Potential drug-drug interactions associated with drugs currently proposed for COVID-19 treatment in patients receiving other treatments

Fundam Clin Pharmacol. 2020 Oct;34(5):530-547. doi: 10.1111/fcp.12586. Epub 2020 Jul 24.

Abstract

Patients with COVID-19 are sometimes already being treated for one or more other chronic conditions, especially if they are elderly. Introducing a treatment against COVID-19, either on an outpatient basis or during hospitalization for more severe cases, raises the question of potential drug-drug interactions. Here, we analyzed the potential or proven risk of the co-administration of drugs used for the most common chronic diseases and those currently offered as treatment or undergoing therapeutic trials for COVID-19. Practical recommendations are offered, where possible.

Keywords: adverse events; hydroxychloroquine; lopinavir; pharmacodynamics; pharmacokinetics; therapeutic drug monitoring.

Publication types

  • Review

MeSH terms

  • Analgesics / pharmacology
  • Anti-Asthmatic Agents / pharmacology
  • Anti-Bacterial Agents / pharmacology
  • Anti-Inflammatory Agents / pharmacology
  • Anticoagulants / pharmacology
  • Antineoplastic Agents / pharmacology
  • Antitubercular Agents / pharmacology
  • Antiviral Agents / pharmacology
  • Betacoronavirus
  • COVID-19
  • COVID-19 Drug Treatment
  • Cardiovascular Agents / pharmacology
  • Coronavirus Infections / drug therapy*
  • Drug Interactions
  • Humans
  • Hydroxychloroquine / pharmacology
  • Hypoglycemic Agents / pharmacology
  • Hypolipidemic Agents / pharmacology
  • Interferon beta-1b / pharmacology
  • Pandemics
  • Pneumonia, Viral / drug therapy*
  • Prescription Drugs / pharmacokinetics
  • Prescription Drugs / pharmacology*
  • Psychotropic Drugs / pharmacology
  • Receptors, Interleukin / antagonists & inhibitors
  • Risk Assessment
  • SARS-CoV-2
  • Thyroid Hormones / pharmacology

Substances

  • Analgesics
  • Anti-Asthmatic Agents
  • Anti-Bacterial Agents
  • Anti-Inflammatory Agents
  • Anticoagulants
  • Antineoplastic Agents
  • Antitubercular Agents
  • Antiviral Agents
  • Cardiovascular Agents
  • Hypoglycemic Agents
  • Hypolipidemic Agents
  • Prescription Drugs
  • Psychotropic Drugs
  • Receptors, Interleukin
  • Thyroid Hormones
  • Interferon beta-1b
  • Hydroxychloroquine