5 antiviral drugs for treatment of Covid 19

Antiviral treatments that can be taken at home to keep people with COVID-19 out of the hospital are critically needed.

1- Remdesivir

- "There's only one drug right now that we think may have real efficacy," Bruce Aylward of the World Health Organization said last month, as reported by STAT. "And that's Remdesivir."

- It has proven effective at inhibiting the growth of similar viruses, severe acute respiratory syndrome (SARS) and Middle East respiratory syndrome (MERS). In a petri dish, Remdesivir can prevent human cells from becoming infected with SARS-CoV-2.

- Remdesevir can reduce complications or shorten the disease course in COVID-19 patients.

- It works by knocking out a specific piece of machinery in the virus, known as "RNA polymerase," which many viruses use to replicate. It has been shown in the past to be effective in human cells and mouse models.

- It can stop the coronavirus from copying itself. Through clinical trials and expanded access programs, more than 1,700 COVID-19 patients have been treated with Remdesivir.

2- Molnupiravir

- This drug reduces the ability of SARS-CoV-2, the virus that causes COVID, to replicate. It works by mimicking one of the building blocks of the virus’s genetic material. When the virus reproduces, it builds a new copy of its RNA, and the drug ends up being incorporated into it.

- When the virus then reproduces, the molnupiravir causes mutations to accumulate in the virus’s RNA, which increase every time it replicates. Eventually, this causes an “error catastrophe”, where excessive mutations stop the virus from being able to reproduce altogether, and it dies off.

- Initially, molnupiravir’s developers applied to the US Food and Drug Administration for permission to test it in humans as a treatment for seasonal influenza. However, after COVID emerged, and it was shown to have an effect against SARS-CoV-2, a request was submitted to test it against this virus too.

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3- Chloroquine and hydroxychloroquine

- Chloroquine and hydroxychloroquine have been approved by the U.S. Food and Drug Administration for the treatment of malaria, lupus and rheumatoid arthritis, but preliminary research in human and primate cells suggests that the drugs could effectively treat COVID-19.

- It appears to be able to block viruses from binding to human cells and getting inside them to replicate. It also may stimulate the immune system.

- Chloroquine could quell the spread of SARS-CoV when applied to infected human cells.

- Chloroquine disrupts the ability of the SARS-CoV virus to enter and replicate in human cells.

- Chloroquine phosphate is widely available, but it isn't without its side effects, and health officials are warning against self-medicating. It can give you headaches, diarrhea, rashes, itching and muscle problems.


4- Favipiravir

- Favipiravir or Avigan, has been used in Japan to treat influenza, and last month, the drug was approved as an experimental treatment for COVID-19 infections.

- The drug appeared to shorten the course of the disease, with patients who were given the treatment clearing the virus after just four days, while those who did not took around 11 days.

- So far, reports suggest the drug has been tested in 340 individuals in Wuhan and Shenzhen. "It has a high degree of safety.

-  Favipiravir is an influenza treatment and a broad-spectrum antiviral drug. It's not approved in the US, but is used in Japan and China.

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5- Ivermectin

- Ivermectin is a Food and Drug Administration (FDA)-approved antiparasitic drug that is used to treat several neglected tropical diseases, including onchocerciasis, helminthiases, and scabies. It is also being evaluated for its potential to reduce the rate of malaria transmission by killing mosquitoes that feed on treated humans and livestock. For these indications, ivermectin has been widely used and is generally well tolerated. Ivermectin is not approved by the FDA for the treatment of any viral infection. Recently ivermectin has also been studied to treat a range of viruses.

- Ivermectin can block the cargo transporter, so the viral proteins can’t get into the nucleus. This is how the scientists believe Ivermectin works against SARS-CoV-2 virus.

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