COVID-19 treatment currentcurrent- M.A.Aleem Trichy

Covid treatment simplified: For doctor's

( 15/10/20)

*Home treatment* :

* Tab Vit C 500 three times a day

* Tab Vit B with zinc twice a day

* Tab Vit D 60000 once in a week.

* Can add ayurvedic/ homeopathic medicine which may improve Immunity.

* Tab Ivermectin 12mg twice a day for 5 days. ( not yet recommended by ICMR) 

* Azithromycin/ antibiotics  / Paracetamol etc as per need. 

* Those at high risk / elders 

Tab Favipiravir (200) 

8-0-8 day 1

4-0-4 day 2 to 5.

( keep watch on Oxygen saturation : admit if high risk/ elders or saturation below 95%) 

*Hospital treatment* : With low saturation 

* Steroids : 

Dexa 4mg tds/ MPS 40mg tds for 5-7 days. 

Oral steroids: if required thereafter. 

* Anticoagulants :

LMWH along with steroids for 5 to 10 days 

Oral anticoagulants if long term oxygen is required beyond 10 days. 

( check D-dimer) 

* Remdesivir : to start as early as possible. ( happy hypoxic) 

Preferably all patients requiring oxygen and at high risk. ( O2 level / age/ Co morbidity / CT score) 

Role out contraindications. 

* Tocilizumab/ itolizumab. ( breathless patients with increased respiratory rate: no longer happy with low saturation/  Cytokine storm) rule out any secondary infections. 

* Plasma ( Indication similar as for tocilizumab: if possibility of worsening ) start as early as possible. 

* Supportive treatment : 

Oxygen / bipap / ventilator /Antibiotic / fluids / inotropes / dialysis etc. 

* Tab ivermectin 12mg 

twice a day for 5 days, may continue once a day for next 5 days.  

Higher dose of 2-0-2 in hypoxic patients to be tapered off after improvement 

( not recommenced by ICMR)

* Additional medicines used :

Antiplatelets / Statins / Monteleukast / acalabrutinib and similar / nizonide / and others. 

*Most drugs are experimental drugs which needs to be used keeping in mind their risk : benefit ratio*. 

Please follow ICMR guidelines which is based on scientific inputs.