The SARS-CoV-2 COVID-19 pandemic has emerged as an unprecedented emergency state in healthcare system and global challenge. In recent decade, the function of exogenous H 2 S in the treatment of respiratory diseases has been investigated using H 2 S-donor agents. Ferula foetida is a medicinal plant that is traditionally used in respiratory diseases including asthma and viral respiratory diseases. The oleo-gum of this plant is a rich source of several organic sulfides including thiophenes, disulfides and polysulfide derivatives, which can act as H 2 S-donor agents. The purpose of this study was to investigate the efficacy of Covexir ® (F. foetida oleo-gum) treatment as a rich source of H 2 S-donor compounds in clinical presentations of patients with COVID-19.The efficacy of Covexir ® was evaluated in a randomized, double-blind, placebocontrolled trial in outpatients with COVID-19. Covexir ® could significantly inhibit cough when compared to the placebo group (p < .01 and p < 001, respectively).Moreover, there was a significant difference (p < 001) between the two groups in dyspnea symptom at follow-up interval of 7 day after receiving Covexir ® . Furthermore, on days 3 and 7, statistically significant differences were observed in myalgia, anorexia, anosmia, and sense of taste severity between two groups. Our findings revealed that Covexir ® was very safe in the treatment of COVID-19 patients with mild to moderate symptoms and it can be recommended to improve clinical presentations of patients with COVID-19 such as cough, shortness of breath, myalgia, anorexia, anosmia, and sense of taste.