Table 1.
A Summary of Medications Used for Management of COVID-19 Patients
Drugs | Pharmacologic Category | Mechanism of Action | Dosage Regimen in COVID-19 | References |
---|---|---|---|---|
Lopinavir/Ritonavir | Antiretroviral agent | Lopinavir is an HIV-1 protease inhibitor; ritonavir increases the half-life of lopinavir via inhibiting cytochrome P450 | 400 mg/100 mg twice daily for 7–14 days | 39,40 |
Chloroquine/Hydroxychloroquine | Antimalarial (aminoquinoline) | Chloroquine inhibits quinine reductase, an essential enzyme for biosynthesis of sialic acid, which is necessary for virus fusion with host cell | Chloroquine: 400 mg daily for 10–14 days Hydroxychloroquine: 500 mg twice daily for 10 days or 200 mg 3 times daily for 10 days |
30,31,121 |
Umifenovir | Antiviral agent | Hemagglutinin inhibitor, which inhibits virus membrane fusion with host cell | 200 mg every 12 hours for 10 days | 65,66 |
Ribavirin | Antiviral agent | Inhibits protein synthesis via blocking IMPDH during replication of virus | 1200–2000 mg daily divided into twice daily for 5 days | 52,54,55 |
Remdesivir | Antiviral agent | Interferes with RNA polymerase | 200 mg IV stat and then 100 mg daily for 9 days | 58,64 |
Interferon | Interferons | Increases phagocyte activity of macrophages and augments cytotoxicity of lymphocytes for viral cells | 5 million units twice daily via atomic nebulization or SQ administration | 70,75,76 |
Tocilizumab | Antirheumatic/IL-6 receptor antagonist | Antagonist of intracellular IL-6 receptor | 400 mg IV infusion stat | 84 |
Abbreviations: COVID-19, coronavirus disease 2019; HIV, human immunodeficiency virus; IMPDH, inosine monophosphate dehydrogenase; IV, intravenous; IL, interleukin.