Tamiflu-What we Know About its Ups and Downs
Tamiflu-What we Know About its Ups and Downs
Josef D. Jarhult1, 2
ABSTRACT
The pros and cons of the anti-influenza drug oseltamivir (Tamiflu®) have been intensely debated lately. This article aims to sum up what is known about positive and negative effects of the drug. The available data suggests that oseltamivir treatment of uncomplicated influenza in otherwise healthy patients shortens influenza symptoms with approximately 24 hours, and increases nausea and vomiting by 3-5%. Whether oseltamivir treatment has an effect on the frequency of influenza complications or not remains controversial. Oseltamivir is still standard as prophylaxis, treatment of severely ill patients and patients with risk factors for severe influenza disease as well as an important part of pandemic preparedness plans. Resistance development is a potential problem both in treated humans and in the environment. The use of oseltamivir for treatment of uncomplicated influenza in otherwise healthy patients should be questioned.
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