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Halogenated Agent Delivery in Porcine Model of Acute Respiratory Distress Syndrome via an Intensive Care Unit Type Device
Published on: September 24, 2020
Drugs intervention study in COVID-19 management
Muhammad Taher1, Noratika Tik1, Deny Susanti2
1Faculty of Pharmacy, International Islamic University Malaysia, Kuantan, Pahang, Malaysia.
Abstract:
By 9 February 2021, the Coronavirus has killed 2,336,650 people worldwide and it has been predicted that this number continues to increase in year 2021. The study aimed to identify therapeutic approaches and drugs that can potentially be used as interventions in Coronavirus 2019 (COVID-19) management. A systematic scoping review was conducted. Articles reporting clinical evidence of therapeutic management of COVID-19 were selected from three different research databases (Google Scholar, PubMed, and Science Direct). From the database search, 31 articles were selected based on the study inclusion and exclusion criteria. This review paper showed that remdesivir and ivermectin significantly reduced viral ribonucleic acid (RNA) activity. On the other hand, convalescent plasma (CP) significantly improved COVID-19 clinical symptoms. Additionally, the use of corticosteroid increased survival rates in COVID-19 patients with acute respiratory distress syndrome (ARDS). Findings also indicated that both hydroxychloroquine and favipiravir were effective against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). However, lopinavir-ritonavir combination was not effective against COVID-19. Finally, ribavirin, galidesivir, and sofosbuvir showed potential therapeutic benefit in treating COVID-19, but there is a lack of clinical evidence on their effectiveness against SARS-CoV-2. Remdesivir, ivermectin, favipiravir, hydroxychloroquine, dexamethasone, methylprednisolone, and CP are the therapeutic agents that can potentially be used in COVID-19 management.
Insights
This review identifies effective COVID-19 treatments. Remdesivir, ivermectin, hydroxychloroquine, favipiravir, corticosteroids, and convalescent plasma show therapeutic benefits for Coronavirus 2019 management.
Area of Science:
- Infectious Diseases
- Pharmacology
- Critical Care Medicine
Background:
- The Coronavirus (COVID-19) pandemic caused significant global mortality by February 2021.
- Effective therapeutic interventions are crucial for managing COVID-19 and mitigating its impact.
Purpose of the Study:
- To systematically review and identify potential therapeutic approaches and drugs for Coronavirus 2019 (COVID-19) management.
- To evaluate the clinical evidence supporting various treatment options for COVID-19.
Main Methods:
- A systematic scoping review of articles reporting clinical evidence for COVID-19 therapeutic management.
- Searches were conducted across Google Scholar, PubMed, and Science Direct databases.
- 31 articles were selected based on predefined inclusion and exclusion criteria.
Main Results:
- Remdesivir and ivermectin demonstrated significant reduction in viral ribonucleic acid (RNA) activity.
- Convalescent plasma (CP) significantly improved clinical symptoms in COVID-19 patients.
- Corticosteroids increased survival rates in patients with acute respiratory distress syndrome (ARDS).
- Hydroxychloroquine and favipiravir showed effectiveness against SARS-CoV-2.
- Lopinavir-ritonavir combination was found ineffective.
- Ribavirin, galidesivir, and sofosbuvir showed potential but lacked robust clinical evidence.
Conclusions:
- Remdesivir, ivermectin, favipiravir, hydroxychloroquine, dexamethasone, methylprednisolone, and convalescent plasma are identified as potentially valuable therapeutic agents for COVID-19 management.
- Further clinical evidence is needed for agents like ribavirin, galidesivir, and sofosbuvir.
- The findings provide insights into current therapeutic strategies for COVID-19.
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