Department of Pharmaceutical Sciences, Fakeeh College for Medical Sciences, Jeddah, Saudi Arabia.
Eur Rev Med Pharmacol Sci. 2020 Sep;24(17):9188-9195. doi: 10.26355/eurrev_202009_22870.
There have been significant changes to the management of COVID-19 in recent months, including protocols and guidelines designed to prevent, diagnose, and treat the Novel Coronavirus (COVID-19). Several management options have been suggested and have since gained popularity, though we expect additional modifications to be made, as well as more new cases in the coming months, given a lack of definitive treatment and well-controlled experiments. This review highlights the available and potential treatments, along with the challenges associated with each.
We conducted a comprehensive overview of all peer-reviewed studies, editorial comments, and letters to the editor based on a search in PubMed, Google Scholar, Web of Science, and Scopus. The following terms were used: "COVID-19," "SARS-CoV-2," "drug," "treatment," "medication," and "management." All searches were done between March and May 20, 2020.
There are several potential medications available for COVID-19, such as Interferon α (IFN-α), Teicoplanin, Ribavirin, Galidesivir, Lopinavir/Ritonavir, Chloroquine phosphate, Arbidol, Velpatasvir, Favipiravir, Ledipasvir, Remdesivir, Sofosbuvir, Darunavir, Qingfei Paidu Decoction (QPD), and Imatinib. However, we do not have a definitive and specific treatment yet.
We are expecting to have more cases in the coming weeks/months. Therefore, further research is needed to characterize the disease behavior, to find the absolute drug, and to refine the treatment.
近几个月来,COVID-19 的管理发生了重大变化,包括旨在预防、诊断和治疗新型冠状病毒(COVID-19)的方案和指南。已经提出了几种管理选择,并且已经得到了普及,尽管我们预计会进行更多的修改,并且由于缺乏明确的治疗方法和良好的对照实验,在未来几个月内会出现更多的新病例。这篇综述强调了可用的和潜在的治疗方法,以及与每种方法相关的挑战。
我们在 PubMed、Google Scholar、Web of Science 和 Scopus 上进行了全面的文献检索,对所有同行评议的研究、社论评论和给编辑的信进行了综述。使用了以下术语:“COVID-19”、“SARS-CoV-2”、“药物”、“治疗”、“药物治疗”和“管理”。所有搜索均在 2020 年 3 月至 5 月 20 日之间进行。
有几种潜在的药物可用于 COVID-19,例如干扰素 α(IFN-α)、替考拉宁、利巴韦林、加洛韦、洛匹那韦/利托那韦、磷酸氯喹、阿比多尔、韦帕他韦、法匹拉韦、利巴韦林、瑞德西韦、索非布韦、达鲁那韦、清肺排毒汤(QPD)和伊马替尼。但是,我们还没有明确和具体的治疗方法。
我们预计在未来几周/几个月内会有更多的病例。因此,需要进一步研究来描述疾病行为,寻找绝对药物,并改进治疗方法。