Ivermectin: Evaluation of Efficacy and Safety in COVID-19

The search for an effective and safe COVID-19 therapy involves, among other things, assessment of efficacy of medicines already used for the treatment of other diseases, and having potential antiviral activity against SARS-CoV-2. The relevance of the presented study stems from ambiguous data on the...

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Main Authors: E. V. Shubnikova, N. A. Susekova, T. M. Bukatina, M. S. Galenko, A. A. Druzhinina
Format: Article
Language:Russian
Published: Ministry of Health of the Russian Federation, Federal State Budgetary Institution «Scientific Centre for Expert Evaluation of Medicinal Products» 2022-04-01
Series:Безопасность и риск фармакотерапии
Subjects:
Online Access:https://www.risksafety.ru/jour/article/view/277
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author E. V. Shubnikova
N. A. Susekova
T. M. Bukatina
M. S. Galenko
A. A. Druzhinina
author_facet E. V. Shubnikova
N. A. Susekova
T. M. Bukatina
M. S. Galenko
A. A. Druzhinina
author_sort E. V. Shubnikova
collection DOAJ
description The search for an effective and safe COVID-19 therapy involves, among other things, assessment of efficacy of medicines already used for the treatment of other diseases, and having potential antiviral activity against SARS-CoV-2. The relevance of the presented study stems from ambiguous data on the off-label use of the antiparasitic medicine ivermectin for the treatment of COVID-19 patients. The aim of the study was to analyse ivermectin efficacy and safety for COVID-19 treatment, as reflected in the scientific literature. Ivermectin, an antiparasitic medicine from the group of macrocyclic lactones produced by Streptomyces avermitilis, stimulates release of the inhibitory neurotransmitter gamma-aminobutyric acid, which leads to impaired transmission of nerve impulses, paralysis and death of parasites. The results of preclinical studies show ivermectin’s inhibitory activity against a number of RNA and DNA viruses, including SARS-CoV-2. The results of ivermectin clinical studies are ambiguous: a number of studies demonstrated a positive effect on the condition of COVID-19 patients, however, there is currently no convincing evidence of the validity and efficacy of ivermectin use for the prevention and treatment of COVID-19 patients. The safety profile of ivermectin is relatively favourable. Large randomised controlled trials are needed to fully assess the feasibility of using ivermectin in COVID-19.
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spelling doaj.art-1b15e6f738d9463bab69713906de8cff2024-04-03T17:56:37ZrusMinistry of Health of the Russian Federation, Federal State Budgetary Institution «Scientific Centre for Expert Evaluation of Medicinal Products»Безопасность и риск фармакотерапии2312-78212619-11642022-04-01101193310.30895/2312-7821-2022-10-1-19-33214Ivermectin: Evaluation of Efficacy and Safety in COVID-19E. V. Shubnikova0N. A. Susekova1T. M. Bukatina2M. S. Galenko3A. A. Druzhinina4Scientific Centre for Expert Evaluation of Medicinal ProductsScientific Centre for Expert Evaluation of Medicinal ProductsScientific Centre for Expert Evaluation of Medicinal ProductsScientific Centre for Expert Evaluation of Medicinal Products; I.M. Sechenov First Moscow State Medical University (Sechenov University)Scientific Centre for Expert Evaluation of Medicinal ProductsThe search for an effective and safe COVID-19 therapy involves, among other things, assessment of efficacy of medicines already used for the treatment of other diseases, and having potential antiviral activity against SARS-CoV-2. The relevance of the presented study stems from ambiguous data on the off-label use of the antiparasitic medicine ivermectin for the treatment of COVID-19 patients. The aim of the study was to analyse ivermectin efficacy and safety for COVID-19 treatment, as reflected in the scientific literature. Ivermectin, an antiparasitic medicine from the group of macrocyclic lactones produced by Streptomyces avermitilis, stimulates release of the inhibitory neurotransmitter gamma-aminobutyric acid, which leads to impaired transmission of nerve impulses, paralysis and death of parasites. The results of preclinical studies show ivermectin’s inhibitory activity against a number of RNA and DNA viruses, including SARS-CoV-2. The results of ivermectin clinical studies are ambiguous: a number of studies demonstrated a positive effect on the condition of COVID-19 patients, however, there is currently no convincing evidence of the validity and efficacy of ivermectin use for the prevention and treatment of COVID-19 patients. The safety profile of ivermectin is relatively favourable. Large randomised controlled trials are needed to fully assess the feasibility of using ivermectin in COVID-19.https://www.risksafety.ru/jour/article/view/277ivermectinsars-cov-2covid-19coronavirus infectionefficacysafetyadverse drug reactionscovid-19 treatment
spellingShingle E. V. Shubnikova
N. A. Susekova
T. M. Bukatina
M. S. Galenko
A. A. Druzhinina
Ivermectin: Evaluation of Efficacy and Safety in COVID-19
Безопасность и риск фармакотерапии
ivermectin
sars-cov-2
covid-19
coronavirus infection
efficacy
safety
adverse drug reactions
covid-19 treatment
title Ivermectin: Evaluation of Efficacy and Safety in COVID-19
title_full Ivermectin: Evaluation of Efficacy and Safety in COVID-19
title_fullStr Ivermectin: Evaluation of Efficacy and Safety in COVID-19
title_full_unstemmed Ivermectin: Evaluation of Efficacy and Safety in COVID-19
title_short Ivermectin: Evaluation of Efficacy and Safety in COVID-19
title_sort ivermectin evaluation of efficacy and safety in covid 19
topic ivermectin
sars-cov-2
covid-19
coronavirus infection
efficacy
safety
adverse drug reactions
covid-19 treatment
url https://www.risksafety.ru/jour/article/view/277
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AT nasusekova ivermectinevaluationofefficacyandsafetyincovid19
AT tmbukatina ivermectinevaluationofefficacyandsafetyincovid19
AT msgalenko ivermectinevaluationofefficacyandsafetyincovid19
AT aadruzhinina ivermectinevaluationofefficacyandsafetyincovid19