Bibliographic information
GuidelineTherapeutics and COVID-19: living guideline, 10 November 2023.
Year of Publication2023
Issuing InstitutionWorld Health Organization
Recommendation
Maintained
We suggest treatment with remdesivir for patients with severe COVID-19
Recommended in favor
Conditional
Notes and Remarks
Practical info Route, dosage and duration: Additional considerations are available in three summaries of practical issues (remdesivir for COVID-19, administration of remdesivir for COVID-19, safety and monitoring in patients receiving remdesivir for COVID-19). Here follows a brief summary of the key points:
- The recommended dose for remdesivir is one dose daily as intravenous infusion. Remdesivir is given as 200 mg intravenously on Day 1, followed by 100 mg intravenously on Days 2–10. Shorter regimens of 5 days are described in the smaller trials and local practice may be followed.
- Administration should be as early as possible in the time course of the disease.
- One should use caution when administering remdesivir to patients with significant liver or kidney disease.
- The GDG noted that there is insufficient evidence to make a recommendation around use in children and further studies are needed.
- Additionally, the trials did not enrol pregnant or breastfeeding individuals. The decision regarding use of this therapeutic should be made between the pregnant individual and their health care provider while discussing whether the potential benefit justifies the potential risk to the pregnant individual and fetus (see Research evidence and WHO information sheet).
Also Featured In
This recommendation also appears in the following guidelines:
Originally Developed
Guideline
Therapeutics and COVID-19: living guideline, 16 September 2022.
Year2022
InstitutionWorld Health Organization
Guideline
Therapeutics and COVID-19: living guideline, 13 January 2023.
Year2023
InstitutionWorld Health Organization
Guideline
Therapeutics and COVID-19: living guideline, August 2025
Year2025
InstitutionWorld Health Organization