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Am J Gastroenterol ; 115(10): 1716-1718, 2020 10.
Article in English | MEDLINE | ID: covidwho-732652

ABSTRACT

INTRODUCTION: We investigated the potential hepatotoxicity of lopinavir/ritonavir recently used in the treatment of Severe Acute Respiratory Syndrome Coronavirus. METHODS: This is a retrospective cohort of critical patients in a teaching hospital: 12 treated with lopinavir/ritonavir and 30 in the standard-of-care group. RESULTS: Elevation occurred more frequently in patients treated with lopinavir/ritonavir (33% vs 6.7%). DISCUSSION: Caution is advised regarding the use of lopinavir/ritonavir in the most severe cases of Severe Acute Respiratory Syndrome Coronavirus.


Subject(s)
Antiviral Agents/adverse effects , Coronavirus Infections/drug therapy , Jaundice/chemically induced , Lopinavir/adverse effects , Pneumonia, Viral/drug therapy , Ritonavir/adverse effects , Aged , Betacoronavirus/isolation & purification , COVID-19 , Coronavirus Infections/complications , Coronavirus Infections/diagnosis , Coronavirus Infections/virology , Dose-Response Relationship, Drug , Drug Administration Schedule , Drug Combinations , Female , Humans , Intensive Care Units/statistics & numerical data , Jaundice/diagnosis , Jaundice/epidemiology , Lopinavir/administration & dosage , Male , Middle Aged , Pandemics , Pneumonia, Viral/diagnosis , Pneumonia, Viral/virology , Prospective Studies , Retrospective Studies , Ritonavir/administration & dosage , SARS-CoV-2 , Severity of Illness Index , Standard of Care/statistics & numerical data , COVID-19 Drug Treatment
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