Division of Community Medicine, Mercer University School of Medicine, Columbus, Georgia, 31901, USA.
Georgetown University, Data Science and Analytics Washington, DC 20057, USA.
Viral Immunol. 2024 Aug;37(6):298-307. doi: 10.1089/vim.2024.0034. Epub 2024 Aug 5.
The COVID-19 pandemic response has been hindered by the absence of an efficient antiviral therapy for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The reason why the previous preventative approach to COVID-19 solely through vaccines has failed could be a lack of understanding of how quickly the SARS-CoV-2 virus evolves. Given the absence of specific treatments for the virus, efforts have been underway to explore treatment options. Drug repurposing involves identifying new therapeutic uses for approved drugs, proving to be a time-saving strategy with minimal risk of failure. In this study, we report the successful use of a multidrug approach in patients with COVID-19. Successful administration of multidrug therapy, such as combinations of hydroxychloroquine and azithromycin, doxycycline and ivermectin, or ivermectin, doxycycline, and azithromycin, has been reported. Multidrug therapy is effective because of the differing mechanisms of action of these drugs, and it may also mitigate the emergence of drug-resistant SARS-CoV-2 strains. The medicines were lopinavir/ritonavir (Kaletra), bamlanivimab (monoclonal antibody), glycopyrrolate-formoterol (Bevespi), ciclesonide (Alvesco), famotidine (Pepcid), and diphenhydramine (Benadryl).
在严重急性呼吸综合征冠状病毒 2 (SARS-CoV-2) 中,由于缺乏有效的抗病毒疗法,新冠疫情应对受到了阻碍。导致之前通过疫苗预防新冠疫情失败的原因可能是缺乏对 SARS-CoV-2 病毒进化速度的了解。由于缺乏针对该病毒的特定治疗方法,因此一直在探索治疗选择。药物再利用涉及为已批准的药物确定新的治疗用途,事实证明这是一种节省时间且失败风险最小的策略。在这项研究中,我们报告了多药治疗在 COVID-19 患者中的成功应用。已经报道了成功使用多药治疗的情况,例如羟氯喹和阿奇霉素、多西环素和伊维菌素、或伊维菌素、多西环素和阿奇霉素的组合。多药治疗之所以有效,是因为这些药物的作用机制不同,它还可能减轻 SARS-CoV-2 耐药株的出现。这些药物包括洛匹那韦/利托那韦(克力芝)、巴利昔单抗(单克隆抗体)、格隆溴铵/福莫特罗(倍择瑞)、环索奈德(艾氟龙)、法莫替丁(法莫替丁)和苯海拉明(苯那君)。