Rationality Analysis of the Treatment of Coronavirus Disease 2019 (COVID-19) with Reduning Injection
GUO Si-rui, ZHAO Zi-nan, JIN Peng-fei, ZHANG Bi-hua, WU Xue-jun, ZHANG Shan-shan, HU Xin*
Department of Pharmaceutical Science, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Science, Beijing Key Laboratory of Drug Clinical Risk and Personalized Medication Evaluation, Beijing Hospital, Beijing 100730, China
Abstract:OBJECTIVE To evaluate the safety and rationality of Reduning injection in the treatment of COVID-19. METHODS Through consulting, summarizing and analyzing literatures, the rapid HTA evaluation of Reduning was carried out, and its pharmacological rationality and drug monitoring for COVID-19 were discussed. RESULTS Literature analysis indicated that COVID-19 belongs to the pestilence of TCM. It was characterized by “dampness, heat, deficiency, toxin and stasis”, and its clinical manifestations involved inflammatory factor storm, immune system damage, etc. Reduning injection was approved to the treatment of influenza, cough and respiratory tract infections caused by exopathic wind-heat, and a typical drug for heat-clearing and detoxifying. CONCLUSION The rapid HTA evaluation showed that Reduning injection has good safety, effectiveness and economy. The mechanisms of Reduning in antipyretic and anti-inflammatory, immune regulation and anti-virus suggest the rationality of Reduning in treating COVID-19, but drug monitoring should be done well in the use process.
GAO W, WANG S, CUI Z, et al. Reduning injection for community-acquired pneumonia:Meta-analysis[J]. China J Chin Mater Med(中国中药杂志), 2011, 36(24):3539-3543.
[2]
CHU X Y. The Meta analysis of Reduning Injection in the treatment of autumn diarrhea in children[J]. Strait Pharm J(海峡药学), 2012, 24(6):120-123.
[3]
SHAN Q G, TANG H X, WANG L P. The systematic evaluation of the treatment of hand-foot-and-mouth disease with Reduning and ribavirin[J]. Clin J Chin Med(中医临床研究), 2016, 8(19):12-15.
[4]
DANG J J, LV J, SUN M H, et al. Systematic review and Meta-analysis of effect of Reduning Injection in treating acute tracheal-bronchitis[J]. China J Chin Mater Med(中国中药杂志), 2019, 44(24):5294-5302.
[5]
DUAN X J, WU J R, WANG K X, et al. Meta-analysis of Reduning Injection in the treatment of acute exacerbation of chronic obstructive pulmonary disease[J]. Chin J Pharmacoepidemiol(药物流行病学杂志), 2018, 27(1):14-20.
[6]
FANG B X, CHEN F C, SHI X Y, et al. Systematic review of Reduning Injection on infantile rotaviral enteritis[J]. Mod J Integr Tradit Chin West Med(现代中西医结合杂志), 2011, 20(17):2086-2087,2090.
[7]
GAO W P, WANG S G, CUI Z, et al. Reduning Injection for community-acquired pneumonia:Meta-analysis[J]. China J Chin Mater Med(中国中药杂志), 2011, 36(24):3539-3543.
[8]
GU Z J, XU J X. Curative effect and safety of Reduning combined with leigh bhave lin in treatment of children with hand foot and mouth disease: a Meta-analysis[J]. Hubei J Tradit Chin Med(湖北中医杂志), 2016, 38(8):19-24.
[9]
GUO Z L, SU Z N, WANG Z F, et al. Meta-analysis of comparison of reduning Injection with ribavirin in children with acute upper respiratory tract infection[J]. Chin Tradit Pat Med(中成药), 2016, 38(2):278-283.
[10]
HU T X. Meta analysis of Reduning Injection in the treatment of viral pneumonia in children[J]. J Yangtze Univ (Nat Sci Edit)(长江大学学报:自科版), 2013, 10(18):87-90+82.
[11]
HUANG X Y, DUAN X J, WU J R, et al. Meta-analysis of Reduning Injection in treatment of community-acquired pneumonia[J]. Chin J Pharmacoepidemiol(药物流行病学杂志), 2018, 27(9):573-581.
