Table 4.
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of N-acetyl cysteine may ↓ morbidity in severe COVID-19 in observational studies; many ongoing clinical trials with unpublished data | Wong et al.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Zinc | Overall limited data/no major effect on morbidity in COVID-19, many ongoing clinical trials with unpublished data | Perera et al.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Selenium | Overall limited data/no major effect on morbidity in COVID-19, many ongoing clinical trials with unpublished data | Alshammari et al.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Pentoxifylline | May reduce lung inflammation, ongoing clinical trials with unpublished data | Feret et al.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.