In my clinic, I can order Paxlovid, if symptoms onset≤5Ds但是，

 

But, we weren’t able to find a pharmacy in our area recently that had the medication… eventually we just saw less COVID and more flu；(Paxlovid is for outpatient use) ；  我不用Molnupiravir，一是副作用大二是效果不理想！

The FDA authorized the emergency use of PAXLOVID for the treatment of mild-to-moderate COVID-19 in adults and children [12 years of age and older weighing at least 88 pounds (40 kg)] with a positive test for the virus that causes COVID-19, and who are at high risk for progression to severe COVID-19, including hospitalization or death, under an EUA（FDA，2022)

https://www.covid19oralrx-patient.com/?gclid=EAIaIQobChMIy6PDipGw9QIV7hXUAR11AQP_EAAYASAAEgIsHfD_BwE&gclsrc=aw.ds

 

Therapeutic Management of Nonhospitalized Adults With COVID-19: https://www.covid19treatmentguidelines.nih.gov/management/clinical-management/nonhospitalized-adults--therapeutic-management/

 

就目前來說，my most patients admitted to hospital duo to other medical conditions, not covid caused hospitalization ! The more recent hospitalized patients with covid are non-COVID-19 admissions; 而且幾乎無症狀。抗病毒隻在感染初期有點效果。

 

我建議我比較親近的朋友，如果沒有underlying disease/comorbidity with mild Covid symptoms, 除了症狀管理外，建議低劑量抗血栓藥如 aspirin; Vc抗氧自由基治療劑量為2000mg(或者AirborneVc3-6 片/day)，Ve為1000IU，平時保健劑量Vc 500mg & Ve 100mg。早期最好24-72小時內，可服用抗病毒藥。適量補鋅/Vd，強烈建議補鋅，成人每天補到30毫克，小孩按安全劑量補。太輕症病人基本不需要用藥，就能平安度過。平實保健抗炎症Turmeric 400-700 mg/BID (我平時保健用Krill oil & turmeric)。也可以保健補充probiotic/Kefir.  Prone positioning 幫助有效呼吸。多飲水多休息。如果咳嗽厲害，咽喉疼痛，到PCP那兒開Azithromycin 預防secondary bacterial infection。

（服用泰諾(Tylenol), 布諾芬(ibuprofens)類的藥物降燒，止痛(如果沒有使用禁忌症）Robitussin or Mucinex for cough。

 

 

 

這是我們PCP關於Paxlovid 的：

 

 

 

所有跟帖： 

• 丫醫生多寫點非處方處理的方法，credit比我高很多，可以幫助很多人 -firstuncle- ♂ (0 bytes) () 03/17/2022 postreply 16:16:37

• 嘿, 身體裏的很多疾病都和炎症有關, 我建議一叔適當補充Krill oil & turmeric, -醜小丫丫- ♀ (867 bytes) () 03/17/2022 postreply 17:50:46

• 做一個奔跑的多巴胺，可以極大的降低減少用藥機會；-） -polebear- ♀ (0 bytes) () 03/17/2022 postreply 18:05:28

• 謝謝丫丫醫生，看來非處方藥類的補充，大家已經有了共識，確實這個新藥也在觀察階段，而且不是高危人群，不服用也避免副作用 -核桃小丸子- ♀ (0 bytes) () 03/17/2022 postreply 18:33:02