PAXLOVID

April 27, 2022

On April 22, the World Health Organisation (WHO) said Pfizer’s oral antiviral drug Paxlovid was “strongly recommended” for patients with non-severe Covid-19 who are at highest risk of developing severe disease and hospitalisation, such as unvaccinated, older, or immunosuppressed patients.

About:

  • Paxlovid consists of nirmatrelvir tablets and ritonavir tablets, co-packaged for oral use.

  • It was given emergency use authorisation (EUA) by the USFDA in December last year.

  • Nirmatrelvir inhibits a viral enzyme called protease that is necessary for the virus to replicate itself inside the host cell. Ritonavir slows down the breakdown of nirmatrelvir in order to help it remain in the body for longer at higher concentrations.

  • A drug like nirmatrelvir is considered to have an advantage over vaccines because it attacks a vulnerability in the virus that does not mutate like spike proteins — which vaccines target — do.

  • As a result, the medication is seen to be effective against all variants.