Molnupiravir: A Promising Antiviral Treatment for COVID-19

As the COVID-19 pandemic continues to ravage the world, scientists and researchers are working tirelessly to develop effective treatments and vaccines to combat the virus. One such treatment that has been making headlines recently is molnupiravir, an orally-administered antiviral medication that has shown promising results in clinical trials.

What is Molnupiravir?

Molnupiravir, also known by its brand name Lagevrio, is a prodrug for N4-hydroxycytidine (NHC), an antiviral ribonucleoside analogue that acts as a competitive substrate for the viral RNA-dependent RNA polymerase. It works by tricking the virus into using the drug for replication, then inserting errors into the virus’ genetic code, ultimately leading to the virus’s inability to replicate and spread.

Clinical Trials and Efficacy

Several clinical trials have been conducted to evaluate the safety and efficacy of molnupiravir in treating COVID-19. In a study posted on the medRxiv pre-print server, researchers evaluated the effectiveness of molnupiravir in a real-world setting among COVID-19 inpatients during Hong Kong’s Omicron BA.2 wave. The study found that molnupiravir was associated with a lower risk of all-cause mortality and a shorter time to viral clearance compared to standard of care treatment1.Another study published on medRxiv found that molnupiravir was highly effective at reducing nasopharyngeal SARS-CoV-2 viral load in non-hospitalized patients with mild to moderate COVID-192.

Emergency Use Authorization

On December 22, 2021, the U.S. Food and Drug Administration (FDA) issued an Emergency Use Authorization (EUA) for molnupiravir for the treatment of mild to moderate COVID-19 in adults who are at high risk for progression to severe disease or hospitalization3. It is important to note that molnupiravir is not a substitute for vaccination and should not be used as a prophylactic treatment.

Egypt is the first country in the MENA to produce molinopiravir

As part of the political leadership’s directives emphasizing the importance of providing the latest medications for the treatment protocols of the novel coronavirus and promoting the localization of the pharmaceutical industry in Egypt, the Egyptian Drug Authority has announced a new success story. It has granted emergency use authorization for the mlnupiravir drug after passing the necessary evaluations to obtain the emergency use license.

The authority confirmed that this achievement was accomplished in less than a month from the drug’s acquisition of emergency use authorization from global regulatory bodies, such as the US Food and Drug Administration (FDA) and the European Medicines Agency (EMA). The drug will be locally manufactured by five local companies as a first phase, followed by several other companies still in various evaluation stages.

The authority clarified that mlnupiravir is the first oral treatment for adults at high risk, and it reduces the risk of hospitalization and death by half for patients with mild to moderate disease. The distribution of the drug will be restricted to hospitals only to ensure its use under full medical supervision and in accordance with the standards set by scientific committees to ensure continuous therapeutic monitoring.

With this accomplishment and thanks to the continuous cooperation and coordination between the Egyptian Drug Authority, various state institutions, and industry partners, Egypt has become the first country in the Middle East to issue an emergency registration license for this drug and achieve global leadership in its local manufacturing. This represents a new success story for the local pharmaceutical industry, which is the result of providing a regulatory and legislative climate to support and encourage the pharmaceutical industry through continuous updating of drug registration rules and procedures, as well as maintaining alignment with global systems and providing all necessary technical and procedural support to companies. It also comes in line with the efforts of the Egyptian Drug Authority to ensure the availability of all pharmaceutical products, especially the latest ones, and localize their manufacturing through providing technical support to industry partners, allowing increased pharmaceutical investments, and supporting positive competitiveness in the Egyptian pharmaceutical market.

Antivirals for Systemic Use Medicine - Treatment for Viral Infections

Antivirals for Systemic Use Medicine – Treatment for Viral Infections


Molnupiravir is a promising antiviral treatment for COVID-19 that has shown efficacy in clinical trials. As with any medication, it is important to consult with a healthcare provider before starting treatment. While the development of effective treatments and vaccines is crucial in the fight against COVID-19, it is equally important to continue practicing preventative measures such as wearing masks, social distancing, and getting vaccinated to help stop the spread of the virus.

Referances: المولونبيرافير: علاج واعد مضاد للفيروسات لـ كوفيد

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