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Coronavirus Disease 2019 (COVID-19) Spread and Pharmacovigilance Implications: Expert Opinion
Peter Yamoah1,2, Thelma Mpoku Alalbila3, Varsha Bangalee4
1School of Pharmacy, University of Health and Allied Sciences, Ho, Ghana. pyamoah@uhas.edu.gh.
Insights
The Coronavirus Disease 2019 (COVID-19) lacks approved treatments, leading to potential harm from unproven therapies. Increased demand for these drugs can cause shortages and viral resistance.
Area of Science:
- Infectious Diseases
- Pharmacology
- Public Health
Background:
- The rapid global spread of COVID-19 necessitates effective treatments.
- Currently, no COVID-19 treatments are approved based on large clinical trial data.
- Management relies on infection control and supportive care.
Discussion:
- Anecdotal reports and in vitro studies suggest repurposed drugs as potential COVID-19 treatments.
- This has led to increased demand, potentially causing adverse effects.
- Risks include toxicity from self-medication, physician pressure to prescribe, and drug shortages.
Key Insights:
- Unproven COVID-19 therapies pose risks of toxicity and adverse drug interactions.
- Widespread use of these medications can lead to antimicrobial resistance.
- A surge in demand can create critical shortages for patients with existing conditions.
Outlook:
- Further clinical trials are essential to validate potential COVID-19 treatments.
- Careful regulation and public health guidance are needed to manage demand for repurposed drugs.
- Preventing misuse is crucial to avoid exacerbating the pandemic and impacting other patient populations.
Abstract:
The Coronavirus Disease 2019 (COVID-19) is rapidly spreading throughout the world after emerging in China in December 2019. Currently, there are no approved treatments for COVID-19 based on large clinical trial data, and hence, management involves infection prevention and control measures and supportive care. With anecdotal reports and in vitro studies suggesting that certain medicines already in use for treatment of other conditions could be viable treatment options, there has been an increased demand for these therapies which could have adverse consequences on patients and healthcare systems. Toxicity from these medicines resulting from a mad rush for them at community pharmacies and pressure on physicians to prescribe for individuals who do not have the infection are worth noting. Furthermore, the indiscriminate use of these medicines could result in viral resistance as well as acute shortage such that patients who routinely take them for other conditions may not get them.
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