Treatments with antiviral potential: |
Remdesivir: at best mild efficacy |
Possible renal adverse events |
Not to be initiated or to be stopped if ALAT≥5 N |
Low risk of drug interactions (check and update if co-prescription) |
Convalescent plasma: unproven efficacy |
No serious adverse events expected |
Monitor according to usual transfusion procedures |
Casirivimab and imdevimab monoclonal antibody (Mab) cocktail (REGN-COV2): unproven efficacy |
No specific interaction expected |
Possible hypersensitivity reaction or infusion-related reaction |
Monitor as for any mAb infusion |
Treatments acting on the consequences of inflammation: |
Corticosteroids: proven efficacy of dexamethasone in immunocompetent adults with a severe form of COVID-19 [29]
|
Unproven efficacy in immunocompromised patients |
Baricitinib: potential efficacy in combination with remdesivir |
Potential interaction with methotrexate in theory but no evidence in clinical practice |
Tocilizumab: controversial efficacy |
No obvious interactions with chemotherapy |
Anakinra: unproven efficacy |
No obvious interactions with chemotherapy |
Eculizumab: unproven efficacy |
Randomized protocols in progress in adults |