Table 1.
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 |