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Hydroxychloroquine & Metformin
American Association for the Advancement of Science (Science Translational Medicine/In The Pipeline) ^ | 6 April 2020 | Derek Lowe

Posted on 04/07/2020 4:55:52 AM PDT by Sarcasm Factory

At the risk of upsetting a few folks, someone who appears to be in the know has tossed a small bucket of cold water on the notorious hydroxychloroquine and azithromycin drug cocktail:

[....]

First up is this study from France. It’s another very small one, and all the usual warnings apply because of that. It’s from a team at the University of Paris and Saint-Louis Hospital there, and they evaluated 11 consecutive patients admitted there with the same course of treatment as the Marseilles group first reported (hydroxychloroquine 600mg/day and azithromycin, 500mg the first day and 250 mg/day thereafter). The mean age of their patients was 58.7 years, and (notably) 8 of the 11 had significant comorbidities (two obese, 5 with various forms of cancer, one with HIV). That’s a tough population, and unfortunately, the HCQ/AZ combination did nothing. One patient died (and two others went on to the ICU) and of the ten remaining, 8 were still positive for the virus by nasal swab on days 5/6 after treatment. One patient had to discontinue therapy on day 4 because of QT prolongation, a known side effect of hydroxychloroquine that can lead to fatal heart arrhythmia.

So while this is a small study and not a perfect match, it provides no evidence to show that the HCQ/AZ combination had any benefit at all. While we’re on the subject of QT prolongation, there’s this preprint from a medical team at NYU that was also treating patients with the same combination of drugs. In 84 patients, they found notable QT prolongation in about 30% of them, and another 11% were to a level (>500 milliseconds) that put them at a high risk for arrhythmia. This group’s mean age was 63, 74% male. No cancer patients in this group, but 65% did have hypertension and 20% were diabetic (which from many reports is actually a reasonable look at the patients most likely to progress to severe disease). The strongest predictor of dangerous QT numbers was the development of renal trouble while on the drug combination.

There are a couple of other things that need to be noted. One is that hydroxychloroquine itself actually lowers the activity of the innate immune system; that’s why people take it for lupus and for rheumatoid arthritis. Many people are saying that perhaps it will work best if taken early in the course of infection, but this effect (which is mediated through TLR receptors) should be kept in mind. Another potentially important point is raised in this preprint – which, it has to be said, is not human data but mouse toxicology. But with that in mind, the authors report what looks like a bad interaction in that species between HCQ and metformin. And by “bad”, I mean about 30% mortality. If this translates at all to humans, it could be bad news, because (as mentioned above) diabetics look like a high-risk group and many patients may well have been taking metformin when they present at the hospital. We need more information on this. An investigational drug combination that showed this effect in mice would not move forward in the normal course of things.

[....]



TOPICS: Health/Medicine; Science
KEYWORDS: azithromycin; corona; coronavirus; hydroxychloroquine; metformin
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To: Williams

This cocktail cant cure the years of poor health, bad diet, drugs, alcohol, medication abuse and underlying medical conditions. This is not the unicorn in the room. Your immune system is key and needs to be somewhat healthy to start.


21 posted on 04/07/2020 5:31:11 AM PDT by ronnie raygun
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To: Sarcasm Factory

Wow, hubby takes Metformin.

Thanks for posting.


22 posted on 04/07/2020 5:32:08 AM PDT by grame (May you know more of the love of God Almighty this day!)
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To: All
Just saw on Fox and Friends but can’t find online yet:

Dr Daniel Wallace Letter to President Trump and FDA

Hydroxychloroquine is a very safe drug. It has been given to tens of millions of individuals in the world since its approval in 1955 and as mono therapy has not been associated with any deaths in the recommended dose. In 42 years of practice, no patient of mine had ever been hospitalized for a HCQ complication. Nearly all of my Lupus patients have taken zithromycin over the years without a single adverse event.

