Volume 51, Number 12
December 2022

The oral antiviral agents nirmatrelvir-ritonavir (NMV/r) and molnupiravir are used to treat mild-to-moderate COVID-19 infection in outpatients. However, drug-drug interactions (DDIs) with frequently prescribed medications call for extra precaution, especially with the emergence of COVID-19 variants and widespread use of oral COVID-19 treatments.

This latest comprehensive review of available data on DDIs between NMV/r, molnupiravir and common dermatological medications summarises the potential side effects, and suggests strategies for safe COVID-19 treatment. NMV/r has significant DDIs with many common dermatological medications, which may require temporary discontinuation, dosage adjustment, or substitution with other anti-COVID-19 agents such as molnupiravir.

Illustration by Xinyu Li

Idiopathic inflammatory myopathies: Not nearly the end of the road

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Pharmacokinetic and pharmacogenomic considerations in managing use of nirmatrelvir-ritonavir and molnupiravir and dermatological treatments

The COVID-19 pandemic has been unprecedented in its impact on global health, economic, financial, psychosocial and political systems. The World Health Organization estimates approximately...

Characteristics of anti-transcriptional intermediary factor 1 gamma autoantibody-positive dermatomyositis patients in Singapore

Idiopathic inflammatory myopathies (IIMs) are a heterogeneous group of acquired, systemic autoimmune conditions characterised by muscular and extramuscular manifestations. As a subset within the...

Low skeletal muscle mass predicts poor prognosis of elderly patients after emergency laparotomy: A single Asian institution experience

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Drug interactions between common dermatological medications and the oral anti-COVID-19 agents nirmatrelvir-ritonavir and molnupiravir

In December 2021, an Emergency Use Authorisation was issued by the U.S. Food and Drug Administration (FDA) for the use of the orally active...
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