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Updated: Nov 16, 2025

Quadruple-Checkerboard: A Modification of the Three-Dimensional Checkerboard for Studying Drug Combinations
Published on: July 24, 2021
Multidrug treatment for COVID-19
Masashi Ohe1, Ken Furuya1, Houman Goudarzi2
1Department of Internal Medicine, JCHO Hokkaido Hospital, Sapporo, Japan.
Drug repurposing offers a fast, low-cost strategy to find COVID-19 treatments. Combinations of existing drugs like hydroxychloroquine, azithromycin, doxycycline, and ivermectin show efficacy and may prevent drug resistance.
Area of Science:
- Virology
- Infectious Diseases
- Pharmacology
Background:
- The global outbreak of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) led to the COVID-19 pandemic.
- Specific antiviral treatments for COVID-19 were initially limited, necessitating exploration of alternative therapeutic strategies.
Purpose of the Study:
- To evaluate the potential of drug repurposing as a strategy for identifying COVID-19 treatments.
- To review the efficacy of existing drugs and multidrug therapies against SARS-CoV-2.
Main Methods:
- Literature review of drug repurposing strategies for COVID-19.
- Analysis of studies examining the efficacy of individual drugs (e.g., chloroquine, hydroxychloroquine, doxycycline, azithromycin, ivermectin) against SARS-CoV-2.
- Examination of successful multidrug therapy combinations.
Main Results:
- Several approved drugs, including hydroxychloroquine, azithromycin, doxycycline, and ivermectin, have demonstrated efficacy in inhibiting SARS-CoV-2.
- Multidrug regimens, such as hydroxychloroquine with azithromycin, or doxycycline with ivermectin, have been successfully administered.
- The differing mechanisms of action among repurposed drugs contribute to the efficacy of combination therapies.
Conclusions:
- Drug repurposing is a time-saving, cost-effective, and low-risk approach for discovering COVID-19 therapeutics.
- Multidrug therapy for COVID-19 is effective due to synergistic or additive effects and may mitigate the development of drug resistance.
- Repurposed medications represent a viable option for managing COVID-19, especially in resource-limited settings.
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