Published in:
01-10-2020 | Streptococci | Letter to the Editor
Use of Azithromycin in COVID-19: A Cautionary Tale
Authors:
Chia Siang Kow, Syed Shahzad Hasan
Published in:
Clinical Drug Investigation
|
Issue 10/2020
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Excerpt
The novel coronavirus disease 2019 (COVID-19) pandemic has seen many drugs being repositioned or repurposed for the treatment of COVID-19. Among the repurposed drugs, azithromycin has caught the limelight, where it is frequently administered to patients with COVID-19 alongside chloroquine or hydroxychloroquine. We appreciate the efforts by Bleyzac and colleagues, who comprehensively summarised the pharmacological and therapeutic properties of azithromycin in the treatment of COVID-19, including the concerns regarding prolongation of the QT interval, which may lead to fatal cardiac events [
1]. However, we are also concerned about the emergence of microorganisms resistant to azithromycin and related macrolides, such as clarithromycin and erythromycin, in relation to the unrestricted use of azithromycin amid the COVID-19 pandemic. …