[12]
JIANG C M. A Meta-analysis of Reduning Injection combined with antibiotics in the treatment of infantile bacterial pneumonia[J]. West China Med J(华西医学), 2014, 29(7):1279-1282.
[13]
LI J, OU M, XU S, et al. Efficacy and safety of Reduning Injection for the treatment of bronchiolitis:a systematic review[J]. Transl Med J(转化医学杂志), 2016, 5(2):106-111.
[14]
LI J, ZHAO M J, MAO S T, et al. The Meta analysis of the efficacy of Reduning combined with quinolones in the treatment of community acquired pneumonia[J]. Chin J Pract Intern Med(中国实用内科杂志), 2013, 33(5):398-399+413-414.
[15]
LI M J, WANG L X. Systematic review of efficacy of Reduning Injection and Ribavirin Injection in the treatment of children with hand, foot and mouth disease[J]. Eval Anal Drug Use Hosp China(中国医院用药评价与分析), 2020, 20(1):95-100.
[16]
LI T H. Meta analysis of Reduning and Xiyanping Injection for the treatment of acute upper respiratory tract infection[J]. Guide China Med(中国医药指南), 2019, 17(16):169-170.
[17]
LI Y, WEI W Q. Meta analysis of the effect of Reduning Injection on the treatment of upper respiratory tract infections[J]. Chin J Pharmacoepidemiol(药物流行病学杂志), 2010, 19(6):314-319.
[18]
LIANG Z R. Meta-analysis of therapeutic effect of Reduning Injection in treating children with hand-foot-and-mouth disease[J]. J Clin Med Lit(临床医药文献电子杂志), 2018, 5(53):167.
[19]
LUO Q H, LIANG J Z, GU Z J, et al. Reduning combining with azithromycin in treatment of mycoplasma pneumonia: a Meta-analysis[J]. J Liaoning Univ Tradit Chin Med(辽宁中医药大学学报), 2014, 16(3):69-72.
[20]
SHANG N, ZHANG Y B, ZHOU R B, et al. Meta analysis of Reduning Injection in the treatment of acute upper respiratory tract infection among adults[J]. China Med Her(中国医药导报), 2012, 9(22):159-161.
[21]
TAO J F, ZHANG T, SHI X Y, et al. Meta analyses of Reduning and Xiyanping Injection for the treatment of acute upper respiratory tract infection[J]. Western J Tradit Chin Med(西部中医药), 2015, 28(2):63-66.
[22]
WANG L, WANG S C. Meta-analysis of Reduning Injection in the treatment of hand-foot-mouth disease[J]. J Tradit Chin Med(中医杂志), 2016, 57(21):1838-1841.
[23]
WANG Q X, DUAN X J, WU J R, et al. Meta-analysis of Reduning Injection combined with azithromycin in the treatment of mycoplasma pneumoniae in children [J]. Chin J Pharmacoepidemiol(药物流行病学杂志), 2019, 28(3):143-150.
[24]
WANG T, XIONG F, TU X, et al. Meta analysis of efficacy and safety of Reduning Injection in treatment of hand-foot-mouth disease[J]. J Hubei Univ Nat(Med Ed)(湖北民族学院学报:医学版), 2016, 33(2):1-5+9.
[25]
WANG X, XU J, XU J, et al. Systematic review of Reduning Injection in treatment of hand-foot-mouth disease[J]. Chin J Exp Tradit Med Form(中国实验方剂学杂志), 2016, 22(19):171-176.
[26]
WANG Y H, SUN Y K, TANG Z. Meta-analysis on the clinical efficacy of Reduning Injection in treating with acute upper respiratory tract infection in children[J]. J Logist Univ PAP(Medical Sciencesp)(武警后勤学院学报:医学版), 2015, 24(1):24-27.
[27]
WEN J F, WANG Z X, LIU X K. Meta-analysis of Reduning Injection in the treatment of herpangina[J]. Eval Anal Drug Use Hosp China(中国医院用药评价与分析), 2012, 12(5):414-417.
[28]
XIA W H. Meta analysis of curative effect of Reduning Injection in the treatment of herpangina in children[J]. Chin Commun Doct(中国社区医师), 2016, 32(34):111+113.
