Pharmacological basis for the potential role of Azithromycin and Doxycycline in management of COVID-19

Autor: Ahmed S. Ali, Mai A. ASattar, Shahid Karim, Dina Kutbi, Hanin Aljohani, Duaa Bakhshwin, Mohammed Alsieni, Huda M. Alkreathy
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Arabian Journal of Chemistry, Vol 14, Iss 3, Pp 102983- (2021)
Druh dokumentu: article
ISSN: 1878-5352
DOI: 10.1016/j.arabjc.2020.102983
Popis: A novel corona virus SARS-CoV-2 has led to an outbreak of the highly infectious pandemic COVID-19 complicated viral pneumonia. Patients with risk factors frequently develop secondary infections where the role of appropriate antibiotics is mandatory. However, the efforts of drug repurposing lead to recognizing the role of certain antibiotics beyond the management of infection. The current review provided the detailed antiviral, immunomodulatory effect, unique pharmacokinetic profile of two antibiotics namely azithromycin (AZ) and doxycycline (DOX). It summarizes current clinical trials and concerns regarding safety issues of these drugs.Azithromycin (AZ) has amazing lung tissue access, wide range antibacterial efficacy, conceivable antiviral action against COVID-19. It also showed efficacy when combined with other antiviral drugs in limited clinical trials, but many clinicians raise concerns regarding cardiovascular risk in susceptible patients. DOX has a considerable role in the management of pneumonia, it has some advantages including cardiac safety, very good access to lung tissue, potential antiviral, and immunomodulation impact by several mechanisms. The pharmacological profiles of both drugs are heightening considering these medications for further studies in the management of COVID-19.
Databáze: Directory of Open Access Journals