Free Republic
Browse · Search
General/Chat
Topics · Post Article

Skip to comments.

The American Journal Of Medicine Now Recommends Hydroxychloroquine For COVID-19
Principia Scientific International ^ | 01/26/2021

Posted on 01/29/2021 9:39:39 AM PST by SeekAndFind

The American Journal of Medicine now (Jan. 2021) now recommends Hydroxychloroquine, Azithromycin, and Zinc for the treatment of Covid 19 outpatients.

The irony is this is the treatment that former US President, Donald Trump promoted last year. The timing, right after the election, is interesting.

Select extracts are below:

Abstract

Approximately 9 months of the severe acute respiratory syndrome coronavius-2 (SARS-CoV-2 [COVID-19]) spreading across the globe has led to widespread COVID-19 acute hospitalizations and death.

This article outlines key pathophysiological principles that relate to the patient with early infection treated at home. Therapeutic approaches based on these principles include 1) reduction of reinoculation, 2) combination antiviral therapy, 3) immunomodulation, 4) antiplatelet/antithrombotic therapy, and 5) administration of oxygen, monitoring, and telemedicine. Future randomized trials testing the principles and agents discussed will undoubtedly refine and clarify their individual roles; however, we emphasize the immediate need for management guidance in the setting of widespread hospital resource consumption, morbidity, and mortality.

….

Zinc Lozenges and Zinc Sulfate

Zinc is a known inhibitor of coronavirus replication. Clinical trials of zinc lozenges in the common cold have demonstrated modest reductions in the duration and or severity of symptoms.18 By extension, this readily available nontoxic therapy could be deployed at the first signs of COVID-19.19 Zinc lozenges can be administered 5 times a day for up to 5 days and extended if needed if symptoms persist. The amount of elemental zinc lozenges is <25% of that in a single 220-mg zinc sulfate daily tablet. This dose of zinc sulfate has been effectively used in combination with antimalarials in early treatment of high-risk outpatients with COVID-19.20

Antimalarials

Hydroxychloroquine (HCQ) is an antimalarial/anti-inflammatory drug that impairs endosomal transfer of virions within human cells. HCQ is also a zinc ionophore that conveys zinc intracellularly to block the SARS-CoV-2 RNA-dependent RNA polymerase, which is the core enzyme of the virus replication.21 The currently completed retrospective studies and randomized trials have generally shown these findings: 1) when started late in the hospital course and for short durations of time, antimalarials appear to be ineffective, 2) when started earlier in the hospital course, for progressively longer durations and in outpatients, antimalarials may reduce the progression of disease, prevent hospitalization, and are associated with reduced mortality.22, 23, 24, 25 In a retrospective inpatient study of 2541 patients hospitalized with COVID-19, therapy associated with an adjusted reduction in mortality was HCQ alone (hazard ratio [HR] = 0.34, 95% confidence interval [CI] 0.25-0.46, P <0.001) and HCQ with azithromycin (HR = 0.29, 95% CI 0.22-0.40, P <0.001).23 HCQ was approved by the US Food and Drug Administration in 1955, has been used by hundreds of millions of people worldwide since then, is sold over the counter in many countries, and has a well-characterized safety profile that should not raise undue alarm.25,26 Although asymptomatic QT prolongation is a well-recognized and infrequent (<1%) complication of HCQ, it is possible that in the setting of acute illness symptomatic arrhythmias could develop. Data safety and monitoring boards have not declared safety concerns in any clinical trial published to date. Rare patients with a personal or family history of prolonged QT syndrome and those on additional QT prolonging, contraindicated drugs (eg, dofetilide, sotalol) should be treated with caution and a plan to monitor the QTc in the ambulatory setting. A typical HCQ regimen is 200 mg bid for 5 days and extended to 30 days for continued symptoms. A minimal sufficient dose of HCQ should be used, because in excessive doses the drug can interfere with early immune response to the virus.

