An overview of the safety assessment of medicines currently used in the COVID-19 disease treatment

Copyright © 2020. Published by Elsevier Ltd..

On 11th March 2020, the pandemic of the new coronavirus was declared by the World Health Organization. At the moment, there are no new registered medicines that can effectively treat the coronavirus infection. However, a number of ongoing clinical trials are investigating the efficacy and safety of the medicines which have already been registered and used for the treatment of other diseases, in the treatment of the coronavirus infection. The proposed combinations of these medicines could potentially present a safety risk, since most of these medicines have the potential to cause numerous side or toxic effects, even when used in monotherapy. Thus, the aim of this study was to review and evaluate the literature data on the toxicity of the selected individual drugs (ritonavir, lopinavir, remdesivir, chloroquine, and umifenovir) and the available clinical data concerning the possible adverse effects of the selected drug combinations (lopinavir/ritonavir + umifenovir, lopinavir/ritonavir + interferon β, chloroquine + remdesivir, and chloroquine + azithromycin). The most often reported toxic effects of these medicines such as hepatotoxicity, retinal damage, nephrotoxicity, and cardiotoxicity, together with the fact that the health status of the patients with COVID-19 disease is often complicated by co-existing illnesses and therapy implicate that the decision on the therapeutic strategy should be made with caution.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:144

Enthalten in:

Food and chemical toxicology : an international journal published for the British Industrial Biological Research Association - 144(2020) vom: 15. Okt., Seite 111639

Sprache:

Englisch

Beteiligte Personen:

Javorac, Dragana [VerfasserIn]
Grahovac, Lazar [VerfasserIn]
Manić, Luka [VerfasserIn]
Stojilković, Nikola [VerfasserIn]
Anđelković, Milena [VerfasserIn]
Bulat, Zorica [VerfasserIn]
Đukić-Ćosić, Danijela [VerfasserIn]
Curcic, Marijana [VerfasserIn]
Djordjevic, Aleksandra Buha [VerfasserIn]

Links:

Volltext

Themen:

886U3H6UFF
Antiviral Agents
COVID-19
Chloroquine
Journal Article
Medicines
Review
SARS-CoV-2
Therapy
Toxicity

Anmerkungen:

Date Completed 17.09.2020

Date Revised 28.03.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.fct.2020.111639

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM312831358