Dr.. Osama Abu Al-Rub

Many tips spread on social networking sites for patients of the emerging coronavirus (Covid-19), some of which are good and most of them are bad and may lead to complications, and here we will provide you with drugs that prevent the Corona patient – or who is suspected of having it – to take it, and also what can be taken, with confirmation These tips are not a substitute for a doctor’s review.

Let’s start with drugs that the patient should not take Corona, as French Health Minister Olivier Ferrand warned against taking anti-inflammatory drugs such as ibuprofen and cortisone, and he said that they may be a factor that increases the risk of developing a Corona person.

The minister, a neurologist, advised the French to take paracetamol in the event of a fever and suspected of corona, in a Tweet on his official Twitter account.

Olivier Véran

⚠️ #COVID ー 19 | La prise d’anti-inflammatoires (ibuprofène, cortisone, …) pourrait être un facteur d’aggravation de l’infection. En cas de fièvre, prenez du paracétamol.
Si vous êtes déjà sous anti-inflammatoires ou en cas de doute, demandez conseil à votre médecin.

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How do these medications work?

The French minister spoke about two types of drugs, namely:

Firstly. Non-steroidal anti-inflammatory drugs (NSAIDs)

This family includes the ibuprofen that the minister mentioned in his tweet, and these medications work by reducing prostaglandins throughout the body.

Prostaglandin is a family of chemicals produced by the cells of the body, and it has many important functions. It promotes the inflammatory process necessary for recovery, but it also leads to pain and fever. It also supports blood clotting function in platelets, and plays a role in protecting the stomach lining from the harmful effects of acid.

Prostaglandins are produced inside the cells of the body by cyclooxygenase (COX) enzymes, non-steroidal anti-inflammatory drugs work by blocking COX enzymes and reducing prostaglandins throughout the body, as a result of which inflammation, pain and persistent fever are reduced.

Because prostaglandins play a role in protecting the stomach and blood clotting, NSAIDs may cause stomach ulcers and enhance the risk of bleeding.

Examples of NSAIDs include ibuprofen, aspirin, diclofenac, indomethacin, naproxen, and others.

Second. Cortisone
Cortisone is a steroid hormone, and it is one of the main hormones produced by the adrenal gland. Cotizone is used as a treatment in some cases, such as allergies, ulcerative colitis, lupus, psoriasis, and others.

Cortisone also works to prevent the release of substances in the body that cause inflammation, and has far-reaching effects on the immune system when used in the long term.

Why do not these drugs suit SK patients?
According to health experts and officials, anti-inflammatory medications – both non-steroidal or cortisone – are dangerous for people with infectious diseases, as they can reduce the body’s immune system response and thus weaken immunity.

In fact, the last thing a Corona patient needs is to reduce the immune system’s response, because he needs to be able to identify and fight the virus, and the use of these medications may lead to complications and regression of the Corona patient’s condition.

What is the alternative?
According to the French minister, people are advised to take paracetamol, as it will reduce fever without affecting the inflammatory process in the body.

Paracetamol – also known as acetaminophen – is a pain reliever and antipyretic. Although the mechanism of its action is not fully known, it is known that it does not affect the inflammatory response in the body.

Paracetamol is used in the treatment of many conditions such as headache, muscle pain, arthritis, back pain, dental pain, colds and fever, and relieves pain in mild arthritis, but has no effect on inflammation and joint swelling.

However, taking large doses of paracetamol or for a prolonged period may result in liver damage, so consult your doctor or pharmacist.

What should you do if you are ill with corona?
If you are ill with corona and your condition is mild, your doctor may ask you to be isolated at home. Here you have to do the following:

1- Leave your home only when you need medical care, and seek help in purchasing or delivering groceries.

2- Stay away from other individuals in the house.

3- Stay in a well-ventilated room away from others, with the door closed.

4- Use a separate bathroom.

5- Wear a face mask when you leave your room.

6- Call beforehand before visiting doctors and tell them that you have corona and you will attend the clinic, so that they can take additional preventive measures.

7- Cover your mouth and nose while coughing, sneezing and yawning, and throw the paper in the trash bag.

8- Wash your hands regularly and frequently with soap and water, for at least 20 seconds, then rinse and dry them well.

9- Do not share household items such as dishes, drinking glasses or eating utensils.

9- Do not share personal items such as hair brushes, towels and bedding.

10- It does not receive any visitors.

11- Wash your clothes at the highest temperature possible and clean all surfaces around the washing machine.

12- Monitor your symptoms and seek urgent medical attention if your illness gets worse, such as if you have difficulty breathing.

Source: agencies, websites

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