Bibliographic information

GuidelineTherapeutics and COVID-19: living guideline, August 2025
Year of Publication2025
Issuing InstitutionWorld Health Organization

Recommendation

Maintained

The World Health Organization (WHO) suggests not to use corticosteroids for patients with non-severe COVID-19 infection.

Recommended against

Conditional

Notes and Remarks

Practical info With the conditional recommendation against the use of corticosteroids in patients with non-severe COVID-19 the following practical information applies in situations where such treatment is to be considered: Route: Systemic corticosteroids may be administered both orally and intravenously. Of note, while the bioavailability of dexamethasone is very high (i.e. similar concentrations are achieved in plasma after oral and intravenous intake), critically ill patients may be unable to absorb any nutrients or medications due to intestinal dysfunction. Clinicians therefore may consider administering systemic corticosteroids intravenously rather than orally if intestinal dysfunction is suspected. Duration: While most patients received corticosteroids in the form of dexamethasone 6 mg daily for up to 10 days, the total duration of regimens evaluated in the seven trials varied between 5 and 14 days, and treatment was generally discontinued at hospital discharge (i.e. the duration of treatment could be less than the duration stipulated in the protocols). Dose: The once daily dexamethasone formulation may increase adherence. A dose of 6 mg of dexamethasone is equivalent (in terms of glucocorticoid effect) to 150 mg of hydrocortisone (e.g. 50 mg every 8 hours), or 40 mg of prednisone, or 32 mg of methylprednisolone (e.g. 8 mg every 6 hours or 16 mg every 12 hours). It would be prudent to monitor glucose levels in patients with severe and critical COVID-19, regardless of whether the patient is known to have diabetes. Timing: The timing of therapy from onset of symptoms was discussed by the panel. The RECOVERY investigators reported a subgroup analysis suggesting that the initiation of therapy 7 days or more after symptom onset may be more beneficial than treatment initiated within 7 days of treatment onset. A post hoc subgroup analysis within the prospective meta-analysis (PMA) did not support this hypothesis. While some panel members believed that postponing systemic corticosteroids until after viral replication is contained by the immune system may be reasonable, many noted that, in practice, it is often impossible to ascertain symptom onset and that signs of severity frequently appear late (i.e. denote a co-linearity between severity and timing). The panel concluded that, given the evidence, it was preferable to err on the side of administering corticosteroids when treating patients with severe or critical COVID-19 (even if within 7 days of symptoms onset) and to err on the side of not giving corticosteroids when treating patients with non-severe disease (even if after 7 days of symptoms onset). Other endemic infections that may worsen with corticosteroids should be considered. For example, for Strongyloides stercoralishyperinfection associated with corticosteroid therapy, diagnosis or empiric treatment may be considered in endemic areas if steroids are used.

Also Featured In

This recommendation also appears in the following guidelines:

Originally Developed
Guideline

Therapeutics and COVID-19: living guideline, 24 September 2021.

Year2021
InstitutionWorld Health Organization
Guideline

Therapeutics and COVID-19. Living guideline. 7 December 2021

Year2021
InstitutionWorld Health Organization
Guideline

Therapeutics and COVID-19: living guideline, 14 January 2022.

Year2022
InstitutionWorld Health Organization
Guideline

Therapeutics and COVID-19: living guideline, 3 March 2022.

Year2022
InstitutionWorld Health Organization
Guideline

Therapeutics and COVID-19: living guideline, 22 April 2022.

Year2022
InstitutionWorld Health Organization
Guideline

Therapeutics and COVID-19: living guideline, 14 July 2022.

Year2022
InstitutionWHO
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, 10 November 2023.

Year2023
InstitutionWorld Health Organization