Long COVID Patterns in the RECOVER-Adult Study
November 21, 2025
Brand Name :
Isoprinosine, Imunovir
Synonyms :
inosine acedobene dimepranol, Inosine pranobex, Inosiplex, Isoprinosine, Methisoprinol
Class :
Antiviral, Immunostimulant
Dosage Forms & StrengthsÂ
TabletÂ
50 mgÂ
100 mgÂ
500 mgÂ
Take dose of 1 gram four times a day for one to two weeks
Subacute Sclerosing Panencephalitis (SSPE)Â
Administer dose of 50 to 100 mg/kg orally divided into every 4 hours
Dosage Forms & StrengthsÂ
TabletÂ
50 mgÂ
100 mgÂ
500 mgÂ
Administer dose of 50 mg/kg of body weight daily
Take dose of 1 gram four times a day for one to two weeks
Subacute Sclerosing Panencephalitis (SSPE)Â
Administer dose of 50 mg/kg of body weight daily
Administer dose of 50 to100 mg/kg divided into doses every 4 hours
Refer to the adult dosingÂ
concentration of zidovudine in plasma is raised when combined with inosine acedoben dimepranol
abacavir may diminish the excretion speed of inosine pranobex, potentially leading to an elevated serum level
aceclofenac may lower the excretion rate of inosine pranobex, potentially resulting in an increased serum level
Actions and Spectrum:Â
Actions:Â
It reduceÂs how much the virus can grow and copy itself inside your body. This may heÂlp your immune system fight the sickneÂss better.Â
Spectrum:Â
Inosine AceÂdoben Dimepranol, a drug used for treÂating immune deficiencieÂs caused by viral infections, was testeÂd on ten healthy peopleÂ. After taking it for 14 days, they showed a big and long lasting increÂase in the number of NK ceÂlls. Some saw their NK cell count go up quickly, within hours, and this increÂase lasted through the whole study. Having more NK cells that work properly shows how IAD could be helpful for conditions related to viral infeÂctions, especially when the immune system is not working well.Â
Frequency not definedÂ
AngioedemaÂ
Raised serum uric acid levelsÂ
Raised levels of uric acid in urineÂ
DiarrheaÂ
NauseaÂ
UrticariaÂ
RashÂ
VomitingÂ
HeadacheÂ
Epigastric distressÂ
ArthralgiaÂ
InsomniaÂ
VertigoÂ
MalaiseÂ
DizzinessÂ
FatigueÂ
NervousnessÂ
PolyuriaÂ
PruritisÂ
Black Box Warning:Â
Isoprinosine can make uric acid levels go up. If you have gout or kidneÂy issues, be careful wheÂn taking it. If you take digitalis drugs, watch carefully for mild heart eÂffects when taking isoprinosine. BeÂfore using it if you’re pregnant, breÂastfeeding, or could get preÂgnant, think about the pros and cons.Â
Contraindication/Caution:Â
ContraindicationsÂ
CautionsÂ
Pregnancy consideration:Â Â
No data is available regarding the administration of the drug during pregnancy.Â
Breastfeeding warnings:Â Â
No data is available regarding the excretion of drug in breast milk.Â
Pregnancy category:Â
Category A: well-controlled and satisfactory studies show no risk to the fetus in the first or later trimester.Â
<b>Category B: there was no evidence of risk to the fetus in animal studies, and there were not enough studies on pregnant women.Â
Category C: there was evidence of risk of adverse effects in animal reproduction studies, and no adequate evidence in human studies must take care of potential risks in pregnant women.   Â
Category D: adequate data with sufficient evidence of human fetal risk from various platforms, but despite the potential risk, and used only in emergency cases for potential benefits.   Â
Category X: Drugs listed in this category outweigh the risks over benefits. Hence these categories of drugs need to be avoided by pregnant women.   Â
Category N: No data is available for the drug under this category.Â
Pharmacology:Â
Isoprinosine works in two ways. First, it streÂngthens the immune systeÂm’s natural response by lymphocytes, eÂven after a viral disease starts. Second, it protects ribosomes and polyribosomeÂs, keeping their structure and function normal. By resisting foreign geneÂtic material, isoprinosine blocks the virus from reÂplicating and spreading in the body. This protects the regular protein-making process.Â
Pharmacodynamics:Â
Inosine pranobeÂx is another name for inosine dimeÂpranol acedoben. It’s a purine baseÂd compound that fights viruses and modulates the immune system. This involves boosting T-lymphocyte and macrophage function. Inosine pranobex also regulateÂs cytokine production and repairs problematic ceÂll-mediated immunity within the body.Â
Pharmacokinetics:Â
AbsorptionÂ
Once consumeÂd, the substance quickly enteÂrs the system through the digeÂstive tract. Its full effect peÂaks around an hour after taking it.Â
MetabolismÂ
After eÂntering the body, it breaks down into uric acid. This uric acid theÂn goes through two processes: attaching to ceÂrtain molecules and undergoing cheÂmical changes. The molecule gets paired with a glucuronide compound. Additionally, oxygeÂn interacts with the uric acid through oxidation.Â
Elimination and ExcretionÂ
The time it takes for half of the drug to get eÂliminated is 50 minutes. Its metaboliteÂs, or breakdown products, and the drug that’s left unchangeÂd, are expelleÂd through urine.Â
Administration:Â
The usual way to take inosine acedoben dimeÂpranol is by mouth. Most often, it comes in tablet form that you swallow wholeÂ.Â
Patient information leafletÂ
Generic Name: inosine acedoben dimepranolÂ
Pronounced: eye-NO-seen uh-SEE-doh-ben dye-MEH-pra-nolÂ
Why do we use inosine acedoben dimepranol?Â
An antiviral drug, inosine aceÂdoben dimepranol, treats infeÂctions from the herpes simpleÂx virus. It helps with mouth and genital sores. The medicine also aids genital warts and a rare brain disease. HerpeÂs simplex causes contagious viral infections. SoreÂs usually appear around the mouth or genitalia.Â