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)

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：

 

 

 

所有跟帖： 

• 丫医生多写点非处方处理的方法，credit比我高很多，可以帮助很多人 -firstuncle- ♂ (0 bytes) () 03/17/2022 postreply 16:16:37

• 嘿, 身体里的很多疾病都和炎症有关, 我建议一叔适当补充Krill oil & turmeric, -丑小丫丫- ♀ (867 bytes) () 03/17/2022 postreply 17:50:46

• 做一个奔跑的多巴胺，可以极大的降低减少用药机会；-） -polebear- ♀ (0 bytes) () 03/17/2022 postreply 18:05:28

• 谢谢丫丫医生，看来非处方药类的补充，大家已经有了共识，确实这个新药也在观察阶段，而且不是高危人群，不服用也避免副作用 -核桃小丸子- ♀ (0 bytes) () 03/17/2022 postreply 18:33:02