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EMA warns against malaria drugs’ side effects in COVID-19 use

FILE PHOTO: A computer image created by Nexu Science Communication together with Trinity College in Dublin, shows a model structurally representative of a betacoronavirus which is the type of virus linked to COVID-19, better known as the coronavirus linked to the Wuhan outbreak, shared with Reuters on February 18, 2020. NEXU Science Communication/via REUTERS

FRANKFURT (Reuters) – The European Union’s drug regulator warned again on Thursday against using two older malaria drugs to treat COVID-19, caused by the novel coronavirus, outside trials or national emergency use programmes, citing potentially lethal side-effects.

The European Medicines Agency (EMA) urged medical professionals to closely monitor COVID-19 patients receiving chloroquine or hydroxychloroquine and “carefully consider the possibility of side effects, particularly with higher doses”. Extra caution was warranted if either were used with other drugs.

The two drugs potentially cause irregular heart beat, a condition that could be worsened when used in combination with other medicines such as the antibiotic azithromycin.

Decades-old hydroxychloroquine has been widely used, particularly in the United States, to try to alter the course of the respiratory illness COVID-19, based on anecdotal reports that it may provide some benefit.

U.S. President Donald Trump has touted hydroxychloroquine as a “game-changer” in the fight against the new coronavirus, which has claimed nearly 184,000 lives worldwide.

But an analysis of U.S. Veterans Health Administration data submitted for expert review showed that hydroxychloroquine provided no benefit and potentially higher risk of death for patients at U.S. veterans hospitals.

On Thursday, EMA said a number of large trials were investigating the drugs as COVID-19 treatments but data has been inconclusive and no benefits had been demonstrated so far.

It said the two drugs — approved to treat malaria, lupus and rheumatoid arthritis — were known to potentially cause liver and kidney problems, nerve cell damage and low blood sugar levels.

Reporting by Ludwig Burger; Editing by Catherine Evans

Our Standards:The Thomson Reuters Trust Principles.


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