In all COVID patients, hospitalized and non hospitalized the therapeutic focus should be to reduce inflammation. The focus must be done early. The goal is to reduce the overwhelming inflammatory response by COVID and to reduce the possibility of hyper coagulable
I believe we have learned this over the last year . There have been reports of using certain vitamins and supplements to reduce inflammation. For the treatment of a low oxygen we have utilized nasal canula oxygen. As physicians we must increase flow limits and use the prone position of the patient. Hopefully avoid early intubation and only intubate if patient demonstrates excessive work of breathing
I have utilized Ascorbic acid 1000 mg every 6 hours ( IV if possible in mega doses - if in hospital) , thiamine, vitamin D, melatonin 5-20 mg at night, and zinc 75- 100 mg . Over the counter famotidine ( pepcid) has been used at 40-80 mg twice a day.
Medications used in the hospital include ivermectin, atorvastin ( lipitor) anti androgen therapy ( in men only) IV steroids, and even plasma exchange
As you know we are in the midst of rising cases in unvaccinated individuals, and in patients who have been vaccinated ( mainly with Pfizer- in January to March 2021) Please be careful
Until tomorrow…