Table 4.
Drug | Recommended dosing regimen | Suitable at what stage | Randomized trial with positive outcome | Positive outcome | Potential risk | Evidence |
---|---|---|---|---|---|---|
Dexamethasone | Severe: 6 mg orally or IV infusion once daily for up to 10 days (or until hospital discharge if sooner) Critical: 20 mg IV once a day for 5 days, then 10 mg IV once a day for 5 days |
Severe-to-critical | RECOVERY8 | Mortality | Hyperglycaemia, delayed viral clearance | Effective |
CoDEX32 | Clinical recovery | |||||
Ivermectin | 0.4 mg/kg (maximum 24 mg) once daily for 4 days | Mild-to-severe | IRCT20200408046987N115 | Mortality | – | Inconclusive |
NCT0466846916 | ||||||
Remdesivir | IV 200 mg loading dose on day 1, followed by a 100 mg maintenance dose administered daily on days 2 through 10 or until hospital discharge | Moderate-to-severe | ACTT-118 | Time to clinical recovery | AKI, transaminitis | Possibly effective |
Mortality | ||||||
Budesonide | DPI 800 μg twice daily for 14 days | Mild | PRINCIPLE11 | Time to clinical recovery | – | Possibly effective |
STOIC12 | ||||||
Methylprednisolone | IV 250 mg once daily 3 days | Severe | IRCT20200404046947N133 | Mortality | Hyperglycaemia, delayed viral clearance | Possibly effective |
Heparin | Enoxaparin: SC 1 mg/kg twice daily Unfractionated heparin: IV infusion to target for aPTT of 1.5 to 2.5 times the upper limit of normal |
Mild-to-critical | ATTACC, ACTIV-4a, and REMAP-CAP multi-platform trials26,27 | Thromboembolic events | Beeding | Possibly effective |