Abstract

Severe Acute Respiratory Syndrome coronavirus 2 (SARS-CoV-2) was first notified in Wuhan, China, in December 2019, and has rapidly spread worldwide, due to its high transmission rate. It has been identified as the causative agent of the now termed coronavirus disease (COVID-19), which can range from mild condition to potentially fatal respiratory distress syndrome

Highlights

  • Severe Acute Respiratory Syndrome coronavirus 2 (SARS-CoV-2) was first notified in Wuhan, China, in December 2019, and has rapidly spread worldwide, due to its high transmission rate. It has been identified as the causative agent of the termed coronavirus disease (COVID-19), which can range from mild condition to potentially fatal respiratory distress syndrome [1]

  • The therapeutic potential of certain drugs used for other diseases has led to their offlabel use for COVID-19, such as antiretroviral drugs, corticosteroids, biological treatments, antiparasitics and antibiotics [2]

  • Cytochrome p450 enzymes are affected by protease inhibitors which could lead to neurotoxicity by altering plasma concentrations of multiple psychotropic drugs

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Summary

Introduction

Severe Acute Respiratory Syndrome coronavirus 2 (SARS-CoV-2) was first notified in Wuhan, China, in December 2019, and has rapidly spread worldwide, due to its high transmission rate. It has been identified as the causative agent of the termed coronavirus disease (COVID-19), which can range from mild condition to potentially fatal respiratory distress syndrome [1]. The therapeutic potential of certain drugs used for other diseases has led to their offlabel use for COVID-19, such as antiretroviral drugs (lopinavir-ritonavir, darunavir, remdesivir), corticosteroids, biological treatments (tocilizumab), antiparasitics (hydroxychloroquine and nitazoxanide) and antibiotics (azithromycin) [2].

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