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Medicine United States

FDA Authorizes Second COVID-19 Antiviral Pill (theverge.com) 64

The Food and Drug Administration authorized a second at-home antiviral pill to treat COVID-19 on Thursday. From a report:The clearance for the drug, called molnupiravir, came a day after the agency signed off on Pfizer's COVID-19 antiviral, called Paxlovid. Both drugs reduce the risk of hospitalization and death in people diagnosed with COVID-19 and at risk of having a severe case of the disease. Molnupiravir, made by pharmaceutical company Merck, is authorized for people 18 years of age and older who are at a high risk of getting seriously ill if they contract the coronavirus. It's a higher age cutoff than Paxlovid, which is cleared for people 12 and up, because molnupiravir might affect bone and cartilage growth, the FDA said in a statement.
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FDA Authorizes Second COVID-19 Antiviral Pill

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  • Come in paste form and apple flavored? That’s all I care about. Did Fauci have a say in it’s creation? Will it help me pwn the libs?

    • No, but it does have a plausible way of introducing genetic mutations. In fact, that's how it's meant to reduce viral replication: it's supposed to cause it to mutate itself to death.

      It'll take my vaccines and daily vitamins, thank you.

      • Into RNA not DNA probably ok if your RNA gets a little screwed up, it will get cleaned up and new copies will come from DNA

        • by sinij ( 911942 )
          Yes, probably OK until your immune system gets trained by these RNA screw-ups to attack something important, like myelin sheeting.
          • Re: (Score:3, Informative)

            That's not how the immune system works. You have a thymus to kill immune cells that train on to your body's receptors, your body already generates random DNA so your immune system has a near infinite amount of random antibodies, some of them train on to your bodies cells, and the thymus kills them. As long as you have a functioning thymus, you'll be fine.

      • by hey! ( 33014 )

        It's not quite as ridiculous to think it *might have* worked against COVID as you make it sound. I believe it's now in Phase 2 trials for use against Chikungunya virus.

        It wasn't unreasonable to look at ivermectin for potential usefulness, but it wasn't a surprise when it didn't work out either.

        • No, but the problem with the way it's been "looked into" is that the claim that's made is "x prevents mild cases from turning severe" or "x works as a prophylactic against severe covid if taken regularly" but the studies that have been made answer the question "will giving x to patients under medical care for covid help?"

          The subset of people already under medical care for covid is exclusive of the people who might be taking it prophylacticly and the people who have mild symptoms.

          This isn't always the case w

    • Come in paste form and apple flavored? That’s all I care about. Did Fauci have a say in it’s creation? Will it help me pwn the libs?

      We used t ogive our horse the apple flavored version. He tended to spit out the regular stuff.

      Ha never got Covid 19 flu.

      A coincidence? It think NOT! Wake up America! 8^/

  • by fahrbot-bot ( 874524 ) on Thursday December 23, 2021 @02:53PM (#62110025)

    Molnupiravir (Merck/this pill) initially appeared to cut the risk of hospitalization and death by about half in a clinical trial. Additional evaluation, though, found that it was only around 30 percent effective. That’s far less effective than Paxlovid (Pfizer pill), which reduced hospitalizations and deaths for high-risk groups by 89 percent in a clinical trial.

    The Pfizer pill reportedly reduces hospitalizations and deaths by 89% and the Merck pill only by 30%, why would anyone want the latter instead of the former? They're probably going to similarly priced and covered by insurance, probably 100% covered as it would be way less expensive than covering hospital treatment for COVID.

    • It really just depends on how hard the sales reps push each of these onto the doctors.
    • by edwdig ( 47888 )

      The Pfizer pill reportedly reduces hospitalizations and deaths by 89% and the Merck pill only by 30%, why would anyone want the latter instead of the former? They're probably going to similarly priced and covered by insurance, probably 100% covered as it would be way less expensive than covering hospital treatment for COVID.

      The approval for the Merck pill specifically says it's only recommended for use if none of the other treatment options are available.

      • The approval for the Merck pill specifically says it's only recommended for use if none of the other treatment options are available.

        Thanks, I hadn't heard/seen that; good to know.

      • This. The VRBPAC discussion on this (which I watched) in particular noticed that in most cases monoclonal antibodies would be preferable to the Merck pill, but that was for various reasons not an option for some patients.

        (And of course that discussion was before the meeting on the Pfizer pill.)

    • Comment removed (Score:4, Interesting)

      by account_deleted ( 4530225 ) on Thursday December 23, 2021 @04:05PM (#62110217)
      Comment removed based on user account deletion
    • The Pfizer pill reportedly reduces hospitalizations and deaths by 89% and the Merck pill only by 30%, why would anyone want the latter instead of the former?

      Individual tolerance. If someone can't handle the Pfizer.

      • The Pfizer pill reportedly reduces hospitalizations and deaths by 89% and the Merck pill only by 30%, why would anyone want the latter instead of the former?

        Individual tolerance. If someone can't handle the Pfizer.

        Good point. Of course, unless someone has a known allergy to it or one of its components, they won't know until after taking the pill. Hopefully, the pill will still work for them and any adverse reaction will still be better than continuing with COVID untreated. In those cases, if the reaction was severe, they can take the Merck pill next time.

        • The Pfizer pill reportedly reduces hospitalizations and deaths by 89% and the Merck pill only by 30%, why would anyone want the latter instead of the former?

          Individual tolerance. If someone can't handle the Pfizer.

          Good point. Of course, unless someone has a known allergy to it or one of its components, they won't know until after taking the pill. Hopefully, the pill will still work for them and any adverse reaction will still be better than continuing with COVID untreated. In those cases, if the reaction was severe, they can take the Merck pill next time.

          True, dat. Ever seen the prescription drug commercials where they tell people not to take the drug if they are allergic to it. Like you said, you have to try it to see if you are allergic.

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