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. 2020 Apr-Jun;32(2):166–196. doi: 10.5935/0103-507X.20200039

Table 6.

Summary of recommendations and judgments

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.