While India is swinging under the second wave of Covid-19 infections, many people who have tested positive for coronary heart disease are isolating themselves at home. With the states trying to grow testing and hospital infrastructure, asymptomatic or not very critical patients were advised to quarantine and take precautions at home.
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India’s total count has exceeded 15.5 million and the active case number is 2,031,977. On Tuesday, Prime Minister Narendra Modi condoled the deaths of those who died from the virus, and said: “The challenge is huge, we must overcome it together with determination, courage and preparation.”
While the government has decided to expand its immunization program and vaccinate all citizens over the age of 18, it shared the suggestions of Dr. CS Pramesh, director of Tata Memorial Hospital, on what medications to take if someone tested Covid-19 positive.
Here’s a look at Dr. CS Pramesh’s advice
What medications definitely help in Covid-19?
Unfortunately, very few. What certainly works are proning and oxygen (when saturation is low), and steroids (Dexamethasone) for moderate to severe illness
What medications should you take if you have Covid-19?
* If your oxygen saturation is good and you have other symptoms besides fever, you only need Paracetamol
* There is some data that inhaling Budesonide helps you heal faster, but no difficult endpoints like reduced mortality
* There is no evidence to suggest that anything is helpful – including favipiravir / ivermectin. Don’t waste your time desperately trying to get them
What about Remdesivir, Tocilizumab and Convalescent Plasma?
* Remdesivir does not work in all patients, probably a small subgroup of those who need oxygen, but not sick enough that they need ventilation. And even here, it doesn’t reduce mortality, it probably helps early recovery
* Tocilizumab also helps only in very specific subgroups – those that require rapidly increasing oxygen levels or rapidly impair respiratory parameters,
* There is even less evidence to support the use of Convalescent Plasma for Covid-19. Almost all the studies done so far have shown that it is not useful
* Please allow your doctor to decide when Remdesivir / Tocilizumab is needed. There are very limited situations when they are useful and please do not pressure the doctors to prescribe it – much of the lack today is due to unnecessary prescriptions.