Department of Pharmacy, Mayo Clinic, Rochester, Minnesota, USA.
Division of Neurology, Mayo Clinic, Rochester, Minnesota, USA.
Pharmacotherapy. 2021 Jun;41(6):546-550. doi: 10.1002/phar.2524. Epub 2021 Apr 27.
Myasthenia gravis and the associated pharmacologic management options could place patients at higher risk of contracting severe acute respiratory syndrome coronavirus 2 and exhibiting more severe manifestations of the novel coronavirus disease 2019 (COVID-19). Multiple agents have been studied for the management of the COVID-19, including remdesivir. To date, no published reports have evaluated the utilization of the antiviral remdesivir in patients with myasthenia gravis. We describe the first reported clinical course of three patients with myasthenia gravis who safely received remdesivir in combination with dexamethasone for the management of COVID-19.
重症肌无力和相关的药物治疗选择可能使患者面临更高的感染严重急性呼吸综合征冠状病毒 2 的风险,并表现出更严重的新型冠状病毒病 2019(COVID-19)症状。已经有多种药物被研究用于 COVID-19 的治疗,包括瑞德西韦。迄今为止,尚未有研究评估在重症肌无力患者中使用抗病毒药物瑞德西韦的情况。我们描述了首例接受瑞德西韦联合地塞米松治疗 COVID-19 的三位重症肌无力患者的临床经过。