No vax, just tested positive, please help (remedies/treatment)

7,840 Views | 36 Replies | Last: 2 yr ago by Dr. Not Yet Dr. Ag
J-Licious
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6:26p, 12/28/21
AG
Been in bed last two days with 102.5 fever (41, slightly overweight). Aches all over. If this is omicron , it is kicking my rear real bad, so part of me thinks delta. O2 Sat is normally 96-97, but is hovering at 90 now.

I have seen treatment summaries (at home remedies or types of treatments to request from teledoc) on here before but am too fatigued to search. Can someone please share?

No need to post them, but will accept prayers privately.
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Aggie95
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6:29p, 12/28/21
AG
load up on Vitamin D, Vitamin C, Zinc, and green tea

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Irwin M. Fletcher
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6:29p, 12/28/21
AG
Dr. Revs supplements for sure take zinc and an ionosphere like Quercetin. He also suggest to take high dose vitamin D and an aspirin to prevent clots. Get your doc to Rx a steroid like budesonide

Also don't take ibuprofen only acetaminophen
When we were down, and we would come to Lubbock, you people would treat us like kings.-Paul Stanley of KISS
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cisgenderedAggie
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6:41p, 12/28/21
Ask a doctor to prescribe fluvoxamine. 100mg BID for 10 days. It's cheap, safe, has had good results in recent trials and is now on the Johns Hopkins treatment recommendations to help reduce risk of hospitalization. No good reason for them not to prescribe.

https://www.hopkinsguides.com/hopkins/ub?cmd=repview&type=479-1225&name=30_538747_PDF
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HillcountryAg97
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6:52p, 12/28/21
AG
Buddy, hovering at 90% early in the course is a great reason to get your doctor involved ASAP. If your BMI is over 25 then you may qualify for a monoclonal antibody treatment and you may have other options as well. The vitamins and stuff are helpful and should be the first part of therapy but I'd like to hear that you have all your options laid out in front of you and that you are able to make an informed decision.

PM me if I can give more info or respond back with your contact info if you need help.

I'll be watching this thread closely.

No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. See full Medical Disclaimer.
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HillcountryAg97
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In reply to cisgenderedAggie • 6:55p, 12/28/21
AG
This is a good recommendation, and there may be a few more things to consider as well.

cisgenderedAggie is a good poster and a valuable part of this family.
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KidDoc
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7:02p, 12/28/21
AG
I agree with Cis and Hill. Fluovoxamine data is really exciting.
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wbt5845
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7:05p, 12/28/21
AG
O2 of 90 means you need to see a doctor.
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KidDoc
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In reply to wbt5845 • 7:23p, 12/28/21
AG
wbt5845 said:
O2 of 90 means you need to see a doctor.


Depends if it is a short dip to 90 or consistently 90% as well as the wave form.

If consistent and accurate then yes you should likely be on oxygen.
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JB99
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In reply to HillcountryAg97 • 7:36p, 12/28/21
AG
HillcountryAg97 said:
Buddy, hovering at 90% early in the course is a great reason to get your doctor involved ASAP. If your BMI is over 25 then you may qualify for a monoclonal antibody treatment and you may have other options as well. The vitamins and stuff are helpful and should be the first part of therapy but I'd like to hear that you have all your options laid out in front of you and that you are able to make an informed decision.

PM me if I can give more info or respond back with your contact info if you need help.

I'll be watching this thread closely.



Go to the ER. Get that Monoclonal treatment ASAP. You may need to be on oxygen now.
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NicosMachine
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7:38p, 12/28/21
AG
Upper respiratory cleanse. Use a neti pot. Gargle 1.5% hydrogen peroxide mouth cleaner. This is where the virus is replicating early on. Multiple studies suggest these can be beneficial and it certainly can't hurt.

