COVID-19
covid-19
Summary
IDSA living guideline on pharmacologic treatment and prevention of COVID-19, updated through October 2025. Covers antiviral selection for mild-to-moderate disease (nirmatrelvir/ritonavir preferred, then remdesivir, then molnupiravir), immunomodulator selection for severe/critical hospitalized disease (corticosteroids plus baricitinib or tocilizumab; abatacept or infliximab as alternatives), and pre-exposure prophylaxis with pemivibart in immunocompromised hosts. Recommendations against hydroxychloroquine, lopinavir/ritonavir, ivermectin, colchicine, famotidine, and routine convalescent plasma in immunocompetent hospitalized patients.
Current guideline: IDSA COVID-19 Treatment Guidelines ·
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Versions
- IDSA — IDSA COVID-19 Treatment Guidelines
- NIH — NIH COVID-19 Treatment Guidelines
- Read the guideline: html