Table 6.
Intervention | Benefit | Risk | Cost* | Access | Evidence† | Recommendation |
---|---|---|---|---|---|---|
Pharmacological therapy for COVID-19 | ||||||
Hydroxychloroquine (or chloroquine) | Small or neglectable | Important | Low | Good‡ | Low | Against routine use (weak) |
Hydroxychloroquine (or chloroquine) + azithromycin | Small or neglectable | Important | Low | Good‡ | Very low | Against routine use (weak) |
Lopinavir/ritonavir | Small or neglectable | Moderate | Low | Limited§ | Low | Against routine use (weak) |
Oseltamivir | Small or neglectable | Small or neglectable | Low | Good‡ | Very low | Against the use (strong) |
Tocilizumab | Small or neglectable | Moderate | High | Limited§ | Very low | Against routine use (weak) |
Corticosteroids | Small or neglectable | Important | Low | Good‡ | Very low | Against routine use (weak) |
Heparin - anticoagulant dose | Small or neglectable | Important | Moderate | Good‡ | Very low | Against routine use (weak) |
Conditions associated with COVID-19 | ||||||
Oseltamivir (suspected influenza in severe cases or risk factors) | Moderate | Small or neglectable | Low | Good‡ | Very low | Favorable to use (weak) |
Prophylactic heparin doses (hospitalized patients) | Moderate | Small or neglectable | Low | Good‡ | Very low | Favorable to use (strong) |
Antibiotics (prophylactic) | Small or neglectable | Small or neglectable | Low | Good‡ | Very low | Against the use (weak) |
Antibiotics (suspected bacterial infection) | Important | Small or neglectable | Low | Good‡ | Not assessed | Favorable to use |
Qualitative assessment, considering public and complementary health systems, based on prices according to the Painel de Preços do Ministério da Economia (Ministry of Economy Prices Panel), Banco de Preços em Saúde (Health Products Prices Data Bank), Tabela Câmara de Regulação do Mercado de Medicamentos (Table from the Medicines Price Regulation Chamber) and usual market prices;
evidence assessed according to the Grading of Recommendations Assessment, Development, and Evaluation (GRADE);
good availability in the Brazilian context, either products or use experienced professionals.