Drug intelligence / Profile preview

fluvoxamine + metformin

Development stage
Phase 3
Modality
Small Molecules
Administration
Oral
01

Overview

Fluvoxamine + metformin is a combination of two repurposed drugs that has been studied for COVID-19 treatment. Fluvoxamine is a selective serotonin reuptake inhibitor (SSRI) used to treat obsessive-compulsive disorder and depression, while metformin is a medication for type 2 diabetes. This combination was investigated in clinical trials, particularly the COVID-OUT trial, as a potential treatment to prevent severe COVID-19 outcomes and Long COVID. The metformin dose used in trials was typically titrated over 6 days to 1500 mg per day for 14 days, while fluvoxamine was administered at 50 mg twice daily for 14 days.

02

Targets

AMPK (Adenosine monophosphate–activated protein kinase)ND1 (Mitochondrial electron transport chain complex I)PEN2–ATP6AP1–v-ATPase (Presenilin enhancer 2–ATP6AP1–vacuolar-type H+-ATPase complex)SERT (Sodium-dependent serotonin transporter)

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