The Long Duration Consequence of Using Anti-inflammatory and Immunosuppressive Drugs in the COVID-19 Epidemic-Scilight

Trends in Immunotherapy

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The Long Duration Consequence of Using Anti-inflammatory and Immunosuppressive Drugs in the COVID-19 Epidemic

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Ismailov Imetkul, Mortada Saleh Hatem, Sura Akram Mohammed, Rafah Sabah Barrak, Ahmad Sabah, & Fakher Rahim. (2025). The Long Duration Consequence of Using Anti-inflammatory and Immunosuppressive Drugs in the COVID-19 Epidemic. Trends in Immunotherapy, 9(3), 61–76. https://doi.org/10.54963/ti.v9i3.1036

Authors

  • Ismailov Imetkul

    Department of Pathology, Basic and Clinical Pharmacology, Osh state university, Osh 723500, Kyrgyzstan
  • Mortada Saleh Hatem

    Department of Medical Laboratory analysis, Al Mansour University College, Baghdad 10067, Iraq
  • Sura Akram Mohammed

    Department of Medical Laboratory analysis, Al‑Turath University, Baghdad 10013, Iraq
  • Rafah Sabah Barrak

    Department of Medical Laboratory analysis, Al‑Rafidain University College, Baghdad 10064, Iraq
  • Ahmad Sabah

    Department of Medical Laboratory analysis, Madenat Alelem University College, Baghdad 10006, Iraq
  • Fakher Rahim

    Department of internal medicine, Osh state University, Osh 723500, Kyrgyzstan

Received: 17 February 2025; Revised: 4 March 2025; Accepted: 5 March 2025; Published: 23 July 2025

The SARS-2 virus, responsible for the COVID-19 epidemic in early 2020, persists in posing a hazard to public health through the emergence of new mutations and surges in prevalence across several nations. Immunosuppressive medications treat both short-term and long-term inflammatory illnesses. The classification of these medications into various types is based on their action mechanisms. It is important to review the most recent data on the effectiveness and side effects of administering these drugs to patients because of the risk of severe inflammatory repercussions in COVID-19 patients, including acute respiratory failure and cytokine storm. This article presents accurate data on the advantages and disadvantages of using immunosuppressive medications in COVID-19 patients, while also providing a concise overview of the various types of these medications. Taken together, anti-inflammatory drugs and immune response inhibitors seem to be associated with better outcomes, such as shorter hospital stays and less need for mechanical ventilation, faster recovery from acute symptoms, and lower mortality rates, especially in the critically ill. However, one must consider the possibility of increasing treatment duration and vulnerability to fungal and bacterial infections. To minimize the negative effects of these medications, it is important to carefully balance their dosage and administration timing. Overall, the utilization of immunosuppressive medications, whether administered recently during illness or consistently for non-COVID-19 reasons, appears to have a beneficial impact on managing inflammation, expediting recovery, and decreasing mortality. However, it is crucial to exercise caution and avoid prescribing these drugs without proper consideration.

Keywords:

Coronavirus; COVID‑19; Immune System; Corticosteroid; Immunosuppression

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