Table 1.
Targets, mechanism, usage, limitations, and improvements of the anti-COVID-19 drugs.
Name | Targets | Mechanism | Dose and usage | Limitations | Improvements |
---|---|---|---|---|---|
Remdesivir | RDRP | Integrated into the RNA chain to inhibit the replication of the viral genome | Intravenous injection, 10-days course, intravenous injection 200 mg for the 1st day and intravenous injection 100 mg for the following days | Hypotension, increased hepatic enzymes, and renal impairment | Unknown |
Lopinavir/ritonavir | 3CLpro | Inactivate the 3CLpro to block the cleaving and maturation of the protein | Peros, the course of treatment should be <10 days, 200 mg/50 mg/capsule, two capsules each time, twice per day | Gastrointestinal effects | Combination with other drugs or film-coated tablet formulation |
Chloroquine | Intranuclear body, lysosome, and Golgi body | Increase the pH to block the whole virus life cycle | Peros, the course should be <10 days, <500 mg daily | Arrhythmias, immunosuppression | Dose <500 mg daily |
Plasma therapy | SARS-CoV-2 | Neutralize the SARS-CoV-2 | Intravenously guttae, 200 mL of convalescent plasma with neutralization activity of >1:640 | Limited source | Collection, storage, and distribution of plasma is of great importance |
Glucocorticoid | Glucocorticoid receptor | Inhibit cytokine storms to prevent tissue and organ damage | Intravenous injection, 3–5 days course, less-than-equal to 1–2 mg/(kg·day) of methylprednisolone | Attenuate the host immunity | Usage and dose should be administered according to the patient's condition |