Hydroxychloroquine and Azithromycin in Treating Emerging Viral Infections: Efficacy, Safety, and Mechanisms in Monkeypox and Influenza A (H5N1)

Authors

  • Mustapha Abdulsalam Department of Microbiology, Skyline University, Nigeria https://orcid.org/0000-0001-7969-0822
  • Musa Ojeba Innocent Department of Microbiology, Skyline University, Nigeria
  • Miracle Uwa Livinus Department of Biochemistry, Skyline University, Nigeria
  • Fatimoh Abdulsalam Danjuma Ministry of National Guard Hospital, Saudi Arabia
  • Idowu Afeez Temitope Department of Medicinal Research, Kaohsiung Medical University Hospital, Taiwan
  • Ishola Jonathan Adekunle Department of Public Health, Obafemi Awolowo University, Ile-Ife, Nigeria

DOI:

https://doi.org/10.55006/biolsciences.2025.5105

Keywords:

Hydroxychloroquine, Azithromycin, Emerging infections, Antiviral therapy, Randomized controlled trials

Abstract

Due to their antiviral and immunomodulatory properties, hydroxychloroquine and azithromycin have gained attention as potential treatments for emerging viral infections, including monkeypox and Influenza A. Hydroxychloroquine has demonstrated in vitro efficacy in inhibiting viral replication, while azithromycin is primarily used as an antibiotic but has shown some promise in modulating inflammation and treating secondary infections. However, clinical evidence supporting the use of these drugs for emerging infections remains inconclusive, with existing studies often yielding mixed results. The lack of large-scale randomized controlled trials (RCTs) and long-term safety data further complicates their use in treating novel viral pathogens. This review highlights the need for comprehensive clinical trials to assess the efficacy, safety, and mechanisms of action of hydroxychloroquine and azithromycin in the treatment of emerging infections. Furthermore, it emphasizes the importance of long-term monitoring to better understand the adverse effects and the potential benefits of these drugs, particularly in high-risk populations. Future research should focus on combination therapy studies and comparative trials with other antiviral treatments to establish more effective therapeutic strategies for new viral threats.

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Author Biography

Mustapha Abdulsalam, Department of Microbiology, Skyline University, Nigeria

*Corresponding Author

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Published

17-03-2025
CITATION

How to Cite

Abdulsalam, M., Innocent, M. O., Livinus, M. U., Danjuma, F. A., Temitope, I. A., & Adekunle, I. J. (2025). Hydroxychloroquine and Azithromycin in Treating Emerging Viral Infections: Efficacy, Safety, and Mechanisms in Monkeypox and Influenza A (H5N1). Biological Sciences, 5(1), 865–877. https://doi.org/10.55006/biolsciences.2025.5105

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