23 posted on 04/07/2020 5:32:15 AM PDT by mmichaels1970
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To: tired&retired

Zinc deficiency characterized by low plasma zinc levels over time enhances HIV-associated disease progression, and low dietary zinc intake is an independent predictor of mortality in HIV-infected drug users.

https://pubmed.ncbi.nlm.nih.gov/12942385/


24 posted on 04/07/2020 5:33:53 AM PDT by tired&retired (Blessings)
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To: Sarcasm Factory

Funny they didn’t mention that HCQ can REPLACE metformin. Also, I’m sure such a contraindicator has already been considered.

https://www.hindawi.com/journals/jdr/2020/5214751/


25 posted on 04/07/2020 5:43:31 AM PDT by dangus
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To: free_life

It’s the zinc that destroys the virus after the HCQ breaks down the membrane. Zinc is an antiviral, which is why it’s in cold and flu remedies.


26 posted on 04/07/2020 5:51:51 AM PDT by FrdmLvr (They never thought she would lose)
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To: Sarcasm Factory

I’m not interested in any “study” that has a sample of 11 !!!

“evaluated 11 consecutive patients”

It’s statistically meaningless.


27 posted on 04/07/2020 5:52:20 AM PDT by fuzzylogic (welfare state = sharing of poor moral choices among everybody)
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To: dangus
Hey, now, that's interesting! Perhaps patients with clear symptoms of infection from COVID-19 could simply drop metformin for the duration as needed. The latter drug is meant for long-term treatment — it's not as if these folks will drop dead after failing for a single day to pop their metformin pills. After recovery, they can resume taking metformin. Seems a simple solution, yes?

Funny they didn’t mention that HCQ can REPLACE metformin. Also, I’m sure such a contraindicator has already been considered.

https://hindawi.com/journals/jdr/2020/5214751/


28 posted on 04/07/2020 5:59:29 AM PDT by Sarcasm Factory (Being a friend of the Clintons is like being bosom buddies with a great white shark.)
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To: ClearCase_guy

ClearCase_guy wrote:

“This seems like a very small, very flawed study, in which very sick people were given less than the recommended regimen, and then failed to miraculously get better.

Is this how they do science?”

And no zinc was used.


29 posted on 04/07/2020 6:04:22 AM PDT by WildHighlander57 ((WildHighlander57 returning after lurking since 2000)
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To: LesbianThespianGymnasticMidget
That's an interesting notion. I suppose this why Dr. Vladimir Zelenko insists on including zinc sulfate in his treatment protocol. Just in case, I've been searching far and wide for the pharmaceutical grade nutritional supplements. Amazon doesn't have them — all out of stock. Ditto for Walmart. A couple of Amazon merchants do sell "99-percent pure" zinc sulfate monohydrate cheaply in big bags for treating moss on pecan trees and apparently for curing leather. You have to wonder what's the other one percent of this stuff. Who will be the brave guinea pig to find out the hard way? :/
Where is the Zinc? AZ has minor antiviral effects, but only minor. It is there merely to prevent opportunistic infections. The HQ does nothing but open a pathway into the cell for zinc and has some minor anti-inflammatory effects. Zinc interferes with the reverse transcriptase enzyme the virus uses to duplicate itself. No Zinc, no real benefit. Zinc does not like to go into cells. HQ lets it go in easily.

30 posted on 04/07/2020 6:13:41 AM PDT by Sarcasm Factory (Being a friend of the Clintons is like being bosom buddies with a great white shark.)
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To: Sarcasm Factory

Already posted and largely ignored for the following reasons:

1. Used a much smaller test group than either of the 1st 2 French studies and then significantly biased this small group with almost worst case underlying conditions:

“There were 7 men and 4 women with a mean age of 58.7 years (range: 20-77), 8 had significant comorbidities associated with poor outcomes (obesity: 2; solid cancer: 3; hematological cancer: 2; HIV-infection: 1)”

2. An actual practical real world confirmation of the 1st 2 French studies can be monitored at the below link. Here, 2191 patients (all with some level of underlying conditions but certainly not the most morbid) treated with the HCQ+AZ treatment to date show a mere .4% mortality rate - an order magnitude less than the standard hospital treatment.

https://www.mediterranee-infection.com/covid-19/


31 posted on 04/07/2020 6:16:06 AM PDT by motoman (")
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To: Sarcasm Factory

Maybe... but THAT’s the kind of maybe that years of testing can look into.