Azithromycin

Azithromycin is a commonly used macrolide antibiotic that has antiviral properties mainly attributed to reduced endosomal transfer of virions as well as established anti-inflammatory effects.27 It has been commonly used in COVID-19 studies initially based on French reports demonstrating markedly reduced durations of viral shedding, fewer hospitalizations, and reduced mortality combination with HCQ as compared to those untreated.28,29 In the large inpatient study (n = 2451) discussed previously, those who received azithromycin alone had an adjusted HR for mortality of 1.05, 95% CI 0.68-1.62, and P = 0.83.23 The combination of HCQ and azithromycin has been used as standard of care in other contexts as a standard of care in more than 300,000 older adults with multiple comorbidities.30 This agent is well-tolerated and like HCQ can prolong the QTc in <1% of patients. The same safety precautions for HCQ listed previously could be extended to azithromycin with or without HCQ. Azithromycin provides additional coverage of bacterial upper respiratory pathogens that could potentially play a role in concurrent or secondary infection. Thus, this agent can serve as a safety net for patients with COVID-19 against clinical failure of the bacterial component of community-acquired pneumonia.31,32 The same safety precautions for HCQ could be extended to azithromycin with or without HCQ. Because both HCQ and azithromycin have small but potentially additive risks of QTc prolongation, patients with known or suspected arrhythmias or taking contraindicated medications or should have more thorough workup (eg, review of baseline electrocardiogram, imaging studies, etc.) before receiving these 2 together. One of many dosing schemes is 250 mg po bid for 5 days and may extend to 30 days for persistent symptoms or evidence of bacterial superinfection.

Read the full study at www.sciencedirect.com


TOPICS: Health/Medicine; Science; Society
KEYWORDS: ajm; chinavirustreatment; covid19; hcq; hcqzinczpac; hydroxychloroquine
Navigation: use the links below to view more comments.
first 1-2021-4041-45 next last

1 posted on 01/29/2021 9:39:39 AM PST by SeekAndFind
[ Post Reply | Private Reply | View Replies]

To: SeekAndFind

Oh, the one that gov. witless banned?


2 posted on 01/29/2021 9:40:56 AM PST by SkyDancer (Remember Ashli Babbitt!)
[ Post Reply | Private Reply | To 1 | View Replies]

To: SeekAndFind

Couldn’t see that one coming.


3 posted on 01/29/2021 9:42:03 AM PST by metmom (...fixing our eyes on Jesus, the Author and Perfecter of our faith.....)
[ Post Reply | Private Reply | To 1 | View Replies]

To: metmom

Here is the Scientific Study from the American Journal of Medicine:


4 posted on 01/29/2021 9:43:41 AM PST by SeekAndFind
[ Post Reply | Private Reply | To 3 | View Replies]

To: SkyDancer

Treatment algorithm for COVID-19-like and confirmed COVID-19 illness in ambulatory patients at home in self-quarantine. BMI = body mass index; CKD = chronic kidney disease; CVD = cardiovascular disease; DM = diabetes mellitus; Dz = disease; HCQ = hydroxychloroquine; Mgt = management; O2 = oxygen; Ox = oximetry; Yr = year.


5 posted on 01/29/2021 9:45:52 AM PST by SeekAndFind
[ Post Reply | Private Reply | To 2 | View Replies]

To: SeekAndFind

Hmm...wonder what changed?


6 posted on 01/29/2021 9:47:25 AM PST by Jan_Sobieski (Sanctification)
[ Post Reply | Private Reply | To 1 | View Replies]

To: Jan_Sobieski

RE: Hmm...wonder what changed?

Donald Trump is no longer President.


7 posted on 01/29/2021 9:47:59 AM PST by SeekAndFind
[ Post Reply | Private Reply | To 6 | View Replies]

To: SeekAndFind

The media AND Fauci have blood on their hands, along with YouTube, Facebook, Twitter for banning the truth from MANY doctors who used this!! I just wonder WHEN every damn person in this country are going to realize what LIARS and enemy the media are!! MY GOD how can 1/2 of the population be this stupid AND have higher education HOW!! How can this many people not have a lick of plain old common sense!!!


8 posted on 01/29/2021 9:50:06 AM PST by Trump Girl Kit Cat (Yosemite Sam raising hell)
[ Post Reply | Private Reply | To 5 | View Replies]

To: Trump Girl Kit Cat

State-run “education” is the culprit.


