What Is Maraviroc and Pravastatin?
Maraviroc is a medication originally made to treat HIV by blocking the CCR5 receptor, which the virus uses to infect immune cells. Beyond HIV, maraviroc has been investigated for its potential to modulate immune function and reduce inflammation. Researchers are now exploring its effectiveness in treating long COVID, particularly in combination with pravastatin (a cholesterol-lowering drug that also has anti-inflammatory effects), due to its ability to regulate immune response and vascular inflammation.


How Maraviroc and Pravastatin May Help for Long COVID
- Modulating the Immune System: Long COVID can cause an imbalance in immune cells, leading to ongoing inflammation and persistent symptoms. Maraviroc helps by blocking CCR5, a receptor involved in immune cell movement, reducing excessive immune activity and restoring balance.
- Anti-Inflammatory Effects: Pravastatin reduces inflammation by affecting the fractalkine (CX3CL1) pathway, which helps control how immune cells move through blood vessels. By lowering fractalkine levels, pravastatin decreases inflammation, improves circulation, and may help with symptoms like brain fog and fatigue.
What the Research Says
Recent studies have explored the combination of maraviroc and pravastatin as a potential treatment for long COVID. Clinical evidence suggests this combination may provide significant symptom relief.


Key Scientific Literature on Maraviroc for Long COVID
Studies showing positive effect:
- A case series involving 18 long COVID patients treated with maraviroc and pravastatin reported significant symptom improvements within 6–12 weeks. Patients experienced relief from neurological, autonomic, respiratory, cardiac, and fatigue-related symptoms. Additionally, vascular inflammation markers (sCD40L, VEGF) were significantly reduced.
- Another study examined 18 long COVID patients who received maraviroc and pravastatin. The study found significant symptom improvement across multiple domains, including neurological, autonomic, respiratory, and cardiovascular health. Additionally, it showed notable reductions in inflammatory markers such as sCD40L and VEGF, suggesting that maraviroc helps regulate immune function and reduce vascular inflammation.
Final Thoughts
Maraviroc, particularly in combination with pravastatin, is emerging as a promising treatment for long COVID. By targeting immune dysregulation and vascular inflammation, it may provide relief for patients experiencing persistent symptoms. While early research is encouraging, larger clinical trials are needed to confirm these findings. If you are considering maraviroc for long COVID, a medical professional is necessary to oversee this prescription treatment.