EDIT: O2 at 90%. Never mind. Go to hospital.
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Dr. Not Yet Dr. Ag
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In reply to KidDoc • 7:41p, 12/28/21
KidDoc said:
I agree with Cis and Hill. Fluovoxamine data is really exciting.
The fluvoxamine data is not really convincing. The TOGETHER trial for some reason used a composite outcome of >6hr time in ER or hospitalization as their primary outcome, with the time spent in the ER being the only statistically significant portion of the composite, as it had no effect on hospitalization. Time spent in the ER is a worthless outcome measure as time spent in the ER frequently has nothing to do with disease severity.

The pre-test probability of efficacy is so low that SSRIs would have any benefit in COVID that it would take indisputable data with patient centered outcome measures if looking at this from a Bayesian perspective. From a non-Bayesian perspective, the fluvoxamine arm of the TOGETHER trial is extremely weak data, with everything outside of time spent in an ER being negative on secondary outcomes (Death, Mechanical ventilation, Need for oxygen supplementation, hospitalization, days spent in hospital).

OP should talk with his doctor ASAP, and stay on top of his O2 sats. If it drops below 90%, please go to an ER immediately. Right now, the best evidence we have for early disease is monoclonal antibody infusion, preferably sotrovimab for Omicron, although Texas has just run out of supply and at least my hospital no longer has any available supply.
No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. See full Medical Disclaimer.
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SjAg
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7:48p, 12/28/21
AG
Don't go to Methodist. They decided to suspend administering the very thing you need (monoclonal treatment).
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Gilligan
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8:03p, 12/28/21
AG
Why no ibuprofen?
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cisgenderedAggie
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In reply to Dr. Not Yet Dr. Ag • 8:29p, 12/28/21
I'm not sure I follow why the harshness toward the result considering certain circumstances, or the knock on Bayesian inference but that's beyond the scope. The credible interval on the composite outcome was 0.52 to 0.88, signifying a clear, even if likely modest, effect. Even the frequentist evaluation of hospitalization alone was at least as notable as any mask study has been.

Considering the safety profile of a short course of fluvoxamine and the current absence of access to a better early treatment, why wouldn't you at least try? Not a pointed argument, I'm legitimately curious as to your perspective on this one.
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J-Licious
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8:31p, 12/28/21
AG
Thank you all. Apologies in advance for brevity. Checking 02 regularly. It varies greatly so I am not sure reading is entirely accurate. When healthy, I am usually 96-97. Last reading was 88-90 on right hand and 92-94 on left.

Temp got up to 103 and just took aspirin, but felt it dropping before aspirin (no more child). Fever is now 102.2.

Loaded up on vitamins and resting
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cc_ag92
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In reply to J-Licious • 9:01p, 12/28/21
AG
Please be careful and don't wait too long to be seen if there is any question. A good friend died recently because she waited too long to go in. She didn't think her home oxygen levels were accurate. Take care
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Dr. Not Yet Dr. Ag
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In reply to cisgenderedAggie • 9:21p, 12/28/21
Because the only positive outcome of any of the measured secondary outcomes was >6hrs spent in the ER which is a clinically meaningless outcome. Time in ER has more to do with bed and nursing availability than clinical severity. And the primary outcome was only positive due to fluvoxamine patients spending a longer time in the ER. It does not infer clinical severity and is not a patient centered outcome. It's like making the primary outcome a composite of hospitalization or number of sunny days in the subsequent week >3 and then finding that the only thing the intervention actually "effected" was sunny days. It's a clinically meaningless outcome and given Bayesian inference, unlikely to have anything to do with the therapy given.
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Captain Pablo
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In reply to J-Licious • 8:00a, 12/29/21
AG
J-Licious said:
Thank you all. Apologies in advance for brevity. Checking 02 regularly. It varies greatly so I am not sure reading is entirely accurate. When healthy, I am usually 96-97. Last reading was 88-90 on right hand and 92-94 on left.

Temp got up to 103 and just took aspirin, but felt it dropping before aspirin (no more child). Fever is now 102.2.

