Veklury (remdesivir) vs Paxlovid (nirmatrelvir and ritonavir)

Veklury (remdesivir) vs Paxlovid (nirmatrelvir and ritonavir)

Veklury (remdesivir) is an antiviral medication administered intravenously, primarily used in a hospital setting, and is approved for the treatment of COVID-19 in patients requiring hospitalization. Paxlovid, which combines nirmatrelvir and ritonavir in an oral formulation, is used for the treatment of mild to moderate COVID-19 in non-hospitalized patients who are at high risk for progressing to severe illness. When deciding between the two, one must consider the severity of their COVID-19 infection, the setting in which they will receive treatment, and their individual risk factors, as Veklury is for more severe cases and hospital use, while Paxlovid is for early treatment to prevent severe disease in high-risk patients.

Difference between Veklury and Paxlovid

Metric Veklury (remdesivir) Paxlovid (nirmatrelvir and ritonavir)
Generic name Remdesivir Nirmatrelvir and ritonavir
Indications Treatment of COVID-19 in hospitalized patients Treatment of mild-to-moderate COVID-19 in patients at high risk for progression to severe disease
Mechanism of action RNA polymerase inhibitor Nirmatrelvir is a protease inhibitor; ritonavir slows the breakdown of nirmatrelvir
Brand names Veklury Paxlovid
Administrative route Intravenous (IV) Oral
Side effects Nausea, increased ALT/AST, hypersensitivity reactions Dysgeusia, diarrhea, hypertension, myalgia
Contraindications Known hypersensitivity to remdesivir Known hypersensitivity to nirmatrelvir or ritonavir, coadministration with certain other drugs
Drug class Antiviral Antiviral (combination)
Manufacturer Gilead Sciences Pfizer

Efficacy

Efficacy of Veklury (Remdesivir)

Veklury, known by its generic name remdesivir, is an antiviral medication that has been authorized for use in treating COVID-19. Its efficacy has been evaluated in several clinical trials, where it has shown to be beneficial in certain populations of patients. Specifically, remdesivir has been found to shorten the time to recovery in hospitalized adult patients with severe COVID-19. The ACTT-1 trial, a randomized, double-blind, placebo-controlled trial, demonstrated that patients who received remdesivir had a median recovery time of 10 days compared to 15 days for those who received a placebo. This evidence supports the use of remdesivir in the management of hospitalized patients with severe COVID-19, particularly those requiring supplemental oxygen.

Efficacy of Paxlovid (Nirmatrelvir and Ritonavir)

Paxlovid, a combination of nirmatrelvir and ritonavir, is another medication that has shown efficacy in the treatment of COVID-19. It is designed to inhibit the SARS-CoV-2 protease, which is essential for viral replication. In clinical trials, Paxlovid has been found to significantly reduce the risk of hospitalization or death in patients with mild to moderate COVID-19 who are at high risk for progression to severe disease. The EPIC-HR trial, which was a randomized, controlled trial, showed that treatment with Paxlovid reduced the risk of COVID-19-related hospitalization or death from any cause by 89% compared to placebo when treatment was initiated within three days of symptom onset.

Comparative Efficacy in COVID-19 Treatment

When comparing the efficacy of Veklury and Paxlovid, it is important to consider the patient populations and the stages of the disease in which these medications are most effective. Remdesivir is primarily used for hospitalized patients with severe COVID-19, while Paxlovid is used in the early stages of the disease in non-hospitalized patients with a high risk of disease progression. The use of these medications is based on current clinical guidelines and the severity of the disease, and both have shown to improve outcomes in their respective indications.

Conclusion

In conclusion, both Veklury (remdesivir) and Paxlovid (nirmatrelvir and ritonavir) have demonstrated efficacy in the treatment of COVID-19, albeit in different patient settings. Veklury has been shown to reduce the recovery time in hospitalized patients with severe disease, while Paxlovid has been effective in preventing hospitalization and death in high-risk patients with mild to moderate COVID-19. The continued use and study of these medications are crucial in the ongoing effort to manage and mitigate the impact of the COVID-19 pandemic.

Regulatory Agency Approvals

Veklury
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Health Canada
  • Pharmaceuticals and Medical Devices Agency (PMDA), Japan
  • Therapeutic Goods Administration (TGA), Australia
Paxlovid
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Health Canada
  • Therapeutic Goods Administration (TGA), Australia
  • Medicines & Healthcare products Regulatory Agency (MHRA), United Kingdom

Access Veklury or Paxlovid today

If Veklury or Paxlovid are not approved or available in your country (e.g. due to supply issues), you can access them via Everyone.org.

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