Managing Mild COVID-19 Symptoms: Treatment Options and Recovery Explained - Internal Medicine

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Treatment for mild COVID-19?


Hello: Recent news reports indicate that mild COVID-19 patients can take acetaminophen for treatment.
I would like to ask: 1.
Besides taking acetaminophen, do mild cases need to take antiviral medications or other drugs? 2.
While acetaminophen can alleviate symptoms such as cough and sore throat, does the coronavirus still remain in the body? 3.
What is the definition of recovery from mild COVID-19? Does it mean that there are no symptoms and a low viral load, or that there is no virus present in the body at all? Thank you for your clarification!

A-Du, 40~49 year old female. Ask Date: 2022/04/23

Dr. Hong Yuanbin reply Internal Medicine


Hello,
1.
For mild patients, if there are no significant underlying conditions such as diabetes, kidney failure, cancer, etc., only symptomatic treatment is needed, and there is no requirement for specific antiviral medications.

2.
Acetaminophen can only alleviate symptoms; the virus needs to be cleared by the body's own immune system.

3.
Recovery is defined differently in clinical and virological terms.
Clinical recovery refers to the improvement of symptoms, while virological recovery refers to a very low viral load.
Currently, in Taiwan, both clinical and virological recovery are required before isolation can be lifted.

Thank you for your question.

Reply Date: 2022/04/23

More Info


Managing mild COVID-19 symptoms can be a nuanced process, and understanding the treatment options and recovery definitions is crucial for patients navigating this illness. Here’s a comprehensive overview based on your questions.

1. Treatment Options for Mild COVID-19 Symptoms: For mild COVID-19 cases, over-the-counter medications like acetaminophen (commonly known as Tylenol or Panadol) can be effective in managing symptoms such as fever, body aches, and sore throat. However, it is essential to note that while acetaminophen can alleviate discomfort, it does not treat the underlying viral infection.
In addition to acetaminophen, healthcare providers may recommend antiviral medications, especially if the patient is at higher risk for developing severe illness. Medications like Paxlovid (nirmatrelvir/ritonavir) have been authorized for use in mild to moderate COVID-19 cases to reduce the risk of progression to severe disease. It is crucial to consult with a healthcare provider to determine if antiviral treatment is appropriate based on individual health factors and the timing of symptom onset.

2. Effect of Acetaminophen on the Virus: Taking acetaminophen can help relieve symptoms such as cough and sore throat, but it does not eliminate the virus from the body. The presence of the virus can persist even when symptoms are managed. Therefore, while you may feel better symptomatically, the virus may still be active in your system. This is why monitoring symptoms and following public health guidelines regarding isolation and testing is essential, even when taking symptom-relief medications.

3. Definition of Recovery from Mild COVID-19: Recovery from mild COVID-19 is typically defined as the resolution of symptoms and the ability to return to normal activities. However, it does not necessarily mean that the virus has been completely eradicated from the body.
The Centers for Disease Control and Prevention (CDC) suggests that individuals can be considered recovered when they have met the following criteria:
- At least 10 days have passed since the onset of symptoms.

- At least 24 hours have passed since the last fever without the use of fever-reducing medications.

- Symptoms have improved.

It is important to note that some individuals may continue to experience lingering symptoms, often referred to as "long COVID," even after the acute phase of the illness has resolved. This can include fatigue, cognitive difficulties, and respiratory issues, which may require further medical evaluation and management.

In summary, while acetaminophen can help manage mild COVID-19 symptoms, it is not a cure for the virus itself. Antiviral medications may be appropriate for some patients, particularly those at higher risk. Recovery is defined by the resolution of symptoms rather than the complete absence of the virus. It is always advisable to consult with a healthcare provider for personalized advice and treatment options based on your specific situation.

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