Loaded up on vitamins and resting


88-90 is "get your ass to the ER" saturation level
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J-Licious
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In reply to Gilligan • 8:16a, 12/29/21
AG
Gilligan said:
Why no ibuprofen?


Same question. Have a bad headache and ibuprofen works Breyer for me than Tylenol.

Feel much better this morning. Fever has been gone for 12 hours and O2 readings are a consistent 94.
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Capitol Ag
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In reply to J-Licious • 9:15a, 12/29/21
AG
Get well OP. Keep us updated.
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94chem
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In reply to J-Licious • 10:34a, 12/29/21
J-Licious said:
Gilligan said:
Why no ibuprofen?


Same question. Have a bad headache and ibuprofen works Breyer for me than Tylenol.

Feel much better this morning. Fever has been gone for 12 hours and O2 readings are a consistent 94.


Glad to hear this. While you are feeling a little better, decide right now what you will do if you take a downturn. Your OP showed some cognitive dissonance. Nobody cares, and especially you, which strain you have. This is a diversion that you are using to make your case special. Quit thinking about it. All that matters is that you are sick. You got Covid, and you need to take care of yourself. Hope you've turned a corner, but don't let anything divert your attention from the issue at hand.
94chem,
That, sir, was the greatest post in the history of TexAgs. I salute you. -- Dough
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Irwin M. Fletcher
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In reply to J-Licious • 12:43p, 12/29/21
AG
J-Licious said:
Gilligan said:
Why no ibuprofen?


Same question. Have a bad headache and ibuprofen works Breyer for me than Tylenol.


Feel much better this morning. Fever has been gone for 12 hours and O2 readings are a consistent 94.


A doctor can confirm this or possibly it has changed bit very early on it was said those on ibuprofen had worse outcomes and it had something to do with ibuprofen allows the virus to attach to Ace 2 receptors more easily. Now that was early and it could have been disproven but I do remember that.
When we were down, and we would come to Lubbock, you people would treat us like kings.-Paul Stanley of KISS
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Gilligan
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2:09p, 12/29/21
AG
I alternated ibuprofen and acetaminophen every 4 to 5 hours for 24 or so hours. Still here and feeling good.

I hope all you unvaxxed, vaxxed and boostered all feel better soon.
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HillcountryAg97
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In reply to J-Licious • 5:17p, 12/29/21
AG
I'm quite relieved! Had me worried. Please be careful!
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eric76
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In reply to Aggie95 • 5:27p, 12/29/21
AG
Aggie95 said:
load up on Vitamin D, Vitamin C, Zinc, and green tea
It would have helped to load up on Vitamin D in advance. It takes time for the Vitamin D you take to actually take the form that you need in your bloodstream. If you doctor thinks it worthwhile, I think that he can prescribe a Vitamin D IV that is the form you need in your bloodstream.
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J-Licious
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In reply to Capitol Ag • 11:35p, 12/30/21
AG
Capitol Ag said:
Get well OP. Keep us updated.


Another fever free day. Only issues are headache and dehydration because I am still not drinking as much as I should but working on it.

Thanks again everyone for the support, prayers and advice.
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Newoldarmy
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In reply to J-Licious • 7:12a, 12/31/21
AG
Great to hear you're doing better.

Be careful about getting back on the horse. I had several setbacks before I realized you just have to rest for a good week or so after a good bout with this crap.

Every other time I've been sick in my life after a few days I just say, ok, I'm done being sick and start to power through the recovery to rebuild my strength. Doing that with Covid put me back in bed for 12-16 hours. I'm embarrassed to say I did it three times before just letting my body recover on it's timetable rather than my mind's.

Edit to add: also be on the lookout for a worsening after day five or so. I thought I was about done and then it got worse.
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94chem
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In reply to J-Licious • 10:50a, 12/31/21
J-Licious said:
Capitol Ag said:
Get well OP. Keep us updated.


