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