MY "LONG COVID PROTOCOL" DRUGS

*SPIRONOLACTON+FRUSEMIDE
*DEFLAZACORT/DEXAMETHASONE
*FAMOTIDINE
*INDOMETHACIN/ETORICOXIB
*CYPROHEPTADINE
*DIACEREIN
*HCQ/IVM
*N-ACETYLCYSTINE
*METOPROLOL/IVABRADINE(occasionally)
#mytakeoncovid19

MY "LONG COVID PROTOCOL" DRUGS - 2
(neurological)

*MODAFINIL
*FLUOXETINE
*L-DOPA
*CLONAZEPAM
*CORTICOSTEROIDS
*PREGABALINE/NORTRIPTYLINE
*CITICOLINE
#mytakeoncovid19

MY "LONG COVID PROTOCOL" - 3
(TREATMENT STRATEGIES)

*after 30 days, inflammatory mediators are subsided
*anatomical/physiological insults to organs is persisting
*organ specific injuries are treated accordingly (irrespective of original disease process)
1/1

1/2
*with delayed/improper treatment some residual deficit is expected in organs and some prolonged neurological deficit may be expected.

yes dear, my take is that these are reversible. even in 6-7 months old cases, 90% recovery is expected. just treat it like diabetic neuropathy.

*long haulers are neurological symptoms, equivalent to toxic/metabolic neuropathy
*rarely, delayed/poorly treated, may be irreversible

PULSE THERAPY IN COVID DISEASE?
acute viral phase

*i recommend an antiviral treatment, 10-14 days
*using pulse therapy, one week each
*PULSE 1- HCQ+AZM+FEVIPIRAVIR
2- IVM+DOXY+ARTEMISIN

DIPYRIDAMOLE AND PENTOXYPHYLLINE
petoxyphylline is still my favourite, but now a day nobody use it so not available easily.
next to dipyridamole, it was my second choice in covid.

ACUTE COVID, FIRST LINE TREATMENT SCEDULE

1. IVM+DOXY+AMBROXOL-NAC+ACECLO-PARA-BROMELIN+RABEPRAZOL+CEFIXIM-CLAV

2. HCQ+AZM+AMBROX-NAC+ACECLO-PARA-BROM+RABEPRAZOL+CEFIXIM-CLAV

3.
HCQ+FAVIPIRAVIR+AMBROX-NAC+ACECLO-PARA-BROM+RABEPRAZOL+CEFIXIM-CLAV

"post-exposure prophylaxis, bromhexine+nitazoxanide/hcq+ivermectin"

ANTIVIRAL COMBINATION FOR GASTRO-INTESTINAL COVID AND PERSISTENT SARS-COV2
to manage persistent virions too

IVERMECTIN+NITAZOX

POST COVID SYNDROME
basic problems, manifesting in symptomatologies

*HYPOXIA AND RESPIRATORY DISTRESS
*SEROTONIN OVERACTIVITY/SYNDROME
*BRADYKININ/CYTOKIN STORM
*HEPATIC DYSFUNCTIONS
*AUTONOMIC NERVOUS SYSTEM INSTABILITY
*NEURO-TRANSMITTERS/HORMONES IMBALENCE
#mytakeoncovid19

ischemia leading to oedema, the proteins present in exudates are potent stimulus to fibrotic process.

keeping oedema and exudates to minimum by any means, prevents/delays the fibrosis.
this was the basic reasoning, my opinion that fibrosis is 100% preventable, if managed early.

antithrombotics are always helpful, since thrombotic pathology in pulmonary fibrosis is inevitable. magnitude may be different.

the easiest pathology to manage is inflammatory oedema leading to pulmonary fibrosis, reducing much of the fibrotic load.

ACUTE COVID, FIRST LINE TREATMENT SCEDULE

1. IVM+NITAZOX+AMBROXOL-NAC+ACECLO-PARA-BROMELIN+RABEPRAZOL+CEFIXIM-CLAV

2. HCQ+AZM+AMBROX-NAC+ACECLO-PARA-BROM+RABEPRAZOL

3.HCQ+NITAZOX+AMBROX-NAC+ACECLO-PARA-BROM+RABEPRAZOL+CEFIXIM-CLAV

4.
HCQ+FAVIPIRAVIR+(REST AS ABOVE NO 1.)

PROLONGED HYPOXIA TO CNS, IN COVID

*causes, ischaemic, toxic and metabolic injuries
*magnitude of injury depends on duration of hypoxia and levels of inflammation
*persistence of neural insults may be short term, long term or permanent
*our treatment must be directed to,
1/1

1/2
1.drugs improving cerebral circulation(piracetam)
2.drugs improving nerve metabolism(citicoline, piracetam)
3.drugs restoring neurohormonal normalcy(mirtazapine)
4.drugs for neuronal hyperexcitability (divalprox)
4.drugs enhancing neuroplasticity(lithium, modafinil)

FOMITE TRANSMISSION vs WATER CONTAMINATION
*transmission through water contamination is there, in significant levels. but nobody is interested to work on it.
*urgently needed is to work on fomite transmission. which if proved negative, can change much of our lifestyle in this
1/1

1/2
pandemic and offer more liberties and comforted life.

