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. 2023 Apr 19;15(4):1000. doi: 10.3390/v15041000

Table 1.

Description of FDA-approved antiviral drugs. GFR: glomerular filtration rate.

Antiviral Indications and Dosage Interactions with Other Drugs Effectiveness References
Molnupiravir
(Lagevrio)
Outpatient treatment of mild to moderate COVID-19 in adults (≥18 years). Initiate as soon as possible and within 5 days of symptom onset. No drug interactions with molnupiravir have yet been identified. Antiviral activity against SARS-CoV-2 in cell culture assays with a 50% effective concentration (EC50) ranging between 0.67 to 2.66 µM. NHC had similar activity against the variants including Alpha, Beta, Gamma, and Delta. [23,25,26]
Oral use: 200 mg capsules. The authorized dose is 800 mg every 12 h for 5 days.
Not recommended in severe renal impairment (eGFR < 30 mL/min).
Nirmatrelvir-Ritonavir
(Paxlovid)
Outpatient treatment of mild to moderate COVID-19 in adults and in children down to age 12 who weigh at least 40 kg. Initiate as soon as possible and within 5 days of symptom onset. Of major concern, altered drug concentrations are contraindicated due to possible serious or life-threatening reactions. Antiviral activity against SARS-CoV-2 Alpha, Beta, Gamma, Delta, and Lambda variants. Activity against SARS-CoV2 in A549-ACE2 cells is of 77.9 and a 90% effective concentration (EC90) of 215 nM. [23,27]
Oral use: 150 mg nirmatrelvir and 100 mg ritonavir.
The authorized dose is 300–100 mg every 12 h for 5 days