32 posted on 04/07/2020 6:27:04 AM PDT by dangus
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To: motoman
Ah! That's a very informative link. Personally, I've been trying to secure a supply of zinc sulfate 220-milligram tablets. They seem to be out of stock everywhere, though. -_-

2. An actual practical real world confirmation of the 1st 2 French studies can be monitored at the below link. Here, 2191 patients (all with some level of underlying conditions but certainly not the most morbid) treated with the HCQ+AZ treatment to date show a mere .4% mortality rate - an order magnitude less than the standard hospital treatment.

https://www.mediterranee-infection.com/covid-19/


33 posted on 04/07/2020 6:31:10 AM PDT by Sarcasm Factory (Being a friend of the Clintons is like being bosom buddies with a great white shark.)
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To: Sarcasm Factory

It is a known fact that anyone with a badly compromised or weakened immune system will likely die from Covid-19 and I think that was its purpose when it was engineered.


34 posted on 04/07/2020 6:36:24 AM PDT by DarthVader (Not by speeches & majority decisions will the great issues of the day be decided but by Blood & Iron)
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To: LesbianThespianGymnasticMidget

Exactly! Expect studies like this in the coming weeks using HCQ only, without Zinc, and we get results and headlines like this.

Big Pharma and their front man Dr “Fauxi” want big dollar solutions.


35 posted on 04/07/2020 6:36:44 AM PDT by Chauncey Gardiner
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To: taxcontrol

Indeed. I’m certain your doctor is heart broken.


36 posted on 04/07/2020 6:41:26 AM PDT by Kay
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To: Sarcasm Factory

“There are a couple of other things that need to be noted. One is that hydroxychloroquine itself actually lowers the activity of the innate immune system”

Since we’re using anecdote here, let’s look at the Princess cruise ship pt who had the virus and recovered. This patient was a renal transplant patient who as with all transplant patients was on immunosuppressors to prevent rejection.

Maybe we should say that immunosuppression early on might work with chloroquine to combat the virus.

See what happens when you get into anecdotal incidents.


37 posted on 04/07/2020 6:41:59 AM PDT by mistfree (Virginia Freeper)
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To: Chauncey Gardiner

Have not seen any peer reviewed studies with just HCQ and Zinc. Only HCQ and Azithromycin and HCQ by itself.

If there are published studies of HCQ and just Zinc, please post link.


38 posted on 04/07/2020 6:53:13 AM PDT by motoman (")
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To: DCBryan1
First 😀

Probably 20 liters a day of tonic water : )

We have been using Elderberry syrup for a month and a half and immune support tincture. I bought a large box of both and some other tinctures from a woman in Missouri. She makes a virus buster package of multiple tinctures, very knowledgeable person on health matters. I also bought last I could find of raw Elderberries, simple to make syrup.

50 mg Zinc daily (I bought a 25 kg bag of Zinc Sulfate a few years ago, only needed a 100 grams but prices were crazy high then a company I contact wanted to get rid of their 25 kg bags and practically gave it to me with free shipping ... should have bought all 9 bags considering prices now : )

Been using D3 5000iu daily for years, now whole family is.

1000mg Acerola Cherry Vit C daily. Bought last of Camu Camu powder 226 g before it all disappeared to make high strength Vit C (haven't yet).

And Remag magnesium.

We are set for long haul. Wish I could have gotten Liposomal Vit C before it all disappeared but Acerola Cherry Capsules and Camu is as good just have to take more.

Btw I got lots of tonic water lol

I will look into the Quercetin, what is your thinking on it in regard to this virus?

39 posted on 04/07/2020 7:03:06 AM PDT by free_life (If you ask Jesus to forgive you and to save you, He will.)
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To: Sarcasm Factory

“but 65% did have hypertension and 20% were diabetic (which from many reports is actually a reasonable look at the patients most likely to progress to severe disease). The strongest predictor of dangerous QT numbers was the development of renal trouble while on the drug combination.”

These caveats are not totally unknown to doctors already. They are part of already known cautions to the use of Hydroxychloroquine that doctors concern themselves with when (1) determining which drugs to use, and (2) monitoring the patient during the administration of the drug.

The criticism is DESIGNED to pretend the doctors would never see that some patient, due to their medical history, should either not be given the drug and/or monitored very closely. The criticism thinks the doctors are all idiots and will give a patient a drug “just to satisfy Trump”.

It is the media that has all the idiots.


40 posted on 04/07/2020 7:10:49 AM PDT by Wuli
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