Institute of Toxicology, Johannes Gutenberg University, 55131 Mainz, Germany.
Oesch-Tox, Rheinblick 21, 55263 Ingelheim, Germany.
Phytomedicine. 2021 May;85:153476. doi: 10.1016/j.phymed.2021.153476. Epub 2021 Jan 28.
We present here a new selection criterion for prioritizing research on efficacious drugs for the fight against COVID-19: the relative toxicity versus safety of herbal medications, which were effective against SARS in the 2002/2003 epidemic. We rank these medicines according to their toxicity versus safety as basis for preferential rapid research on their potential in the treatment of COVID-19. The data demonstrate that from toxicological information nothing speaks against immediate investigation on, followed by rapid implementation of Lonicera japonica, Morus alba, Forsythia suspensa, and Codonopsis spec. for treatment of COVID-19 patients. Glycyrrhiza spec. and Panax ginseng are ranked in second priority and ephedrine-free Herba Ephedrae extract in third priority (followed by several drugs in lower preferences). Rapid research on their efficacy in the therapy - as well as safety under the specific circumstances of COVID-19 - followed by equally rapid implementation will provide substantial advantages to Public Health including immediate availability, enlargement of medicinal possibilities, in cases where other means are not successful (non-responders), not tolerated (sensitive individuals) or just not available (as is presently the case) and thus minimize sufferings and save lives. Moreover, their moderate costs and convenient oral application are especially advantageous for underprivileged populations in developing countries.
我们在这里提出了一个新的选择标准,用于优先研究对抗 COVID-19 的有效药物:针对 SARS 在 2002/2003 年流行期间有效的草药药物的相对毒性与安全性。我们根据其毒性与安全性对这些药物进行排名,作为对其在 COVID-19 治疗中的潜在作用进行优先快速研究的基础。数据表明,从毒理学信息来看,没有任何理由反对立即对金银花、桑叶、连翘和党参进行调查,随后迅速实施用于 COVID-19 患者的治疗。甘草和人参被列为第二优先级,无麻黄的麻黄提取物被列为第三优先级(其次是一些优先级较低的药物)。在 COVID-19 的特殊情况下,迅速研究它们在治疗中的疗效以及安全性,随后迅速实施,将为公共卫生带来巨大优势,包括立即提供、扩大药用可能性,在其他方法不成功(无反应者)、无法耐受(敏感个体)或根本无法获得(如目前情况)的情况下,最大限度地减少痛苦并拯救生命。此外,它们适中的成本和方便的口服应用对发展中国家的贫困人群特别有利。