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An essential line of defence in a global living-with-COVID-19 policy is formed by
effective therapeutic strategies for vulnerable patients,1 many of whom are excluded
from treatment with nirmatrelvir–ritonavir (sold as Paxlovid, Pfizer) by virtue of
their comorbidities or interacting medications. Preliminary data suggest that monoclonal
antibodies (mAbs) is highly effective for these groups,2 and WHO, in its Therapeutics
and COVID-19: Living Guideline,3 has previously conditionally recommended the use
of sotrovimab (sold as Xevudy, Vir Biotechnology and GlaxoSmithKline) or casirivimab–imdevimab
(sold as Ronapreve, Regeneron) for people at high risk of hospitalisation.

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