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. 2023 Apr 12;11(4):1000. doi: 10.3390/microorganisms11041000

Table 1.

Antiviral treatments against SAR-CoV-2.

Antiviral Mechanism of Action Adverse Effects/Issue Reference
Remdesivir
  • Inhibition of virus entry (pre-cytokine storm)

  • Inhibition of virus replication (pre-cytokine storm)

  • Acute respiratory failure

  • Decreased glomerular filtration rate (increased blood creatinine level)

  • Anemia, pyrexia

  • Increased blood glucose level

  • Hepatotoxicity

  • Gastrointestinal symptoms

  • Cardiovascular toxicity

[51,52,53,54]
Remdesivir
  • Inhibition of virus entry (pre-cytokine storm)

  • Inhibition of virus replication (pre-cytokine storm)

  • Acute respiratory failure

  • Decreased glomerular filtration rate (increased blood creatinine level)

  • Anemia, pyrexia

  • Increased blood glucose level

  • Hepatotoxicity

  • Gastrointestinal symptoms

  • Cardiovascular toxicity

[50,51,52,53,54]
Lopinavir/Ritonavir (LPV/r)
  • Inhibition of virus entry (pre-cytokine storm)

  • Inhibition of virus replication (pre-cytokine storm)

Does not improve clinical outcome, mortality, time to RT-PCR negativity, or chest CT clearance [56,57]
Molnupiravir
  • Inhibition of viral replication

  • Not recommended in pregnancy, women of childbearing potential, or breastfeeding mothers

[58]
Nirmatrelvir/Ritonavir
  • Inhibition of viral replication

  • Contraindicated in people with severe hepatic or renal impairment

  • Not recommended in pregnancy, women of childbearing potential, or breastfeeding mothers

[58]
Hydroxychloroquine
  • Inhibition of virus entry (pre-cytokine storm)

  • Inhibition of virus replication (pre-cytokine storm)

  • Increased risk of arrhythmias

  • Prolongation of QT interval at ECG

[63,64,65,66]