[29]
XU C X, YAN J, REN B L. Meta analysis of Reduning combined with ribavirin in the treatment of hand-foot-and-mouth disease[C]. The 13th Jiangsu Zhejiang Shanghai Pediatric Academic Conference and 2016 Zhejiang Medical Association Pediatric Academic Annual Conference. Zhejiang, 2016:420.
[30]
XU J L, LIAN B T, LIANG Z R, et al. Meta-analysis of Reduning Injection in the treatment of children with bronchiolitis[J]. Chin Tradit Pat Med(中成药), 2016, 38(4):763-769.
[31]
XU J L, LIANG Z R, GUO Z L. A Meta analysis of infantile hand-foot-mouth disease treated with Reduning Injection in combination with ribavirin[J]. Henan Tradit Chin Med(河南中医), 2016, 36(7):1175-1179.
[32]
YAN M, LUO G W. Meta analysis of efficacy of Reduning Injection in treatment of acute exacerbation of chronic obstructive pulmonary disease[J]. Hubei J Tradit Chin Med(湖北中医杂志), 2015, 37(7):18-20.
[33]
ZHANG S L, YU Y, XIAO L. The systematic evaluation and meta analysis of high quality randomized controlled trials of Reduning Injection in the treatment of acute upper respiratory tract infection[J]. Hunan J Tradit Chin Med(湖南中医杂志), 2018, 34(3):128-132.
[34]
ZHANG X L, XU J H, YU D Z, et al. Meta analysis on the treating rotavirus enteritis by Reduning Injection in children[J]. Guid J Tradit Chin Med Pharm(中医药导报),2016, 22(11):99-103.
[35]
ZHONG H, YUAN H Y. Meta analysis of the effect of Reduning Injection on respiratory tract infection in children[J]. Asia-Pac Tradit Med(亚太传统医药), 2013, 9(4):141-145.
[36]
ZHOU S, ZHANG H W, HUANG J, et al. Meta analysis of the efficacy of Reduning Injection combined with ceftriaxone sodium in the treatment of acute pneumonia[J]. J Youjiang Med Univ Nat(右江民族医学院学报), 2019, 41(4):396-400.
[37]
GE W Q. The Meta analysis of the efficacy of Reduning combined with quinolones in the treatment of community acquired pneumonia[J]. Psychol Doctor(心理医生), 2016, 22(16):30-31.
[38]
YUAN H Y, HE M, MENG L. The Meta analysis of the effect of Reduning Injection on respiratory tract infection in children[C]. 2012 Jiangsu Pharmaceutical Conference. Jiangsu. 2012:386-390.
[39]
CUI C L. Cost minimization analysis of three kinds of traditional Chinese medicine injection in the treatment of acute upper respiratory tract infection[J]. China Hwalth Care Nutr(中国保健营养(中旬刊), 2014, 23(5):3124-3125.
[40]
DENG J. Social benefit and cost-effectiveness analysis of 2 traditional Chinese medicine injections on acute upper respiratory tract infection[J]. J Hunan Univ Chin Med(湖南中医药大学学报), 2017, 37(7):762-766.
[41]
DU Y. The comparison of efficacy and pharmacoeconomics of Yanhuning and Reduning in the treatment of bronchopneumonia in children[J]. Chin J Clin Rational Drug Use(临床合理用药杂志), 2017, 10(8):64-65.
[42]
LI X B. Cost-effectiveness analysis of three Chinese patent medicines in the assisted treatment of community-acquired pneumonia on the basis of levofloxacin[J]. Chin Pharm Aff(中国药事), 2018, 32(8):1155-1160.
[43]
WANG H. Clinical analysis of diagnosing fetal limb deformity with ultrasound screening[J]. J Math Med(数理医药学杂志), 2016, 29(5):692-694.
[44]
WANG J F, DENG F Y. Cost-effectiveness analysis of Reduning and Xiyanping for common type hand-foot-mouth disease[J]. Strait Pharm J(海峡药学), 2018, 30(8):32-34.