Another fever free day. Only issues are headache and dehydration because I am still not drinking as much as I should but working on it.

Thanks again everyone for the support, prayers and advice.


That post-nasal stuff will sneak up on you. You get dehydrated and don't realize it. Try to drink stuff you like.
94chem,
That, sir, was the greatest post in the history of TexAgs. I salute you. -- Dough
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Amarillo Slim
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In reply to Irwin M. Fletcher • 1:12p, 1/1/22
AG
Irwin M. Fletcher said:
Dr. Revs supplements for sure take zinc and an ionosphere like Quercetin. He also suggest to take high dose vitamin D and an aspirin to prevent clots. Get your doc to Rx a steroid like budesonide

Also don't take ibuprofen only acetaminophen
I thought the ibuprofen thing was "fake news". What is the issue with it? Ive taken multiple doses since I got infected and this has me concerned.
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Irwin M. Fletcher
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In reply to Amarillo Slim • 1:15p, 1/1/22
AG
See my post above. Early on it was thought to help the virus attach to Ace 2 easier, don't know if that is shown to be incorrect since. Asked some docs to answer but they have not.
When we were down, and we would come to Lubbock, you people would treat us like kings.-Paul Stanley of KISS
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Amarillo Slim
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In reply to Dr. Not Yet Dr. Ag • 1:22p, 1/1/22
AG
Dr. Not Yet Dr. Ag said:
KidDoc said:
I agree with Cis and Hill. Fluovoxamine data is really exciting.
The fluvoxamine data is not really convincing. The TOGETHER trial for some reason used a composite outcome of >6hr time in ER or hospitalization as their primary outcome, with the time spent in the ER being the only statistically significant portion of the composite, as it had no effect on hospitalization. Time spent in the ER is a worthless outcome measure as time spent in the ER frequently has nothing to do with disease severity.

The pre-test probability of efficacy is so low that SSRIs would have any benefit in COVID that it would take indisputable data with patient centered outcome measures if looking at this from a Bayesian perspective. From a non-Bayesian perspective, the fluvoxamine arm of the TOGETHER trial is extremely weak data, with everything outside of time spent in an ER being negative on secondary outcomes (Death, Mechanical ventilation, Need for oxygen supplementation, hospitalization, days spent in hospital).

OP should talk with his doctor ASAP, and stay on top of his O2 sats. If it drops below 90%, please go to an ER immediately. Right now, the best evidence we have for early disease is monoclonal antibody infusion, preferably sotrovimab for Omicron, although Texas has just run out of supply and at least my hospital no longer has any available supply.
How long after symptoms start is the monoclonal antibody infusion still an effective treatment?
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Dr. Not Yet Dr. Ag
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4:57p, 1/1/22
Some recommend less than 10 days, some less than 7. Personally, I don't offer it past 7 days given short supply and significantly reduced efficacy when given later in the disease course. Now that paxlovid and molnupiravir are finally available I'll likely be switching to prescribing those, instead, for higher risk patients.
No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. See full Medical Disclaimer.
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Amarillo Slim
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In reply to Dr. Not Yet Dr. Ag • 5:39p, 1/1/22
AG
Dr. Not Yet Dr. Ag said:
Some recommend less than 10 days, some less than 7. Personally, I don't offer it past 7 days given short supply and significantly reduced efficacy when given later in the disease course. Now that paxlovid and molnupiravir are finally available I'll likely be switching to prescribing those, instead, for higher risk patients.
Thanks. If they call after the 7th day I will likely reject so not to waste it.
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txaggie_08
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In reply to J-Licious • 5:47p, 1/1/22
AG
J-Licious said:
Capitol Ag said:
Get well OP. Keep us updated.


Another fever free day. Only issues are headache and dehydration because I am still not drinking as much as I should but working on it.

Thanks again everyone for the support, prayers and advice.

Been a couple days, still doing better?
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