In my clinic, I can order Paxlovid, if symptoms onset≤5Ds但是,
But, we weren’t able to find a pharmacy in our area recently that had the medication… eventually we just saw less COVID and more flu;(Paxlovid is for outpatient use) ; 我不用Molnupiravir,一是副作用大二是效果不理想!
The FDA authorized the emergency use of PAXLOVID for the treatment of mild-to-moderate COVID-19 in adults and children [12 years of age and older weighing at least 88 pounds (40 kg)] with a positive test for the virus that causes COVID-19, and who are at high risk for progression to severe COVID-19, including hospitalization or death, under an EUA(FDA,2022)
就目前来说,my most patients admitted to hospital duo to other medical conditions, not covid caused hospitalization ! The more recent hospitalized patients with covid are non-COVID-19 admissions; 而且几乎无症状。抗病毒只在感染初期有点效果。
刚刚从日本方面传来的消息,有人中招了。
确诊后,有车来家里接走,被安排在隔离hotel,一大间的hotel被用来做新冠患者隔离用,每天有人来给量四次体温,血压和血氧。
医生给开了新冠特效药,是日本药厂自己研发上市的,日本好像没用辉瑞和莫克药厂的特效药。
5天用量。
我周围的人也在相继中招ing,隔离hotel的条件是不可能了,但我也没听说谁服用了特效药,基本在家隔离硬抗,抗不过了去医院。一个最悲催的,打完第3针后一周中标了,躺了三周基本恢复,第四周上班突然莫名眩晕摔倒了,手臂骨折了。
不是说有症状5天可以服用特效药吗?
有认识的人服用过特效药吗?效果如何,希望能分享一下。
https://www.merck.com/news/merck-and-ridgebacks-molnupiravir-an-oral-covid-19-antiviral-medicine-receives-first-authorization-in-the-world/
https://pj.jiho.jp/article/246032
But, we weren’t able to find a pharmacy in our area recently that had the medication… eventually we just saw less COVID and more flu;(Paxlovid is for outpatient use) ; 我不用Molnupiravir,一是副作用大二是效果不理想!
The FDA authorized the emergency use of PAXLOVID for the treatment of mild-to-moderate COVID-19 in adults and children [12 years of age and older weighing at least 88 pounds (40 kg)] with a positive test for the virus that causes COVID-19, and who are at high risk for progression to severe COVID-19, including hospitalization or death, under an EUA(FDA,2022)
https://www.covid19oralrx-patient.com/?gclid=EAIaIQobChMIy6PDipGw9QIV7hXUAR11AQP_EAAYASAAEgIsHfD_BwE&gclsrc=aw.ds
Therapeutic Management of Nonhospitalized Adults With COVID-19: https://www.covid19treatmentguidelines.nih.gov/management/clinical-management/nonhospitalized-adults--therapeutic-management/
就目前来说,my most patients admitted to hospital duo to other medical conditions, not covid caused hospitalization ! The more recent hospitalized patients with covid are non-COVID-19 admissions; 而且几乎无症状。抗病毒只在感染初期有点效果。
我建议我比较亲近的朋友,如果没有underlying disease/comorbidity with mild Covid symptoms, 除了症状管理外,建议低剂量抗血栓药如 aspirin; Vc抗氧自由基治疗剂量为2000mg(或者AirborneVc3-6 片/day),Ve为1000IU,平时保健剂量Vc 500mg & Ve 100mg。早期最好24-72小时内,可服用抗病毒药。适量补锌/Vd,强烈建议补锌,成人每天补到30毫克,小孩按安全剂量补。太轻症病人基本不需要用药,就能平安度过。平实保健抗炎症Turmeric 400-700 mg/BID (我平时保健用Krill oil & turmeric)。也可以保健补充probiotic/Kefir. Prone positioning 帮助有效呼吸。多饮水多休息。如果咳嗽厉害,咽喉疼痛,到PCP那儿开Azithromycin 预防secondary bacterial infection。
(服用泰诺(Tylenol), 布诺芬(ibuprofens)类的药物降烧,止痛(如果没有使用禁忌症)Robitussin or Mucinex for cough。
这是我们PCP关于Paxlovid 的:
身体里的很多疾病都和炎症有关, 我建议一叔多吃Krill oil & turmeric:) 尤其爱运动的人。
Krill oil can regulate inflammation, supporting cellular repair and internal defense systems.
The active ingredient in turmeric, curcumin, is a potent anti-inflammatory agent; 与 omega-3 fatty acids 一起吃,更容易被吸收。
A recent animal study shows that turmeric boosts the conversion of plant-based Omega-3s into DHA in the brain.
作为PCP,我给病人用药其实比较谨慎的, 除非必须用药治疗; OTC/lifestyle modifications, 以及diets可以帮助改变和解决的,就尽量减少用药。
之后日本的一个药厂愿意实验特效药,看来最后胳膊还是没拧过大腿。还是老东家莫克做东了。
你厉害,生病还能出去跑步
准备好,别怕,退烧药,含Zinc的维生素C(Costco 有卖),从疫情以来常备。我基本上不吃。
出去跑步的时候已经觉得好了不少,后来被大家劝,又slow down了一周。没啥,一个很亲近的朋友,六十左右,乳腺癌五年了,一家都得了,也恢复得很好,没人去医院。要得的话,趁着这波轻,倒不是坏事儿。