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. 2023 Jan 13;13:1111930. doi: 10.3389/fmicb.2022.1111930

Table 4.

Antioxidant treatments that have been tested in humans for treatment of coronavirus infections.

Mediators Effect References
Inhaled NO ↑ oxygenation in severe COVID-19, no effect on mortality Lotz et al. (2021), Prakash et al. (2021)
Ubiquinol (CoQ10) Does not ↓ the number or severity of PASC-related symptoms when compared to placebo Hargreaves and Mantle (2021), Hansen et al. (2022)
N-acetyl cysteine Oral high dose of N-acetyl cysteine may ↓ morbidity in severe COVID-19 in observational studies; many ongoing clinical trials with unpublished data Wong et al. (2021), Izquierdo et al. (2022)
Glutathione ↓ reduces dyspnea in COVID-19 in a case series Horowitz et al. (2020)
Melatonin May improve clinical outcomes in patients with COVID-19 based on RCTs Lan et al. (2022)
Vitamin C Controversial data may have some benefit in morbidity in COVID-19 based on clinical trials Olczak-Pruc et al. (2022)
Vitamins Controversial data overall weak/negative; supplementation with vitamins A, B, C, D, and E could improve the inflammatory response and decrease the severity of disease in ICU-admitted patients with COVID-19 Beigmohammadi et al. (2021)
Zinc Overall limited data/no major effect on morbidity in COVID-19, many ongoing clinical trials with unpublished data Perera et al. (2020), Balboni et al. (2022)
Selenium Overall limited data/no major effect on morbidity in COVID-19, many ongoing clinical trials with unpublished data Alshammari et al. (2022), Balboni et al. (2022)
Pentoxifylline May reduce lung inflammation, ongoing clinical trials with unpublished data Feret et al. (2021)

Abbreviations: RCT, Randomized control clinical trial; PASC, Post Acute Sequalae of SARS-CoV-2 infection.