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10.1080/14656566.2021.1898589

http://scihub22266oqcxt.onion/10.1080/14656566.2021.1898589
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suck abstract from ncbi


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pmid33724123      Expert+Opin+Pharmacother 2021 ; 22 (10): 1257-1266
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  • Does hydroxychloroquine still have any role in the COVID-19 pandemic? #MMPMID33724123
  • Schilling WH; White NJ
  • Expert Opin Pharmacother 2021[Jul]; 22 (10): 1257-1266 PMID33724123show ga
  • Introduction: The 4-aminoquinolines, chloroquine, and hydroxychloroquine have been used for over 70 years for malaria and rheumatological conditions, respectively. Their broad-spectrum antiviral activity, excellent safety profile, tolerability, low cost, and ready availability made them prime repurposing therapeutic candidates at the beginning of the COVID-19 pandemic.Areas covered: Here, the authors discuss the history of hydroxychloroquine and chloroquine, the in vitro data which led to their widespread repurposing and adoption in COVID-19 and their complex pharmacokinetics. The evidence for the use of these drugs is assessed through in vivo animal experiments and the wealth of conflicting data and interpretations published during COVID-19, including the more informative results from randomized controlled trials (RCTs). The safety aspects of these drugs, in particular cardiotoxicity, are then reviewed.Expert opinion: The evidence from clinical trials in COVID-19 supports the well-established safety record of the 4-aminoquinolines at currently recommended dosage. In hospitalized patients with severe COVID-19 RCTs show clearly that the 4-aminoquinolines are not beneficial. The only treatments with proven benefit at this stage of infection are immunomodulators (dexamethasone, IL-6 receptor antagonists). No antiviral drugs have proven life-saving in late-stage COVID-19.
  • |*COVID-19 Drug Treatment[MESH]
  • |*Hydroxychloroquine/therapeutic use[MESH]
  • |Animals[MESH]
  • |Antiviral Agents/therapeutic use[MESH]
  • |Humans[MESH]
  • |Pandemics[MESH]


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