9 posted on 01/29/2021 9:53:32 AM PST by TTFlyer (Vote harder, sucker. Yeah, that's the ticket. ..)
[ Post Reply | Private Reply | To 8 | View Replies]

To: SeekAndFind

Now that Donald Trump is no longer president, suddenly they discover the miracle cure for COVID-19. Spotify


10 posted on 01/29/2021 9:54:24 AM PST by reg45 (Barack 0bama: Gone but not forgiven.)
[ Post Reply | Private Reply | To 1 | View Replies]

To: SkyDancer

Fauci . The midget mouthpiece who specializes in science misses again

Fake is as fake does and his pockets get lined for pushing higher cost remedies filled with govt graft.

To full of himself to recommend use this until a vaccine arrives and see if you need it then.


11 posted on 01/29/2021 9:54:50 AM PST by patriotspride (Third generation Vet. Never forget the true cost of freedom)
[ Post Reply | Private Reply | To 2 | View Replies]

To: SeekAndFind

this really hacks me off..we have been saying this for almost a year

if you have any kind of kidney issue you better take Covid seriously.

https://texags.com/forums/84/topics/3179379


12 posted on 01/29/2021 10:01:09 AM PST by RummyChick (To President Trump: https://freerepublic.com/focus/f-chat/3923111/posts)
[ Post Reply | Private Reply | To 5 | View Replies]

To: SeekAndFind

And Dr Gold and others were hammered mercilessly for being out in front on this.

This was all about Big Pharma getting their payday. They let people die so they could make money.

Many need to be held accountable.

None of this would have happened if we had a free press.


13 posted on 01/29/2021 10:06:24 AM PST by joshua c (Jan 20th is Dump Day. Dump them all. Twitter, Facebook, Google, Amazon, cable tv etc)
[ Post Reply | Private Reply | To 1 | View Replies]

To: SeekAndFind

HCL bump


14 posted on 01/29/2021 10:06:31 AM PST by Balding_Eagle ( Biden won, Trump got the most legal votes.)
[ Post Reply | Private Reply | To 1 | View Replies]

To: patriotspride

You cannot get EUA approval with an approved therapy available.


15 posted on 01/29/2021 10:08:14 AM PST by joshua c (Jan 20th is Dump Day. Dump them all. Twitter, Facebook, Google, Amazon, cable tv etc)
[ Post Reply | Private Reply | To 11 | View Replies]

To: Balding_Eagle

RE: HCL bump

Make that HCQ. HCL is the Chemical Symbol for Hydrochloric Acid. :)


16 posted on 01/29/2021 10:09:24 AM PST by SeekAndFind
[ Post Reply | Private Reply | To 14 | View Replies]

To: patriotspride

Fauci means sickle in Italian(Sicilian) Huh?????


17 posted on 01/29/2021 10:11:57 AM PST by Colt1851Navy (What was wrong with Nixon?)
[ Post Reply | Private Reply | To 11 | View Replies]

To: SeekAndFind

So they spent a year lying to us about this?


18 posted on 01/29/2021 10:32:31 AM PST by Morpheus2009 (If you want me to be afraid, then be consistent in your logic, standards, and your lies!)
[ Post Reply | Private Reply | To 1 | View Replies]

To: SeekAndFind

Bookmark


19 posted on 01/29/2021 10:34:31 AM PST by aquila48 (Do not let them make you care! Guilting you is how they control you. )
[ Post Reply | Private Reply | To 1 | View Replies]

To: SeekAndFind

https://www.facebook.com/leigh.mason.9659/posts/469714827369307


20 posted on 01/29/2021 10:35:27 AM PST by Sacajaweau
[ Post Reply | Private Reply | To 1 | View Replies]


Navigation: use the links below to view more comments.
first 1-2021-4041-45 next last

Disclaimer: Opinions posted on Free Republic are those of the individual posters and do not necessarily represent the opinion of Free Republic or its management. All materials posted herein are protected by copyright law and the exemption for fair use of copyrighted works.

Free Republic
Browse · Search
General/Chat
Topics · Post Article

FreeRepublic, LLC, PO BOX 9771, FRESNO, CA 93794
FreeRepublic.com is powered by software copyright 2000-2008 John Robinson