Bibliographic information
GuidelineTherapeutics and COVID-19: living guideline, 10 November 2023.
Year of Publication2023
Issuing InstitutionWorld Health Organization
Recommendation
Maintained
Originally developed
We suggest against treatment with molnupiravir for patients with non-severe COVID-19 at moderate risk of hospitalization
Recommended against
Conditional
Notes and Remarks
Remarks
- See Section 6 regarding identifying patients at moderate risk of hospitalization.
- The GDG considered that nirmatrelvir-ritonavir represents a superior choice to molnupiravir because it probably has a greater reduction in hospitalization and because of concerns about possible harms of molnupiravir.
- In moderate risk patients for whom nirmatrelvir-ritonavir is not an option where a choice exists between molnupiravir and remdesivir, key considerations will be the potential toxicity of molnupiravir, its possible reduction in duration of symptoms, and the burden of remdesivir in requiring 3 days of intravenous injections.
Also Featured In
This recommendation also appears in the following guidelines:
Guideline
Therapeutics and COVID-19: living guideline, August 2025
Year2025
InstitutionWorld Health Organization