WHY A VIRAL DISEASE NEEDS TO BE TREATED WITH NEUROPSYCHIATRIC OR ANTI-INFLAMMATORY DRUGS ?
gaba agonists and sigma agonists taking upper hand in covid treatment #mytakeoncovid19
*AS VIRAL GENOME TARGETING ANTIVIRAL, where very high dosage are required to stop viral replication directly(practically difficult)
800-1600mcg/kg body wt/day
*AS HOST DIRECTED ANTIVIRAL, which is very effective,safe and clinically used
150-250 mcg/kg wt/day
after rupture of(by virus) a cell, a number of intracellular products come into interstitial space and intravascular compartment
these induce intense inflammatory and immunogenic reaction,forming many toxins and short lived autoantibodies
interacting to clotting mechanism or else
THE LATENT VIRUSES
is coV2 is capable of going into latency?
"In latent infection, full viral genome is retained in host cell, but its expression is dramatically restricted, such that few viral antigens and no viral particles are produced" ncbi.nlm.nih.gov/pmc/articles/P…
TOXIC NEUROPATHY/ENCEPHALOPATHY IN LONG COVID
a sub-thread of long covid protocols
FEW OBSERVATIONS OVER A YEAR IN PANDEMIC
*CONFIRMED THAT HCQ/IVM ARE DOING WONDERS IN COVID
*BOTH HAVE TREMENDOUS SAFETY MARGINS
*SAFETY MARGINS OF IVM PERMITS US TO INCREASE DOSAGE NEARING INHIBITARY CONCENTRATIONS IC-50, 400mcg/kg body wt/day @Covid19Critical @Covid19Crusher
IVERMECTIN PROPHYLAXIS FOR COVID19
IVERMECTIN 12 mg weekly for 3 months
(ivermectine 200 mcg/per kg body wt/weekly)
HYDROXYCHLOROQUINE PROPHYLAXIS FOR COVID19
HCQ- 400 mg weekly for 6 months
(can be extended if needed)
SPIRONOLACTONE IN COVID DISEASE
"spironolactone may concurrently mitigate abnormal ACE2 expression"
IVERMECTIN IN INDIA- OBSERVATIONS FROM PAST
"This was no small move.Were it a country,U.P.’s more than 230 million citizens would rank it fifth worldwide. As India’s largest state,its embrace of ivermectin may have changed treatment landscape across India" trialsitenews.com/the-war-on-mis…
TREAT COVID, LIKE FLU
(treat every cough with flu formulations)
this new covid wave needs entirely different strategy to mitigate it.
outline,
*no lockdown
*no compulsory tests requirements
*mass motivation of covid prophylaxis
*treat every cough fever like flu with,
1)IVM+
2)AMOXY/CLAV+
3)IBU/PARA+
4)FEXOFENADINE/MONTELUKAST
5)FAMOTIDIN
THE SECOND WAVE, NEW STRAINS AND MY WORKSHEET
*virus is attacking abruptly
*giving no time for investigation
*we have treatment already, use it now
STATE OF JHARKHAND, INDIA,
ALLOWS IVM+DOXY IN EVERY CASE OF RESPIRATORY INFECTION
treat every case of flu, AS COVID
KILLING A DRUG BY UNDERMINING TRIALS
*nitazox, a drug with IC-50 at dosage 800 mg twice daily
*conducting trials, using 300mg bid
*is not enough, to kill it in first hand? prnewswire.com/news-releases/…
PRE AND POST EXPOSURE PROPHYLAXIS
for the attendants and family members of a covid patient
THE FIRST INTERNATIONAL IVERMECTIN, ONLINE CONFERENCE
please make this event a groundbreaking one and help save humanity
PRE AND POST EXPOSURE PROPHYLAXIS
for the attendants and family members of a covid patient
AIIMS INDIA ENDORSED IVERMECTIN IN COVID
this is ground breaking news for medical fraternity of india
FEW THINGS NEVER CHANGE.......
rather they grow more stronger
EARLY HOME BASED TREATMENT FOR MILD TO MODERATE COVID CASES
NOTE:- HOME TREATMENT FOR MILD CASES
ANYONE FROM
IVERMECTIN-12 OR HYDROXYCHLOROQUINE-400,
CAN BE USED
HOME TREATMENT FOR MILD CASES- IN GENERIC NAMES
SECOND COVID WAVE IN INDIA,
EXCESSIVE ANDROGENIC EXPRESSIONS AND NEWER STRAINS
a thread on second wave in india
nobody other than a physician can understand, what this new strain is.
and what this strain needs to be mitigated.
age 32yrs spO2 95%, despite of all previous regeme, dropped to spO2 82%.
after 7 days of desperate efforts, today he recovered to 97%.
this is 2nd wave of india
1/2 today, this pt is send to home in satisfactory conditions. follow up needed at least 3 weeks.
(the tentative protocol used in this pt, I'll post after feedback from few more pts.)
grossly stating, to mitigate fast progression of pulmonary conditions in this pt, drugs used,
*spironolactone+frusemide
*dutasteride+tamsulosin
*inositol-niacin
along with other routine antivirals and anti-inflammatories
REVISED COVID TREATMENT- 1
(this thread is an integrated part of previous covid guidelines, in perspective of newer strains)
*tentative treatment to be started from first symptoms
*treat mild case, assuming it as moderate one
*speed of starting early treatment is the key
REVISED COVID TREATMENT- 2
*at least two antivirals to be used in full dosage
*treatment for pneumonitis/hypoxia to be started prophylactically, before starting symptoms
*NAC, GLUTATHIONE, SPIRONOLACTONE to be started from beginning
*JUST START TREATMENT WITHOUT DELAY
*AND CONSIDER INVESTIGATIONS AFTER STARTING TREATMENT
(i do admit, there are many missing in these guidelines, but our docs and colleagues will use their own wit n wisdom to fill gaps)
PCM
*paracetamol is toxic to liver and this is an established fact
*equally important fact is, that no NSAID is capable to provide desirable analgesia without low dose supplement of paracetamol
*low dose paracetamol use over a period of 1- 2 week, is harmless, add SAMe if needed
the standard recommended dosage of IVM are
IVERMECTIN 12mg twice daily ×3 days
MY RECOMMENDATIONS ARE
IVERMECTIN- 12mg once daily ×7days
FOR SECOND WAVE
IVERMECTIN- 12 mg twice daily ×7 days
OR
IVERMECTIN- 12 mg once daily ×7 days
+
HCQ- 400 once daily ×7 days
*drugs are working good in new strains too, but virus is looking slightly faster than drugs
*usual one drug regime used in older strain, getting insufficient, specially in younger population
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@Psychoman53 1/2
*in youngsters, increased dosage/number of drugs, are needed to control progression of disease, and still more aggressive efforts are needed to combate hypoxia
@Psychoman53 1/3
*THIS EXTRA ORDINARY SUSCEPTIBILITY OF YOUNGER PEOPLE, LOOKS TO BE RELATED TO THEIR HEIGHTENED ANDROGENIC RECEPTORS/EXPRESSIONS, YOUNGER GIRLS ARE LOOKING LESS AFFECTED. this suggests a more aggressive use of anti-androgens in youngsters
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)
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