Efficacy and safety of Andrographis paniculata for the treatment of mild COVID -19 infection

Authors

  • อดิศักดิ์ ถมอุดทา Mahasarakham Hospital
  • อดิศักดิ์ ถมอุดทา
  • Kritsanee Saramunee Faculty of Pharmacy Mahasarakham University
  • Siriporn Rachramkeaw Mahasarakham Hospital
  • Pratomporn Matvises Mahasarakham Hospital
  • Jeerisuda Khumsikiew Faculty of Pharmaceutical Sciences, Ubon Ratchathani University
  • Panuwat Napinkul Mahasarakham Hospital
  • Charanya Churari Mahasarakham Hospital

Keywords:

effectiveness, safety, Andrographis paniculata, andrographolide, COVID-19

Abstract

Objective : A study was conducted to investigate the effectiveness and safety of Andrographis

paniculata in treating patients with COVID-19. Patients received a daily dose of 84 mg of

andrographolide in capsule form.

Methods : This quasi-experimental study, conducted from June 2021 to December 2022,

involved 145 COVID-19 patients. They were given A. paniculata capsules, each containing 350

mg of andrographolide, at a dosage of 7 mg per capsule. The prescribed regimen was 4

capsules taken three times a day before meals over a period of 5 days. Clinical symptoms

were monitored using a visual analog scale, adverse drug reactions were recorded, and medication adherence was assessed through follow-up frequency. Effectiveness was

evaluated on days 1, 3, 6, and 14 by measuring the total score of 12 symptoms.

Results : The study demonstrated a statistically significant decrease in the total score of COVID-19 symptoms from day 3 onwards. Patients with asymptomatic and mild symptoms showed improvements of 14.48% and 84.83%, respectively. Significant reductions were observed in the number of patients experiencing fever, sore throat, difficulty breathing, headache, and muscle pain by the 3rd day of treatment. After 14 days, 67.59% of patients had recovered, with an average treatment duration of 10.32 ± 6.77 days. Notably, 98.62% of patients reported no side effects from A. paniculata.

Conclusion : A. paniculata in capsule form, with a daily dosage of 84 mg of andrographolide,

has proven to be effective and safe for treating COVID-19. The recommended duration of

treatment is 5 days. It is crucial to note that the typical daily dosage range for andrographolide in treating COVID-19 is between 60 and 180 mg.

Keywords : effectiveness, safety, Andrographis paniculata, andrographolide, COVID-19

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Published

2023-12-25

How to Cite

ถมอุดทา อ., ถมอุดทา อ., Saramunee, K. ., Rachramkeaw, S. ., Matvises, P. ., Khumsikiew, J. ., Napinkul, P. ., & Churari, C. . (2023). Efficacy and safety of Andrographis paniculata for the treatment of mild COVID -19 infection. Mahasarakham Hospital Journal, 20(3), 220–235. retrieved from https://he02.tci-thaijo.org/index.php/MKHJ/article/view/265487