Sex-Related Differences in the Pharmacological Response in SARS-CoV-2 Infection, Dyslipidemia, and Diabetes Mellitus: A Narrative Review

    June 2023 in “ Pharmaceuticals
    Adelina Lombrea, Mirabela Romanescu, Narcisa Jianu, Minodora Andor, Maria Suciu, Dana Emilia Man, Corina Danciu, Cristina Dehelean, Valentina Buda
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    TLDR Men and women respond differently to drugs for COVID-19, high cholesterol, and diabetes, which suggests a need for personalized treatments.
    The narrative review discusses sex-related differences in pharmacological responses in SARS-CoV-2 infection, dyslipidemia, and diabetes mellitus. It suggests that men may have more severe SARS-CoV-2 infections and respond better to genomic vaccinations, while women may respond better to antiviral medications like remdesivir. In dyslipidemia, women tend to have higher HDL-C and lower LDL-C levels, and may need lower statin dosages for equal LDL-C reductions. In diabetes, women may have a higher risk of complications like diabetic retinopathy and neuropathy, despite lower rates of cardiovascular disease. They may respond better to oral hypoglycemic medications like metformin. The review concludes that sex-related differences in pharmacological response exist in these conditions, and further research is needed for personalized treatment strategies.
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