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Repurposing Psychotropic Agents for Viral Disorders: Beyond Covid.
Golden, Shea R; Rosenstein, Donald L; Belhorn, Tom; Blatt, Julie.
  • Golden SR; Department of Neuroscience, Middlebury College, the University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA.
  • Rosenstein DL; Department of Psychiatry, the University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA.
  • Belhorn T; Department of Pediatric Infectious Diseases, and the University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA.
  • Blatt J; Department of Pediatric Hematology Oncology, the University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA.
Assay Drug Dev Technol ; 19(6): 373-385, 2021.
Article in English | MEDLINE | ID: covidwho-1349762
ABSTRACT
Recent reports have highlighted the possible role of the antipsychotic chlorpromazine and the antidepressant fluvoxamine as anti-coronavirus disease 2019 (COVID-19) agents. The objective of this narrative review is to explore what is known about the activity of psychotropic medications against viruses in addition to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). PubMed was queried for "drug repurposing, antiviral activity," and for "antiviral activity" with "psychotropic drugs" and individual agents, through November 2020. Of more than 100 psychotropic agents, 37 drugs, including 27 with a history of pediatric use were identified, which had been studied in the preclinical setting and found to have activity against viruses which are human pathogens. Effects were evaluated by type of virus and by category of psychotropic agent. Activity was identified both against viruses known to cause epidemics such as SARS-CoV-2 and Ebola and against those that are the cause of rare disorders such as Human Papillomatosis Virus-related respiratory papillomatosis. Individual drugs and classes of psychotropics often had activity against multiple viruses, with promiscuity explained by shared viral or cellular targets. Safety profiles of psychotropics may be more tolerable in this context than when they are used long-term in the setting of psychiatric illness. Nonetheless, translation of in vitro results to the clinical arena has been slow. Psychotropic medications as a class deserve further study, including in clinical trials for repurposing as antiviral drugs for children and adults.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Antiviral Agents / Psychotropic Drugs / Drug Repositioning / COVID-19 Drug Treatment Type of study: Experimental Studies / Prognostic study / Reviews Limits: Humans Language: English Journal: Assay Drug Dev Technol Journal subject: Pharmacology Year: 2021 Document Type: Article Affiliation country: Adt.2021.014

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Antiviral Agents / Psychotropic Drugs / Drug Repositioning / COVID-19 Drug Treatment Type of study: Experimental Studies / Prognostic study / Reviews Limits: Humans Language: English Journal: Assay Drug Dev Technol Journal subject: Pharmacology Year: 2021 Document Type: Article Affiliation country: Adt.2021.014