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What are the indications for combined use of hydroxychloroquine and lopinavir/ritonavir, and how should treatment safety monitoring be performed?

https://doi.org/10.37489/2588-0519-2020-S4-47-49

Abstract

Some guidelines describe combined use of hydroxychloroquine and lopinavir/ritonavir as one of the treatment alternatives for severe COVID-19, yet this treatment is not preferable. It requires careful consideration of possible interactions with other drugs, monitoring of cardiotoxicity (including QT-interval measurement), and hepatotoxicity (measurement of ASAT/ ALAT).

About the Authors

Yu. Yu. Kiselev
Oslo Metropolitan University
Norway

Kiselev Yuri Yu. – PhD, Associate Professor at the Faculty of Health Sciences OsloMet

Oslo



V. M. Tsvetov
Federal Center for Cardiovascular Surgery of the Ministry of Health of Russia
Russian Federation

Tsvetov Vitaly M. – Candidate of Medical Sciences, Doctor — Clinical Pharmacologist. SPIN code: 3202-7659

Chelyabinsk



K. B. Mirzaev
Russian Medical Academy of Continuing Professional Education of the Ministry of Health of Russia
Russian Federation

Mirzaev Karin B. – Candidate of Medical Sciences, Associate Professor of the Department of Clinical Pharmacology and Therapy. SPIN code: 8308-7599

Moscow



D. A. Sychev
Russian Medical Academy of Continuing Professional Education of the Ministry of Health of Russia
Russian Federation

Sychev Dmitry A. – Doctor of Medical Sciences, Professor, Corresponding Member RAS, Rector, Head Department of Clinical Pharmacology and Therapy. SPIN code: 4525-7556

Moscow



References

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3. State register of medicinal products LP-000116. (In Russ). Доступно по: https://clck.ru/REWRX Ссылка активна на 20.05.2020

4. https://covid19evidence.net.au/#living-guidelines

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7. https://www.england.nhs.uk/coronavirus/secondary-care/other-resources/specialty-guides/#coronavirus-treatment

8. https://www.covid19-druginteractions.org/

9. Temporary guidelines of the Ministry of health of the Russian Federation. (In Russ). Доступно по: https://static-1.rosminzdrav.ru/system/attachments/attaches/000/050/122/original/28042020_%D0%9CR_COVID-19_v6.pdf Ссылка активна на 20.05.2020

10. Chong VH, Chong PL, Metussin D et al. Conduction abnormalities in hydroxychloroquine add on therapy to lopinavir/ritonavir in COVID-19. J Med Virol. 2020 May 13;10.1002/jmv.26004. DOI: 10.1002/jmv.26004

11. The possibility of using hydroxychloroquine to prevent SARSCoV-2 infection in contact persons and medical professionals. (In Russ). Доступно по: https://clck.ru/REWSr Ссылка активна на 20.05.2020

12. https://clck.ru/REWU8

13. https://reference.medscape.com/drug-interactionchecker

14. National Institute for the Infectious Diseases “L. Spallanzani” IRCCS. Recommendations for COVID-19 Clinical Management. Infect Dis Rep. 2020 Mar 16;12(1):8543. DOI: 10.4081/idr.2020.8543


Review

For citations:


Kiselev Yu.Yu., Tsvetov V.M., Mirzaev K.B., Sychev D.A. What are the indications for combined use of hydroxychloroquine and lopinavir/ritonavir, and how should treatment safety monitoring be performed? Kachestvennaya Klinicheskaya Praktika = Good Clinical Practice. 2020;(4S):47-49. (In Russ.) https://doi.org/10.37489/2588-0519-2020-S4-47-49

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ISSN 2588-0519 (Print)
ISSN 2618-8473 (Online)