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10.1080/00325481.2020.1778982

http://scihub22266oqcxt.onion/10.1080/00325481.2020.1778982
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32496926!7441788!32496926
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suck abstract from ncbi


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pmid32496926      Postgrad+Med 2020 ; 132 (7): 604-613
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  • Advances in the use of chloroquine and hydroxychloroquine for the treatment of COVID-19 #MMPMID32496926
  • Sun J; Chen Y; Fan X; Wang X; Han Q; Liu Z
  • Postgrad Med 2020[Sep]; 132 (7): 604-613 PMID32496926show ga
  • Coronavirus Disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is spreading worldwide. Antiviral therapy is the most important treatment for COVID-19. Among the drugs under investigation, anti-malarials, chloroquine (CQ) and hydroxychloroquine (HCQ), are being repurposed as treatment for COVID-19. CQ/HCQ were shown to prevent receptor recognition by coronaviruses, inhibit endosome acidification, which interferes with membrane fusion, and exhibit immunomodulatory activity. These multiple mechanisms may work together to exert a therapeutic effect on COVID-19. A number of in vitro studies revealed inhibitory effects of CQ/HCQ on various coronaviruses, including SARS-CoV-2 although conflicting results exist. Several clinical studies showed that CQ/HCQ alone or in combination with a macrolide may alleviate the clinical symptoms of COVID-19, promote viral conversion, and delay disease progression, with less serious adverse effects. However, recent studies indicated that the use of CQ/HCQ, alone or in combination with a macrolide, did not show any favorable effect on patients with COVID-19. Adverse effects, including prolonged QT interval after taking CQ/HCQ, may develop in COVID-19 patients. Therefore, current data are not sufficient enough to support the use of CQ/HCQ as therapies for COVID-19 and increasing caution should be taken about the application of CQ/HCQ in COVID-19 before conclusive findings are obtained by well-designed, multi-center, randomized, controlled studies.
  • |Angiotensin-Converting Enzyme 2[MESH]
  • |Antiviral Agents/pharmacology/*therapeutic use[MESH]
  • |Betacoronavirus/drug effects/metabolism[MESH]
  • |COVID-19[MESH]
  • |COVID-19 Drug Treatment[MESH]
  • |Chloroquine/pharmacology/*therapeutic use[MESH]
  • |Coronavirus 229E, Human/drug effects[MESH]
  • |Coronavirus Infections/*drug therapy[MESH]
  • |Cytokines/drug effects/metabolism[MESH]
  • |Glycosylation[MESH]
  • |Humans[MESH]
  • |Hydroxychloroquine/pharmacology/*therapeutic use[MESH]
  • |Immunity, Innate[MESH]
  • |In Vitro Techniques[MESH]
  • |Long QT Syndrome/chemically induced[MESH]
  • |Lymphocyte Activation/drug effects[MESH]
  • |MAP Kinase Signaling System[MESH]
  • |Middle East Respiratory Syndrome Coronavirus/drug effects[MESH]
  • |Pandemics[MESH]
  • |Peptidyl-Dipeptidase A/drug effects/metabolism[MESH]
  • |Pneumonia, Viral/*drug therapy[MESH]
  • |Reactive Oxygen Species[MESH]
  • |SARS-CoV-2[MESH]
  • |Severe acute respiratory syndrome-related coronavirus/drug effects[MESH]
  • |Signal Transduction[MESH]
  • |T-Lymphocytes[MESH]
  • |Toll-Like Receptors/drug effects/metabolism[MESH]
  • |Treatment Outcome[MESH]


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