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Comment by comicjk

Molnupiravir is special in that it works by making viral replication more error-prone, with so many mutations that the virus cannot reproduce at all. If a virus manages to replicate anyway, it may do so with more mutations than normal, and this could theoretically increase the chance of a new variant arising.

Paxlovid's mechanism doesn't involve inducing mutations, so it doesn't have this concern. It's a protease inhibitor, blocking the virus's ability to break down proteins. Viruses can still develop resistance to this class of drugs, but only using their natural mutation rate.

parent comicjk 3 years ago

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