Managing COVID-19 Symptoms: Insights on Treatment and Recovery - Internal Medicine

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Positive rapid test for COVID-19 (continued)


Hello Dr.
Hong, I am the patient who asked a question yesterday.
The PCR results just came out...
it is positive for SARS-CoV-2 with RdRp gene: 23.25 and SARS-CoV-2 ORF 1ab: 21.26.
Today is the second day, and I continue to take "triprolidine HCl 2.5mg, pseudoephedrine HCl 60mg," along with "Kenacort triamcinolone 4mg" and "acetylcysteine 200mg," in addition to "Qingguan No.
1" that I brought from Taiwan.
Today's symptoms include: widespread muscle aches, significant reduction in palpitations, much less headache, but there is still pain around the eyes, and I feel drowsy.
Overall discomfort seems to have decreased by about 80%, but I am unsure if this is due to the medication suppressing the discomfort.
I am currently arranging to purchase a pulse oximeter for monitoring...
May I ask if this virus ultimately relies on the body's immune system to overcome it, or are there specific medications available for treatment?

Jessica, 30~39 year old female. Ask Date: 2021/06/15

Dr. Hong Yuanbin reply Internal Medicine


Currently, there are indeed several medications available for use, including for mild cases.
However, for high-risk patients, such as those over 65 years of age, monoclonal antibodies can be used for patients with declining oxygen levels.
For more severe cases, remdesivir can be administered, along with corticosteroids and IL-6 inhibitors, among others.
However, these treatments require evaluation and prescription by a physician.
As for Qingguan No.
1, although it has been approved by the FDA, there is still no large-scale evidence to support its use in the treatment of COVID-19.
Thank you for your inquiry.

Reply Date: 2021/06/15

More Info


Managing COVID-19 symptoms effectively is crucial for recovery, especially after a positive PCR test. Your current treatment regimen includes several medications, which can help alleviate symptoms. Let’s break down your situation and provide insights into treatment and recovery strategies.


Current Treatment Overview
1. Triprolidine HCl and Pseudoephedrine HCl: These medications are commonly used to relieve allergy symptoms, such as nasal congestion and runny nose. They can help reduce discomfort associated with upper respiratory symptoms.

2. Kenacort (Triamcinolone): This is a corticosteroid that can help reduce inflammation. In the context of COVID-19, corticosteroids are often used to manage severe symptoms, particularly in patients with significant respiratory distress.

3. Acetylcysteine: This medication is primarily used as a mucolytic agent to help break down mucus in the lungs, making it easier to cough up. It can also have antioxidant properties, which may be beneficial in managing inflammation.

4. 清冠一號 (Qingguan No. 1): While this traditional Chinese medicine has gained popularity, its efficacy in treating COVID-19 is still under investigation, and large-scale evidence is lacking.


Symptom Management and Recovery
Your reported symptoms, including muscle aches, reduced palpitations, and headaches, indicate that your condition is improving. The fact that you are experiencing an 80% reduction in discomfort is a positive sign. However, it’s essential to monitor your symptoms closely, especially the persistent eye pain and drowsiness.


Immune Response and Treatment Options
COVID-19 is primarily managed through supportive care, as most patients will recover with the help of their immune systems. However, there are specific treatments available, especially for those at higher risk of severe disease:
1. Antiviral Medications: For patients with mild to moderate COVID-19 who are at high risk for severe disease, antiviral medications such as Paxlovid (nirmatrelvir/ritonavir) or remdesivir may be prescribed. These can help reduce the severity and duration of symptoms.

2. Monoclonal Antibodies: In certain cases, monoclonal antibody treatments may be administered to help the immune system fight the virus more effectively.

3. Corticosteroids: As mentioned, corticosteroids like dexamethasone are recommended for patients with severe COVID-19 who require supplemental oxygen or mechanical ventilation.

4. Supportive Care: This includes hydration, rest, and symptomatic treatment for fever, pain, and cough. Monitoring oxygen saturation with a pulse oximeter is also crucial, especially if you experience shortness of breath.


Recovery Strategies
1. Rest and Hydration: Ensure you are getting plenty of rest and staying hydrated. This is vital for your body to recover.

2. Monitor Symptoms: Keep track of your symptoms, especially any changes in breathing or new symptoms. If you notice a decline in your condition, seek medical attention promptly.

3. Follow-Up Care: Regular follow-ups with your healthcare provider are essential to adjust treatment as needed and to monitor for any potential complications.

4. Mental Health: The psychological impact of COVID-19 should not be overlooked. If you experience anxiety or depression, consider speaking with a mental health professional.


Conclusion
In summary, while your immune system plays a significant role in overcoming COVID-19, there are effective treatments available that can help manage symptoms and reduce the risk of severe disease. Continue to monitor your symptoms, maintain communication with your healthcare provider, and prioritize rest and hydration. If you have any concerns about your treatment or symptoms, do not hesitate to reach out for further medical advice. Your health and well-being are paramount during this recovery phase.

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