[45]
ZHENG H. Comparison of therapeutic effect and pharmacoeconomics of Xiyanping Injection and Reduning Injection on children with acute suppurative tonsillitis[J]. Asia-Pacitic Tradit Med(亚太传统医药), 2018, 14(8):188-189.
[46]
WANG T. Efficacy, safety and economic evaluation of two Chinese medicine injections in treatment of hand-foot-mouth disease [D]. Guangzhou:Guangzhou University of Chinese Medicine, 2017.
[47]
GUO Y Q. Comparative study on pharmacoeconomics of Yanhuning and Reduning in the treatment of bronchopneumonia in children[J]. China Health Care Nutr(中国保健营养), 2019, 29(2):62.
[48]
LI H B. Studies on pharmacodynamic material basis of Reduning Injection[D]. Nanjing:Nanjing University of Chinese Medicine, 2013.
[49]
REN W Y, SU J, LIU Y Q, et al. Analysis on diagnosis and treatment scheme of traditional Chinese medicine in treatment of COVID-19 in Chinese provinces and regions[J]. Chin Tradit Herb Drugs(中草药), 2020,51(5):1139-1146.
[50]
PANG L J, ZANG N Z, LIU C, et al. Anti-inflammatory and immunization properties of Reduning Injection in treatment of AECOPD with phlegm-heat stagnated in the lung syndrome[J]. World Sci Technol Mod Tradit Chin Med(世界科学技术-中医药现代化), 2015, 17(6):1225-1229.
[51]
ZHANG S, WANG H M, CHANG X J, et al. Study on antibacterial activity and immunomodulation effect of Reduning Injection[J]. World Sci Technol Mod Tradit Chin Med(世界科学技术-中医药现代化), 2015, 17(5):1056-1060.
[52]
CHANG X J, SUN X P, LI W, et al. Antipyretic effects of Reduning Injection on rabbits with fever induced by endogenous pyrogen and its mechanism[J]. Drugs & Clinic(现代药物与临床), 2015, 30(11):1307-1310.
[53]
ZHAO Z Y, HAN J, LI X W, et al. Effect of Reduning Injection on plasma cytokines and immune function in children with viral pneumonia[J]. Mod J Integr Tradit Chin West Med(现代中西医结合杂志), 2018, 27(5):476-479.
[54]
ZHANG X Z, XIAO W, XU X J, et al. Study on mechanism of the Reduning Injection on the influenza virus using network pharmacology method[J]. Acta Phys Chim Sin(物理化学学报), 2013, 29(7):1415-1420.
[55]
ZHANG X Z. Network Pharmacology-based Study on Mechanism of Redlining Injection for URTI[D]. Nanjing:Nanjing University of Chinese Medicine, 2013.
[56]
FENG G Z, ZHOU F, HUANG M, et al. Inhibitory effects of Reduning Injection on influenza virus FM1 in vitro[J]. Chin J New Drugs Clin Remed(中国新药与临床杂志), 2007, 26(9):663-667.
[57]
FENG G Z, ZHOU F, HUANG M, et al. Inhibitory effects of Reduning Injection on adenovirus type-3 in vitro[J]. Chin J New Drugs Clin Remed(中国新药与临床杂志), 2007, 26(8):573-577.
[58]
YANG L, XU J, LI J. Expert consensus on novel coronavirus pneumonia rational use of Chinese medicine[J/OL]. Beijing J Tradit Chin Med(北京中医药), 2020. http://kns.cnki.net/kcms/detail/11.5635.r.20200302.1603.002.html.
[59]
MA F, ZHANG Y P. Stability of Reduning Injection and its compatibility with cephalosporins[J]. Chin J New Drugs(中国新药杂志), 2011, 20(9):813-816.
[60]
KANG D Y, GENG T, DING G, et al. Research progress of clinical combination and drug interaction of Reduning Injection[J]. J China Pharm(中国药房), 2017, 28(2):276-279.
[61]
LIANG A H, YI Y, ZHANG Y S, et al. Pseudoallergic reactions of traditional Chinese medicine injections and the approaches for risk prevention and control[J]. Chin Pharm J(中国药学杂志), 2015, 50(15):1301-1308.