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US regulator authorises Merck’s Covid pill
The Merck logo is seen at a gate to the Merck & Co campus in Rahway, New Jersey July 12, 2018. u00e2u20acu201d Reuters pic

WASHINGTON, Dec 23 — The US Food and Drug Administration (FDA) today authorised Merck’s Covid pill for high-risk adults, a day after giving the green light to a similar pill by Pfizer.

"Today’s authorisation provides an additional treatment option against the Covid-19 virus in the form of a pill that can be taken orally,” said FDA scientist Patrizia Cavazzoni.

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The pill developed by Merck, which is known as MSD outside the US and Canada, is taken within five days of symptom onset and has been shown to reduce Covid hospitalisations and deaths by 30 per cent among at-risk people.

Pfizer’s pill reduced the same outcomes by 90 per cent.

The FDA stressed in its statement that both the Pfizer and Merck pills should complement, rather than replace vaccines, that remain the frontline tool in the fight against the coronavirus.

While both treatments were found to be generally safe in clinical trials, more potential concerns have been raised about Merck’s pill, called molnupiravir.

The FDA has not authorised Merck’s pill for people under 18 because it may affect bone and cartilage growth.

It is not recommended for use in pregnant women because of the potential fetal harm, but doctors can still decide if the benefits outweigh the risks in individual cases.

Eight capsules of molnupiravir are taken orally for five days, for a total of 40 capsules.

The US has paid for 3.1 million courses of Merck’s treatment, and 10 million courses of Pfizer’s.

Molnupiravir works by incorporating itself into the genome of the virus, causing mutations that prevent viral replication. — AFP

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