OTC Rx of mild Covid19 with Ayurvedic, Chinese & Scientific Medicine-India & South Asia
We will discuss over the counter available medication, supplements and immune boosters in five sections.
Part 1. Immune boosting in low risk individuals
Part 2: Immune boosting in a raised risk individual due to contact, premorbid conditions or occupation.
Part 3: Treatment of low risk individuals with early mild COVID19
Part 4: Treatment of low risk individuals with moderate COVID19 and / or raised risk individuals with early mild COVID19
Part 5: Monitoring and indications for hospitalisation.
It is important to treat this pathway as a continuum. If a patient transitions from Part 2 to Part 3 for instance, the Rx being taken in the previous part needs to be continued and the recommendations in Part 3 will be an ADD ON to previous Rx. Same applies if the patient then transitions to Part 4. The recommendations there would be ADD ON to what was being taken for Parts 2 & 3.
Treatment in North America and Europe is discussed on a separate blog
Part 1. Immune boosting in low risk individuals: Aim here is to keep immune system healthy and prevent common vitamin deficiencies
1. HD Overseas MaxVit Multivitamin
HD Overseas MVT
2. HD Overseas Calcinol-D3 for extra Vitamin D3 2000 IU
HD Overseas Calcinol-D3
3. If vegetarian, Vitamin B12 / Methylcobalamin 1000 mcg per day ( Global Nutrihealth )
Global Nutrihealth Vit B12
In addition to this it is important to sleep well, keep an ideal weight, stay active, keep stress down and follow a healthy and varied diet.
Part 2: Immune boosting in a high risk individual due to contact, premorbid conditions or occupation: Aim here is to reduce pre-existing inflammation within the body related to Metabolic Syndrome
In ADDITION to Part 1,
For the purpose of this blog, increased risk will include patients with :
-Age over 50
-obesity ( BMI above 30 )
-borderline or raised sugar
-borderline or raised BP
-borderline or raised cholesterol
-fatty liver
-obstructive sleep apnoea
-heart disease
-kidney disease
-immune suppression
-respiratory disease
4. Omega – 3 – Fatty Acids 1000 mg capsule. Two capsules once a day : if cardiovascular / metabolic syndrome risk factors such as age above 60, obesity, heart disease, diabetes, hypertension, kidney disease etc.
Omega 3 1000 Fish Oil
In addition it is important that patients taking statins for raised cholesterol or antihypertensives ( particularly ACE-I or ARB’s , usually ending with ‘sartan’ or ‘pril’ ) continue with their medications. Studies have demonstrated that there medication are associated with reduced in hospital mortality vs controls. Treatments managing other risk factors including sugar and sleep apnoea for instance should be continued as well.
Part 3: Early treatment of mild COVID19 in asymptomatic or minimally symptomatic low risk individuals with localised symptoms: Aim here is to reduce replication of virus.
In ADDITION to Part 1 & 2
5. Bromhexine 8 mg three times a day. This is available in Indian Subcontinent , China and Russia. Not available in North America and Europe.
Bromhexine 8 mg
6. Curcumin 1000 mg capsule. One capsule once a day
Curcumin 1000 mg
7. Quercetin ( with Bromelain ) 400 mg twice a day
Quercetin 400 mg
8. Zinc 50 mg, Vitamin C 1000 mg and Vitamin D3 2000 IU extra per day ( NewRapid Daily Immune Health Tablets )
NewRapid Daily Immune Health
Part 4: Treatment of mild to moderate COVID19 in patients with more significant generalised symptoms such as fever, body pain, chills and headaches: Aim here is to reduce oxidative stress related to systemic infection and reduce blood clotting tendency.
In ADDITION to Part 1, 2 & 3
9. NAC / N- Acetyl- Cysteine 600 mg twice a day
NAC 600 mg
10. Melatonin 10 mg at night ( 0.5 tablet first night, increase to full tablet next night if tolerated )
Melatonin 10 mg
11. Famotidine 20 mg twice a day
Famotidine 20 mg
12. Aspirin 75 mg EC tab once a day with heaviest meal ( do not take if already taking blood thinners or history of stomach ulcer / bleeding )
Loprin 75 mg
Part 5: Monitoring and hospitalisation.
While patients with early breathing difficulty may try breathing exercises and lying prone in bed, it is important these patients monitor their Oxygen saturations closely at least four to six times a day. Patients with Oxygen Saturations below 94 % must present to hospital so that effective treatments such as anti-inflammatory steroids and high dose blood thinners can be administered. IV antiviral agents can also be considered at this stage. Patients experiencing chest pain , leg swelling or neurological symptoms at any stage should call an ambulance, as this may be due to a blood clot.
