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Quercetin effectiveness in patients with COVID-19 associated pneumonia

Zupanets et al., Zaporozhye Med. J., doi:10.14739/2310-1210.2021.5.231714
Sep 2021  
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Recovery 29% Improvement Relative Risk Recovery time 18% Quercetin  Zupanets et al.  LATE TREATMENT  RCT Is late treatment with quercetin beneficial for COVID-19? RCT 200 patients in Ukraine Improved recovery with quercetin (not stat. sig., p=0.5) c19early.org Zupanets et al., Zaporozhye Med. J., Sep 2021 Favorsquercetin Favorscontrol 0 0.5 1 1.5 2+
Quercetin for COVID-19
24th treatment shown to reduce risk in July 2021, now with p = 0.002 from 12 studies.
No treatment is 100% effective. Protocols combine treatments.
5,100+ studies for 112 treatments. c19early.org
RCT 200 patients in Ukraine, 99 treated with IV quercetin/polyvinylirolidone followed by oral quercetin/pectin, showing improved recovery with treatment.
Bioavailability. Quercetin has low bioavailability and studies typically use advanced formulations to improve bioavailability which may be required to reach therapeutic concentrations.
This is the 4th of 11 COVID-19 RCTs for quercetin, which collectively show efficacy with p=0.0023.
This is the 5th of 12 COVID-19 controlled studies for quercetin, which collectively show efficacy with p=0.002.
risk of no recovery, 29.4% lower, RR 0.71, p = 0.50, treatment 9 of 99 (9.1%), control 13 of 101 (12.9%), NNT 26.
recovery time, 18.2% lower, relative time 0.82, p = 0.03, treatment 99, control 101.
Effect extraction follows pre-specified rules prioritizing more serious outcomes. Submit updates
Zupanets et al., 1 Sep 2021, Randomized Controlled Trial, Ukraine, peer-reviewed, 14 authors.
This PaperQuercetinAll
Quercetin effectiveness in patients with COVID-19 associated pneumonia
I A Zupanets, О А Holubovska, O O Tarasenko, N P Bezuhla, M F Pasichnyk, S O Karabynosh, V S Kopcha, L V Moroz, H V Maksymchuk, O Ya. Kobrynska, R M Fishchuk, D I Schulha, R S Morochkovskyj, M S Zoshchak
Zaporozhye Medical Journal, doi:10.14739/2310-1210.2021.5.231714
The aim of this work was to evaluate the effectiveness of quercetin addition to the treatment regimen for patients with COVID-19 associated pneumonia. Materials and methods. The effectiveness of two dosage forms of quercetin was studied in 200 patients, who were divided equally into the main and control groups. The main group patients received quercetin in addition to the basic therapy: intravenous drip of Quercetin/Polyvinylirolidone during the first 10 days followed by oral administration of Quercetin/Pectin over the next 10 days. Patients from the control group received only the basic therapy drugs. The study evaluated the dynamics of the disease symptoms (saturation level, respiratory rate, body temperature, cough, general weakness), as well as laboratory markers (C-reactive protein (CRP), ferritin, D-dimer). Results. Two dosage forms of quercetin consistently used in addition to the basic therapy improve pulmonary gas exchange and accelerate the lung function recovery. This is evidenced by a statistically significant majority of patients with positive dynamics in the symptoms of "Saturation level" and "Cough" as well as the meeting a complex indicator of the therapy effectiveness 2 days earlier than in the control group. The treatment regimen applied also helps to stabilize the level of D-dimer in the blood of the main group patients. Conclusions. The use of two dosage forms of quercetin in addition to the basic therapy accelerates the recovery of patients with coronavirus disease associated pneumonia and can help to prevent the progression of COVID-19 associated coagulopathy.
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Late treatment
is less effective
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