Who can take Paxlovid®
Talk to your doctor about treatment if you tested positive and have any of the conditions below. Your chances of COVID getting worse are higher.
Detailed List of High Risk Factors
Age
- The CDC recommends treatment for anyone 50 and older
- People who are 65 years of age or older are at the highest risk
Physical Diseases and Conditions
Blood disorders
- Sickle cell disease or thalassemia
Cancer
Cerebrovascular disease
- Stroke
Chronic kidney problems
- People with moderate-to-severe renal impairment will need different doses or dosing schedules of PAXLOVID
Chronic liver problems
- Cirrhosis (or scarring of the liver)
- Non-alcoholic fatty liver disease
- Alcohol-related liver disease
- Autoimmune hepatitis
- PAXLOVID is not recommended for people with severe liver disease
Chronic lung diseases
- Moderate-to-severe asthma
- Bronchiectasis (thickening of the lungs’ airways)
- A chronic lung disease affecting newborns called bronchopulmonary dysplasia
- Chronic obstructive pulmonary disease (COPD), including emphysema and chronic bronchitis
- Damaged or scarred lung tissue known as interstitial lung disease (including idiopathic pulmonary fibrosis)
- Pulmonary embolism (blood clot in the lungs)
- Pulmonary hypertension (high blood pressure in the lungs)
Cystic fibrosis
Diabetes type 1 and type 2
Heart conditions
- Heart failure
- Coronary artery disease (damage or disease in the heart's major blood vessels)
- Cardiomyopathies (heart muscle diseases)
- Possibly high blood pressure (hypertension)
Infections and other contagious illnesses
- Human immunodeficiency virus (HIV)
- Tuberculosis
Neurological conditions
- Dementia
Weakened immune system, which may be caused by:
- Solid organ or blood stem cell transplant
- Corticosteroids, chemotherapy, or other medicines that reduce immune function
- Primary immunodeficiency
Weight
An overweight or obese body mass index (BMI) of 25 or higher is a risk factor for adults.
Don’t know your BMI? Calculate it here*
*By clicking this link, you will be redirected to a website that is neither owned nor controlled by Pfizer. Pfizer is not responsible for the content or services of this site.
Pregnancy
Mental Health Conditions
Mental health conditions increase your risk, including:
- Mood disorders, such as depression
- Schizophrenia spectrum disorders
Lifestyle Factors
- Doing little or no physical activity
- Current or former smoker
- Substance use disorders (such as alcohol, opioid, or cocaine use disorders)
Disabilities
Some mental, physical, and developmental disabilities increase risk, including those that:
- Limit mobility
- Reduce a person’s ability to follow preventive measures, like hand washing
- Require close contact with those who may be infected, such as a caregiver or family member
- Reduce a person’s ability to communicate their symptoms
These disabilities put you at risk:
- Attention-Deficit/Hyperactivity Disorder (ADHD)
- Autism
- Cerebral Palsy
- Charcot Foot
- Chromosomal Disorders
- Chromosome 17 and 19 Deletion
- Chromosome 18q Deletion
- Cognitive Impairment
- Congenital Hydrocephalus
- Congenital Malformations
- Deafness/Hearing Loss
- Disability Indicated by Barthel Index
- Down Syndrome
- Fahr’s Syndrome
- Fragile X Syndrome
- Gaucher Disease
- Hand and Foot Disorders
- Learning disabilities
- Leber’s Hereditary Optic Neuropathy (LHON) or Autosomal Dominant Optic Atrophy (ADOA)
- Leigh Syndrome
- Limitations with self-care or activities of daily living
- Maternal Inherited Diabetes and Deafness (MIDD)
- Mitochondrial Encephalopathy, Lactic Acidosis, and Stroke-Like Episodes (MELAS) and Risk Markers
- Mobility Disability
- Movement Disorders
- Multiple Disability (referred to in research papers as “bedridden disability”)
- Multisystem Disease
- Myoclonic Epilepsy with Ragged Red Fibers (MERRF)
- Myotonic Dystrophy
- Neurodevelopmental Disorders
- Neuromuscular Disorders
- Neuromyelitis Optica Spectrum Disorder (NMOSD)
- Neuropathy, Ataxia, and Retinitis Pigmentosa (NARP)
- Perinatal Spastic Hemiparesis
- Primary Mitochondrial Myopathy (PMM)
- Progressive Supranuclear Palsy
- Senior-Løken Syndrome
- Severe and complex disability (referred to in research papers as “polyhandicap disability”)
- Spina Bifida and Other Nervous System Anomalies
- Spinal Cord Injury
- Tourette Syndrome
- Traumatic Brain Injury
- Visual Impairment/Blindness
- Wheelchair Use
Additional information to share with your healthcare professional when discussing PAXLOVID
Be sure to let your healthcare professional know if you have any allergies
Come with a list of all the medicines you take
PAXLOVID may affect how oral contraceptives work
Tell your healthcare professional if you have liver or kidney problems or have HIV infection
Tell your healthcare professional if you are pregnant, plan to become pregnant, are breastfeeding, or plan to breastfeed