dr a k chaurasia Profile picture
MD MEDICINE #akcomicron #mytakeonvaccines #mytakeoncovid19 #akcgenomics #akcthirdwave #akcdengue #akcextraterresterial #US_POLLS24 #takeoftheday #aapkikhatir

Oct 7, 2020, 10 tweets

MY "LONG COVID PROTOCOL" DRUGS

*SPIRONOLACTON+FRUSEMIDE
*DEFLAZACORT/DEXAMETHASONE
*FAMOTIDINE
*INDOMETHACIN/ETORICOXIB
*CYPROHEPTADINE
*DIACEREIN
*HCQ/IVM
*N-ACETYLCYSTINE
*METOPROLOL/IVABRADINE(occasionally)
#mytakeoncovid19

MY "LONG COVID PROTOCOL" DRUGS - 2
(neurological)

*MODAFINIL
*FLUOXETINE
*L-DOPA
*CLONAZEPAM
*CORTICOSTEROIDS
*PREGABALINE/NORTRIPTYLINE
*CITICOLINE
#mytakeoncovid19

MY "LONG COVID PROTOCOL" - 3
(TREATMENT STRATEGIES)

*after 30 days, inflammatory mediators are subsided
*anatomical/physiological insults to organs is persisting
*organ specific injuries are treated accordingly (irrespective of original disease process)
1/1

1/2
*with delayed/improper treatment some residual deficit is expected in organs and some prolonged neurological deficit may be expected.

yes dear, my take is that these are reversible. even in 6-7 months old cases, 90% recovery is expected. just treat it like diabetic neuropathy.

*long haulers are neurological symptoms, equivalent to toxic/metabolic neuropathy
*rarely, delayed/poorly treated, may be irreversible

PULSE THERAPY IN COVID DISEASE?
acute viral phase

*i recommend an antiviral treatment, 10-14 days
*using pulse therapy, one week each
*PULSE 1- HCQ+AZM+FEVIPIRAVIR
2- IVM+DOXY+ARTEMISIN

DIPYRIDAMOLE AND PENTOXYPHYLLINE
petoxyphylline is still my favourite, but now a day nobody use it so not available easily.
next to dipyridamole, it was my second choice in covid.

ACUTE COVID, FIRST LINE TREATMENT SCEDULE

1. IVM+DOXY+AMBROXOL-NAC+ACECLO-PARA-BROMELIN+RABEPRAZOL+CEFIXIM-CLAV

2. HCQ+AZM+AMBROX-NAC+ACECLO-PARA-BROM+RABEPRAZOL+CEFIXIM-CLAV

3.
HCQ+FAVIPIRAVIR+AMBROX-NAC+ACECLO-PARA-BROM+RABEPRAZOL+CEFIXIM-CLAV

from archive

TO REDUCE/BREAK TRANSMISSION OF VIRUS

*mass chemoprophylaxis is key
*prophylaxis need not be 100%.partial prophylaxis is equally effective ~40-60%
*prophylaxis with sub-therapeutic dosage do contribute in cutting down transmission
*reducing fatalities is indicator
*any antiviral

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