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REMDESIVIR INJ,SOLN

Clinical Criteria Summary

Indication & Patient Population

  • Emergency Use Authorization (EUA) for patients 18 years and older
  • Mild-to-moderate COVID-19 at high risk for progression
  • Use only if other alternatives are not accessible or clinically appropriate

Dosing & Administration

  • 800 mg (4 capsules) twice daily for 5 days
  • Can be administered with or without food

Contraindications & Warnings

  • No contraindications listed
  • Possible embryo-fetal toxicity
  • Possible bone/cartilage toxicity in patients <18 years old

Adverse Reactions & Efficacy

  • Adverse reactions: diarrhea, nausea, dizziness
  • MOVe-OUT trial data: Death or hospitalization by day 29 was 6.8% (MOV) vs. 9.7% (placebo)

Special Populations & Precautions

  • Not recommended in pregnancy and lactation due to potential embryo-fetal toxicity based on animal data
  • If used, requires extensive discussion/documentation
  • Requires reliable, consistent contraception during therapy and for 4 days after last dose in females of childbearing potential
  • Requires reliable, consistent contraception for 3 months after last dose in males of reproductive potential

Renal/Hepatic Considerations

  • No dose adjustment required for renal or hepatic dysfunction

Source Documents