Patients that are allergic to any of the medicine excipients should not start a therapy course with Kivexa. Also, usage of this medical product is not recommended in the case of patients with severe hepatic impairment. Typically, this drug is not prescribed for the treatment of patients that may require special dosage adjustment - such as patients suffering from kidney or liver damage, children or patients that weigh less than 40 kg. However, your prescriber may decide that the Kivexa therapy is appropriate - in this case special monitoring during the course of the treatment is in order. This medicine may not be suitable for the treatment of pregnant women and breast feeding mothers.