最新回复：2023年1月20日 22点49分 PT
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听给你家老人开处方的医生的。 这里有些医生的讨论 Conversely,
Robert Wachter, chair of the Department of Medicine at the University of California
, San Francisco, speculated that giving Paxlovid early may not give the immune system enough time to ramp up and prepare itself for when the drug tapers off, which he worries may increase the risk of a rebound. (There is no research yet to demonstrate this is the case.) “For someone that I think of as being a borderline candidate, I would say the majority outcome is — if it’s on day one or two — is let’s wait three. … We have till day five to take this,” said Wachter. “
Let’s wait until day four and see how you’re doing and if you’re feeling well, don’t take it. If you’re still feeling really bad, then it’s reasonable to take it.” Of Wachter’s patients who followed his advice, some did end up taking the drug. But for “the majority of people,” symptoms were minimal by day three and Paxlovid was not necessary.
he’d follow the same advice he gives patients. “I’m 64, I’ve had two boosters — two vaccines and two boosters,” said Wachter. “I think if I got Covid today, I would still take Paxlovid. And would I wait a day or two?
I wouldn’t rush to get it on day one. I might wait for day two or three.”
But other physicians disagree about waiting
. The first and largest study of Paxlovid treated patients within three days of their experiencing symptoms, so the five days in the emergency authorization already offers leeway, they say, that isn’t as well-supported by the scientific evidence. “
Our knowledge is greater about early use than late use. So that kind of ‘let’s see how you do’ doesn’t really make sense to me except in people in whom you don’t think they need Paxlovid,”
Cohen, the UNC-Chapel Hill physician
. Cohen said he and colleagues in his practice prescribe as soon as possible to patients who they believe need Paxlovid.讨论来自2022年7月7号新闻 Doctors are clamoring for more clarity on Paxlovid prescribing (statnews.com) statnews.com/2022/07/07/paxlovid-prescribing-covid19-rebounds-data/
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