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)
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：
