Introduction 3. The effects of vaccines on the COVID-19 pandemic 4. Drug based concepts for the prevention of COVID-19 4.1 Factors contributing to variable susceptibility to SARS-CoV-2 infection 4.2 Drug based examples of prevention targets against COVID-19 infection 5. Drug targeting based theory and methods against SARS-CoV-2 6. Examples of drugs that are widely used in COVID-19 patients 7. Examples of drugs that could be used in COVID-19 8. Pharmacological and toxicological aspects of drugs against COVID-19 9. New developments affecting multi-level drug targeting strategies against COVID-19 10. Conclusions 11. Author contributions 12. Ethics approval and consent to participate 13. Acknowledgment 14. Funding 15. Conflict of interest 16. References Abbreviations: ACE2, angiotensin converting enzyme 2; ARDS, acute respiratory distress syndrome; EMA, European medicines agency; FDA, food and drug admin-istration; FIASMA, inhibitors of acid sphingomyelinase; GM-CSF, granulocyte-macrophage colony-stimulating fac-tor; COVID-19, coronavirus disease 2019; IL, interleukin, e.g., IL-1, IL-6, IL-8; iv, intravenous; IND, investigational new drugs; LDH, lactate dehydrogenase; LMWH, low molecular weight heparin; MERS-CoV, Middle East Respiratory Syndrome coronavirus; p.o., oral administration; QALY, quality-adjusted life years; SARS-CoV-1, severe acute respiratory syndrome coronavirus 1; SARS-CoV-2, severe acute respiratory syndrome coronavirus 2; sc, sub-cutaneous; TMPRSS2, transmembrane protease serine 2; WHO, world health organization.