ANTI-COVID ANTIVIRALS, COMMONLY USED, EASILY AVAILABLE

HCQ
IVM
NITAZOX
NICLOSAMIDE
FEVIPIRAVIR
MOLNUPIRAVIR(whenever available)
ARTEMISIN+MEFLOQUINE
FLUVOXAMIN+IVM
PYRONARIDINE/PYRAMAX(if available)

PROBABLY THIS IS OUTSTANDINGLY HELPFUL IN REDUCING OXYGEN DEMAND IN A COVID HOSPITAL
especially using in intravenous route. https://pubmed.ncbi.nlm.nih.gov/32322478/ 

ACUTE COVID FIRST LINE TREATMENT
(fluvoxamine based)

FLUVOXAMINE-100mg twice daily
+
IVERMECTIN-12

AMBROXOL+NAC
SPIRO+FRUSEMIDE
BROMELIN
ETORICOXIB/ETODOLAC
RABEPRAZOLE

SIGMA AGONISTS FOR POTENTIAL USE IN SARS-COV2
commonly used and available compounds known to possess sigma agonist activity,

*FLUVOXAMINE
*FLUOXETINE
*OPIPRAMOL
*BERBERINE

SEROTONIN EXESS

*IN BRAIN CAUSES, SEROTONIN SYNDROME
*IN BLOOD CSUSES, ENDOTHELIAL DYSFUNCTION, THROMBOSIS AND MULTIPLE ORGAN FAILURE
both are grossly different. one cause neurological dysfunction, other causes organ dysfunction.

after demonization of hcq and ivm,
just shifting to,

*NITAZOXANIDE
*FLUVOXAMINE
*NICLOSAMIDE
*MEFLOQUINE
all are presumably available everywhere and a witty doc can use it to save his pts.

@flavinkins
@OlgaG58726484
@Ustangord
@Covid19Crusher
@Rajnish_IITR
@rajnishgupta59
@Dharmen46587056 @DocMcQuinn @ishan_bhupendra @__ice9
@Thinkerks
@DrSubhasree @dr_gsharma @amareshskumar
@ICMRDELHI
@veryvirology
@BidoliNicola

"SPIROLOLACTONE

*spironolactone is big hope in treating post covid syndrome
*it has proved extremely effective in treating covid hypoxia(cutting down illness to about 2 weeks)
*my last 2 months pt's feedbacks give me confidence of it's efficacy in post covid syndrome"
28 sept 20

THE MOST TRAUMATIZING EVENTS IN THIS PANDEMIC, LEAVING TOO MANY UNANSWERED QUESTIONS,

1/1

1/2
*FAKE STUDIES ON HCQ
*SUPPRESSION/DISINFORMATION RE GENOMICS OF COV2
*SKIPPED MODE OF TRANSMISSION ie ORAL-FECAL ROUTE
*EXAGGERATED EMPHASIS TO SURFACE TRANSMISSION
*SUPPRESSION OF ANTVIRALS AT COST OF VACCINES
*SELECTIVE SUPPRESSION OF TECH INFOS BY HIGHLY ACCLAIMED BODIES

IVERMECTIN IN PREVENTION/ERADICATION OF MALARIA/DENGUE/ENCEPHALITIS

*monthly pulses of 7 days ivermectin.
*in whole endemic area
*at a time 25% people having IVM in blood
*will reduce mosquito/malaria/dengue in a year or two.
(need more research on it)

REFORMING VALIDATION SYSTEM IN MEDICINE
*to acquit medical fraternity from dirty money nd malpractices, make validation system low cost and affordable, by an ordinary GP

*this will incite a motivation to GPs to properly share their feedbacks to bigger trial agencies/publications

NO DIFFERENCE IN OBESE AND NON-OBESE, ALL DRUGS EFFECTIVE IN PROTECTING/TREATING COVID PTS.
*HCQ
*IVM
*NITAZOXANIDE
*FLUVOXAMINE
*NICLOSAMIDE
*MEFLOQUINE
all are presumably available everywhere and a witty doc can use it to save his pts.