In my clinic, I can order Paxlovid, if symptoms onset≤5Ds但是,

本帖于 2022-03-17 17:52:14 时间, 由普通用户 丑小丫丫 编辑

 

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 /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:

 

 

 

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