Table 1.
General back of the commonly approved anti-COVID-19 drugs.
Drug | Application | Route of Administration | Target | MOA vs. SARS-CoV-2 | References |
---|---|---|---|---|---|
Convalescent plasma | - | Intravenous | S Protein | Binds to the S protein, which prevents viral attachment. | [47,53] |
Monoclonal antibodies | - | Intravenous, subcutaneous, intramuscular | S protein | Binds to the S protein, which prevents viral attachment. | [46,48,49,50,51,52] |
Camostat | Chronic pancreatitis | Oral | TMPRSS2 | A protease inhibitor that prevents SARS-CoV-2 lung cell infection by inhibiting the virus-activating host cell protease TMPRSS2. | [60] |
Hydroxychloroquine | Malarial infections | Oral | Multiple | Different mechanisms of action have been proposed involving endocytic pathway interference, sialic acid receptor blockage, restriction of pH-mediated spike (S) protein cleavage at the angiotensin-converting enzyme 2 (ACE2) binding site, and cytokine storm prevention | [61,62,63,64,65] |
Rupintrivir | Human rhinoviral (HRV) infections | Nasal | Mpro | Inhibitors of Viral Main protease (Mpro). | [67,68,69] |
Lopinavir/ritonavir | HIV infections | Oral | Mpro | Inhibitors of Viral Main protease (Mpro). | [70,71] |
Nirmatrelvir/ritonavir | - | Oral | Mpro | Inhibitors of Viral Main protease (Mpro). | [71,72] |
6-Thioguanine | Leukaemia | Oral | PLpro | Inhibitors of viral papain-like protease (PLpro). | [73,75] |
Simeprevir, vaniprevir, paritaprevir, and grazoprevir | Chronic HCV infection | Oral | PLpro | Inhibitors of viral papain-like protease (PLpro). | [76] |
Remdesivir | Ebola virus | Intravenous | Rdrp | Inhibitors of RNA Dependent RNA Polymerase (Rdrp) | [78,79,80] |
Molnupiravir | Influenza | Oral | viral RNA | Disrupts the replication process because the viral RNA is copied incorrectly | [81,82,83,85,86,87] |