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10.1016/j.drup.2020.100719

http://scihub22266oqcxt.onion/10.1016/j.drup.2020.100719
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32717568!7362818!32717568
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suck abstract from ncbi


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pmid32717568      Drug+Resist+Updat 2020 ; 53 (ä): 100719
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  • FDA approved drugs with pharmacotherapeutic potential for SARS-CoV-2 (COVID-19) therapy #MMPMID32717568
  • Drozdzal S; Rosik J; Lechowicz K; Machaj F; Kotfis K; Ghavami S; Los MJ
  • Drug Resist Updat 2020[Dec]; 53 (ä): 100719 PMID32717568show ga
  • In December 2019, a novel SARS-CoV-2 coronavirus emerged, causing an outbreak of life-threatening pneumonia in the Hubei province, China, and has now spread worldwide, causing a pandemic. The urgent need to control the disease, combined with the lack of specific and effective treatment modalities, call for the use of FDA-approved agents that have shown efficacy against similar pathogens. Chloroquine, remdesivir, lopinavir/ritonavir or ribavirin have all been successful in inhibiting SARS-CoV-2 in vitro. The initial results of a number of clinical trials involving various protocols of administration of chloroquine or hydroxychloroquine mostly point towards their beneficial effect. However, they may not be effective in cases with persistently high viremia, while results on ivermectin (another antiparasitic agent) are not yet available. Interestingly, azithromycin, a macrolide antibiotic in combination with hydroxychloroquine, might yield clinical benefit as an adjunctive. The results of clinical trials point to the potential clinical efficacy of antivirals, especially remdesivir (GS-5734), lopinavir/ritonavir, and favipiravir. Other therapeutic options that are being explored involve meplazumab, tocilizumab, and interferon type 1. We discuss a number of other drugs that are currently in clinical trials, whose results are not yet available, and in various instances we enrich such efficacy analysis by invoking historic data on the treatment of SARS, MERS, influenza, or in vitro studies. Meanwhile, scientists worldwide are seeking to discover novel drugs that take advantage of the molecular structure of the virus, its intracellular life cycle that probably elucidates unfolded-protein response, as well as its mechanism of surface binding and cell invasion, like angiotensin converting enzymes-, HR1, and metalloproteinase inhibitors.
  • |*COVID-19 Drug Treatment[MESH]
  • |Animals[MESH]
  • |Anti-Bacterial Agents/administration & dosage/metabolism[MESH]
  • |Antibodies, Monoclonal, Humanized/administration & dosage/metabolism[MESH]
  • |Antimalarials/administration & dosage/metabolism[MESH]
  • |Antiviral Agents/*administration & dosage/metabolism[MESH]
  • |COVID-19/metabolism[MESH]
  • |Clinical Trials as Topic/methods[MESH]
  • |Cytochrome P-450 CYP3A Inhibitors/administration & dosage/metabolism[MESH]
  • |Drug Approval/*methods[MESH]
  • |Drug Therapy, Combination[MESH]
  • |Humans[MESH]
  • |Hydroxychloroquine/administration & dosage/metabolism[MESH]
  • |SARS-CoV-2/*drug effects/metabolism[MESH]


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