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. 2020 Sep 5;3(1):28–40. doi: 10.1016/j.cjco.2020.09.003

Table 4.

Summary of current COVID-19 experimental therapies and adverse cardiovascular drug interactions

Experimental therapy Cardiovascular drug classes
Antiarrhythmic agents Anticoagulant, antiplatelet, fibrinolytic agents Beta-blockers Calcium- channel blockers Hypertension/heart failure agents Inotropes and vasopressors Lipid-lowering agents
Atazanavir Amiodarone
Bepridil
Disopyramide
Dofetilide
Flecainide
Quinidine
Apixaban Clopidogrel Dabigatran Rivaroxaban Ticagrelor Potential interaction Potential interaction Aliskiren
Eplerenone
Ivabradine
Lercanidipine
Ranolazine
Bosentan
Sildenafil
NC Lovastatin
Simvastatin
Chloroquine Amiodarone
Bepridil
Disopyramide
Dofetilide
Flecainide
Mexiletine
Quinidine
Potential interaction Potential interaction Potential interaction Ivabradine NC NC
Dexamethasone Potential interaction Potential interaction NC NC Potential interaction NC NC
Favipiravir NC NC NC NC Potential interaction NC NC
Hydroxychloroquine Amiodarone
Bepridil
Disopyramide
Dofetilide
Flecainide
Mexiletine
Quinidine
Potential interaction Potential interaction Potential interaction Ivabradine NC NC
Interferon beta NC NC NC NC NC NC NC
Lopinavir-ritonavir Amiodarone
Bepridil
Disopyramide Dofetilide
Flecainide
Quinidine
Apixaban Clopidogrel Rivaroxaban Ticagrelor Potential interaction Potential interaction Aliskiren
Eplerenone
Ivabradine
Lercanidipine
Ranolazine
Sildenafil
NC Lovastatin
Simvastatin
Remdesivir NC NC NC NC Potential interaction NC NC
Ribavirin NC Potential interaction NC NC NC NC NC

COVID-19, coronavirus disease 2019; NC, no clinically significant interaction.

All information was adapted from the Liverpool Drug Interactions Group (July 13, 2020 version).78 Only drugs with strong recommendations against being coadministered were listed; however, classes with listed drugs could also have potential interactions. “Potential interaction” was used to report drug classes in which at least one drug interaction was expected to require a dose adjustment or additional monitoring. Potential interactions of weak intensity were considered similar to NC. For complete information, visit: Detailed recommendations for interactions with experimental COVID-19 antiviral therapies, July 13, 2020, University of Liverpool, available at www.covid19-druginteractions.org, accessed July 21, 2020.