain your schedule. Routine clinic follow-up helps assess response and address any concerns early.
Compare With Alternatives
Other protease inhibitor options include darunavir and atazanavir, typically taken with a booster and a backbone regimen. Lopinavir/ritonavir is another option in certain situations. Your prescriber will consider resistance results, prior treatment history, tolerability, and potential interactions when comparing these choices. If one medicine is not suitable, a different boosted PI or another class may better fit your regimen.
Pricing and Access
We aim to make cross-border access transparent. You can review current options and typical savings scenarios for Aptivus price without quoting dollar amounts. Our checkout is encrypted for privacy. Many patients use cash-pay when benefits are limited. You can request a quote, upload your prescription, and our team will coordinate with your prescriber for verification.
Canadian pricing with Ships from Canada to US can help lower out-of-pocket exposure for some patients. If you are evaluating coverage, ask your plan about specialty pharmacy requirements and prior authorization. We do not alter your prescriber’s directions.
Availability and Substitutions
Supply can vary by form. If a specific presentation is not available, a prescriber may recommend a comparable alternative based on your resistance profile. Discuss brand versus generic substitution before ordering, and confirm any change with your clinician.
For those assessing Aptivus Canadian pricing, availability and your regimen needs will guide the best fit. We cannot guarantee restock dates, but we can help coordinate options your prescriber approves.
Patient Suitability and Cost-Saving Tips
This therapy may fit people with documented resistance who need a boosted PI strategy. It may not suit those with significant liver impairment or those who cannot take ritonavir. If you use anticoagulants, lipid agents, or certain sedatives, review interactions first.
To manage Tipranavir cost, ask about multi-month fills to reduce per-shipment fees. Set refill reminders so you do not face urgent orders. If you travel, plan enough supply to avoid gaps. When using other medicines in the regimen, consolidating refills may simplify scheduling and reduce coordination hassles.
Questions to Ask Your Clinician
- Rationale for choice: why this protease inhibitor over others?
- Resistance results: how does my genotype/phenotype support this option?
- Companion agents: which background medicines keep the regimen active?
- Liver health: how often will labs check liver function?
- Interactions: which medicines or supplements must I avoid?
- Contraception: which nonhormonal methods should I add?
- Monitoring: when to contact the clinic for side effects or adherence issues?
Authoritative Sources
FDA Prescribing Information: Aptivus
Health Canada Drug Product Database
Order Tipranavir online with prompt, express shipping and US shipping from Canada. This page is informational and does not replace advice from your healthcare professional.
Express Shipping - from $25.00
Shipping with this method takes 3-5 days
Prices:
- Dry-Packed Products $25.00
- Cold-Packed Products $35.00
Shipping Countries:
- United States (all contiguous states**)
- Worldwide (excludes some countries***)
Standard Shipping - $15.00
Shipping with this method takes 5-10 days
Prices:
- Dry-Packed Products $15.00
- Not available for Cold-Packed products
Shipping Countries:
- United States (all contiguous states**)
- Worldwide (excludes some countries***)
Can Aptivus be taken without ritonavir?
No, Aptivus must always be taken with ritonavir. Ritonavir boosts the effectiveness of Aptivus by increasing its levels in the body.
What should I do if I experience severe stomach pain or yellowing of the skin while on Aptivus?
These could be signs of liver problems. Contact your doctor immediately if you notice these symptoms.
Is it safe to use Aptivus with other HIV medications?
Aptivus is intended to be used as part of a combination HIV treatment. Your doctor will choose other HIV medicines that work well together with Aptivus and ritonavir.
Can I take Aptivus if I have a history of liver disease?
If you have liver disease, especially moderate to severe, Aptivus may not be safe for you. Your doctor will assess your condition and may recommend other treatment options.
What should I do if I miss an Aptivus dose?
If you miss a dose and remember within 5 hours, take it with food. If more than 5 hours have passed, skip the missed dose and take the next one at the regular time. Never take a double dose to make up for a missed one.
Why must Aptivus be taken with ritonavir?
Tipranavir levels are increased by ritonavir, which inhibits the enzymes that break it down. The boost helps maintain adequate exposure and supports antiviral activity, especially against resistant virus. Without ritonavir, blood levels are too low. Always take both with food as directed by your prescriber. Do not change or stop ritonavir unless your clinician instructs you to do so, as that can reduce effectiveness of the regimen.
Does Aptivus reduce the effectiveness of birth control pills?
Yes, this protease inhibitor can interact with hormonal contraceptives and reduce their effectiveness. Your clinician will usually recommend adding a reliable barrier method. If you use implants, patches, or rings, discuss alternatives and backup options. Report any unexpected bleeding. If pregnancy is a possibility, ask about suitable regimens and the safest contraception plan during therapy.
What liver monitoring is recommended during treatment?
Your clinician will usually check baseline liver function tests, then monitor periodically during therapy. People with hepatitis B or C, or a history of liver problems, may need more frequent labs. Report symptoms such as yellowing skin or eyes, dark urine, persistent nausea, or abdominal pain. If lab values rise significantly, your prescriber may adjust the regimen or evaluate other causes.
Can I drink alcohol while taking this medicine?
Alcohol can stress the liver and may worsen side effects like nausea. Because this therapy carries a risk of liver injury, many clinicians advise limiting or avoiding alcohol. If you choose to drink, discuss safe limits with your healthcare professional. Also consider potential interactions with other medicines in your regimen. When in doubt, follow the guidance on the official label and your clinician’s advice.
What common side effects should I watch for early on?
Digestive issues such as diarrhea, nausea, and stomach pain are often reported, especially when starting. Headache, fatigue, and rash can occur. Blood tests may show increased liver enzymes or lipid changes. Most effects are manageable, but contact your clinician if symptoms persist or worsen. Seek urgent care for severe rash, signs of liver problems, or unusual bleeding or severe headache.
Are there medicines I should absolutely avoid with this treatment?
Some drugs are contraindicated due to serious interactions, including rifampin, St. John’s wort, certain ergot alkaloids, some antiarrhythmics, and midazolam or triazolam. Simvastatin and lovastatin are generally avoided. Share a complete list of prescriptions, over-the-counter medicines, and supplements with your prescriber and pharmacist. Do not start or stop any therapy without professional guidance.
What if my pharmacy cannot supply the oral solution?
Availability can vary by region. Your prescriber might consider capsules if appropriate, or another active antiretroviral from a similar class based on your resistance profile. Ask about timing, storage needs, and whether a short-term alternative is suitable. If a change is recommended, confirm the plan, dosing, and food requirements before you travel or make schedule changes.
Rewards Program
Earn points on birthdays, product orders, reviews, friend referrals, and more! Enjoy your medication at unparalleled discounts while reaping rewards for every step you take with us.
You can read more about rewards here.
POINT VALUE
How to earn points
- 1Create an account and start earning.
- 2Earn points every time you shop or perform certain actions.
- 3Redeem points for exclusive discounts.
How to book an appointment
- 1Create Begin by completing a profile or log into your existing account. This step ensures we have the necessary information to provide you with a service that's tailored to your needs. account and start earning.
- 2Scheduling an appointment with our online booking system is easy. Pick a day and time that suits you. You’ll receive an immediate confirmation, without the wait.
- 3Discuss your concerns and symptoms and receive a thorough diagnosis from one of our licensed doctors during a confidential video appointment.
- 4If you've been prescribed medication, your Rx is sent directly to one of our licensed pharmacies and delivered right to your door.
Get Started
To book an online doctor appointment, register for an account or login. After doing so, you can book your visit on this page.
