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Evidence and the Main Adverse Effects Regarding Drug Therapies in the War Against COVID-19
Mauricio Mora-Ramírez1, Paulina Melgoza-Hernández2, Sebastian Eduardo Toledo-Ramírez3
1Department of Internal Medicine, Hospital General de Zona 8 Instituto Mexicano del Seguro Social, IMSS, Mexico City, Mexico.
Background:
Nowadays, the breakthrough of COVID-19 pandemic around the world is the biggest health challenge for the clinicians, and it represents an unexpected effort to identify an effective treatment for those patients. No proven definitive therapies for this infection currently exist. Unfortunately, the infected patients increased in an alarming way every day, faster than medical evidence. At present, the expanding knowledge regarding SARS-COV-2 virology provides several potential drug targets.
Objective:
Therefore, clinicians need a rapid review and guideline about the main adverse effects regarding the most prescribed drugs and, specifically, the efficacy and potential risk of each pharmacological therapy, during hospital care.
Methods:
The articles review was performed using PubMed to identify relevant papers in English language reported through July 20th, 2020; a second review was performed using Web of Science until August 28th, 2020. Due to the lack of randomized clinical trials, we included case reports, case series and reviews. We found a total of 1606 related articles. The authors independently reviewed the titles and abstracts for inclusion.
Conclusion:
At present, despite the enormous medical effort for publishing several trials or case reports, we have not yet discovered a definitive therapy against the COVID-19 infection. This brief review aims to prompt identification of risk factors and main adverse effects in a systematic view related to therapy with partial evidence proposed to date.
Insights
No definitive COVID-19 treatments exist, highlighting the need to understand risks. This review examines adverse effects of common drugs used for SARS-CoV-2 infection, guiding hospital care.
Area of Science:
- Infectious Diseases
- Pharmacology
- Critical Care Medicine
Background:
- The COVID-19 pandemic presents a significant global health challenge with no proven definitive treatments.
- Rapidly increasing SARS-CoV-2 infections outpace medical evidence, necessitating urgent therapeutic strategies.
- Emerging knowledge of SARS-CoV-2 virology identifies potential targets for drug development.
Purpose of the Study:
- To provide clinicians with a rapid review of adverse effects associated with commonly prescribed drugs for COVID-19.
- To assess the efficacy and potential risks of pharmacological therapies used in hospital settings for SARS-CoV-2 infection.
- To systematically identify risk factors and adverse effects of treatments with partial evidence.
Main Methods:
- Literature search conducted on PubMed (until July 20, 2020) and Web of Science (until August 28, 2020).
- Inclusion of case reports, case series, and reviews due to a scarcity of randomized clinical trials.
- Independent review of titles and abstracts from 1606 identified articles.
Main Results:
- A significant number of trials and case reports have been published regarding COVID-19 therapies.
- No definitive therapy against COVID-19 infection has been established to date.
- Partial evidence exists for various therapeutic approaches, necessitating careful risk assessment.
Conclusions:
- Despite extensive research efforts, a definitive cure for COVID-19 remains elusive.
- Understanding risk factors and adverse effects of current treatments is crucial for patient management.
- This review offers a systematic overview to aid clinicians in navigating therapeutic options for COVID-19.
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