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Possible therapeutic agents for COVID-19: a comprehensive review
Khaled Mosaad Elhusseiny1,2,3, Fatma Abd-Elshahed Abd-Elhay4, Mohamed Gomaa Kamel4
1Faculty of Medicine, Al-Azhar University , Cairo, Egypt.
Introduction:
Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) has emerged in China. There are no available vaccines or antiviral drugs for COVID-19 patients. Herein, we represented possible therapeutic agents that may stand as a potential therapy against COVID-19.
Areas Covered:
We searched PubMed, Google Scholar, and clinicaltrials.gov for relevant papers. We showed some agents with potentially favorable efficacy, acceptable safety as well as good pharmacokinetic profiles. Several therapies are under assessment to evaluate their efficacy and safety for COVID-19. However, some drugs were withdrawn due to their side effects after demonstrating some clinical efficacy. Indeed, the most effective therapies could be organ function support, convalescent plasma, anticoagulants, and immune as well as antiviral therapies, especially anti-influenza drugs due to the similarities between respiratory viruses regarding viral entry, uncoating, and replication. We encourage giving more attention to favipiravir, remdesivir, and measles vaccine.
Expert Opinion:
A combination, at least dual or even triple therapy, of the aforementioned efficacious and safe therapies is greatly recommended for COVID-19. Further, patients should have a routine assessment for their coagulation and bleeding profiles as well as their inflammatory and cytokine concentrations.
Insights
This review identifies potential therapeutic agents for COVID-19, including favipiravir and remdesivir. Combination therapies and routine patient monitoring are recommended for effective COVID-19 treatment.
Area of Science:
- Virology
- Infectious Diseases
- Pharmacology
Background:
- Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) causes COVID-19, with no existing vaccines or antivirals.
- The emergence of SARS-CoV-2 necessitates the identification of effective therapeutic strategies.
Purpose of the Study:
- To review potential therapeutic agents for COVID-19.
- To highlight promising treatments based on efficacy, safety, and pharmacokinetic profiles.
Main Methods:
- Literature search of PubMed, Google Scholar, and clinicaltrials.gov.
- Analysis of existing studies on therapeutic agents for COVID-19.
Main Results:
- Several agents show potential efficacy and safety, though some were withdrawn due to side effects.
- Effective therapies may include organ support, convalescent plasma, anticoagulants, and antiviral/immune therapies.
- Favipiravir, remdesivir, and the measles vaccine are highlighted for further attention.
Conclusions:
- Combination therapy (dual or triple) of efficacious and safe agents is recommended for COVID-19.
- Routine monitoring of coagulation, bleeding, and cytokine profiles is advised for patients.
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