Table 3.
Treatment for COVID-19
1 | Antiviral drug (anti-SARS-Cov-2 action) |
1) Favipiravir (Abigan): RNA polymerase inhibitor. Influenza drug | |
2) Remdesivir (Beckley): RNA polymerase inhibitor. Ebola bleeding drug. Special approval on May 7, 2020 in Japan | |
3) Ivermectin (Stromectol): Macrolide antibiotic. Anthelmintic | |
4) Hydroxychloroquine (Plaquenil): Antimalarial drug. SLE therapeutic drug | |
5) Lopinavir/ritonavir combination drug (Kaletra): Protease inhibitor. HIV treatment | |
6) Ciclesonide (Alvesco): Inhaled steroid asthma treatment. Has anti-SARS-CoV-2 action | |
7) Nafamostat (Futhan, Coahibitor, etc.): Serine protease inhibitor. A therapeutic drug for DIC and pancreatitis in Japan. Inhibits the serine protease TMPRSS2 | |
8) Camostat (Foipan): A serine protease inhibitor. A remedy for pancreatitis in Japan. The inhibitory effects on TMPRSS2 are weaker than those of nafamostat | |
9) Vaccine: Under development by many companies | |
10) Convalescent plasma treatment: Expected therapeutic effects through antibody obtained from the serum of convalescent patients | |
2 | Treatment of cytokine storm |
1) Tocilizumab, salilumab: anti-IL-6 receptor antibody | |
2) Anakinra: IL-1 receptor antagonist | |
3) JAK inhibitor | |
4) Anti-GM-CSF drug | |
5) Anti-complement antibody | |
6) Anti-TNF drug | |
7) Dexamethasone | |
8) Blood purification therapy using a cytokine adsorption column | |
3 | Antithrombotic therapy |
1) Unfractionated heparin (+ AT preparation: DIC with AT activity ≤ 70% is covered by insurance) | |
2) Low molecular weight heparin (+ AT preparation: as above) | |
3) DOAC (anti-Xa drug insurance coverage is venous thromboembolism) | |
4) Thrombomodulin preparation (insurance coverage is DIC) | |
5) Argatroban (Insurance coverage is for acute cerebral infarction, chronic arterial occlusion, HIT, etc.) | |
6) tPA: Reports have described both systemic administration and inhalation |
The above is described regardless of insurance coverage. Please confirm the insurance coverage in the package insert