Actions to increase likelihood of mild covid19 recovery?
March 22, 2020 11:48 AM   Subscribe

Are there any peer-reviewed (or at least clinician-generated) studies showing what to do if you have covid19 - but have mild symptoms - and want to act in a manner that most likely slows or stop the disease’s progression to a more serious phase? I’m not asking for quackery, false cures or anecdata. However, as of March 22 there have been a minimum of 300k+ infections and 95k+ that have been “recovered from” under pretty intense surveillance. Apart from the biological statistics of age, pre-existing conditions etc, are there any commonalities or trends in the *actions* (or non-actions!) of recoverees, vs worseners? Let’s assume that not-smoking, rest, hydration are a given….
posted by lalochezia to Health & Fitness (9 answers total) 29 users marked this as a favorite
A 2017 meta-analysis of 25 high quality studies concluded:

Vitamin D supplementation was safe and it protected against acute respiratory tract infection overall.
posted by SaltySalticid at 11:55 AM on March 22 [3 favorites]

Here's how to care for loved ones suffering with coronavirus (Dr. Rachel Clarke, Guardian Opinion, Mar. 22, 2020)
The NHS website offers superb, clear, concise practical information on how to manage self-isolation. In essence, the person with symptoms should stay, ideally, in a well-ventilated room with a window that can be opened, keeping a minimum distance of two metres away from other people in the home. No one in the household should go outside, even to buy food or other essentials. Exercise outside is permitted, provided it takes place at a safe distance (two metres) from others. Those feeling unwell are urged to ask family or friends for help with delivering groceries, shopping and medication – all of which should be dropped off on the doorstep.
US authorities battle surge in coronavirus scams, from phishing to fake treatments (Guardian, Mar. 19, 2020)
The FDA says there are no approved vaccines, drugs or investigational products currently available to treat or prevent the virus and all products advertised as such will be targeted.
posted by katra at 12:49 PM on March 22 [2 favorites]

Do not use NSAIDs to reduce fever. They've been shown to increase the risk of complications.

So no aspirin, ibuprofen (Motrin, Advil), naproxone, etc. If you absolutely must use something use acetaminophen (Paracetamol, Tylenol) but in the video Dr Campbell advises against using ANY fever-reducing drugs.
posted by anadem at 12:58 PM on March 22 [2 favorites]

This site recommends some steps people can take during the "mild" phase as they are able. It looks like a lot of cleaning (to avoid re-exposure to any viral particles coughed or sneezed onto surfaces), ventilation, and moderate exercise.
posted by witchen at 1:29 PM on March 22 [8 favorites]

Trials are being done to test quercetin and vitamin C for addressing either prevention or treatment of mild conditions. As yet I've not seen definitive results for either. I have a friend who is a doctor who is recommending both since they are easily available and not likely to cause harm if taken at the recommended levels.
posted by crunchy potato at 2:02 PM on March 22 [1 favorite]

This is a great question, and whoooooa, witchen, that site is gold! Thank you so much. I feel much less stupid for darting out yesterday and buying a decent vacuum cleaner. (I made the guy come outside to do the transaction and backed away from him whenever he got too close and wiped down the vacuum when I got it home.)

So necsi says to keep windows open to keep from rebreathing the virus particles and infecting more lung tissue, but boyfriend has horrendous pollen allergy, and the outside air is currently about 50% oak pollen, estimating conservatively. I wonder: if he gets sick, would we be better off just blasting the AC? (We're in Florida and it's flaming hot already.)
posted by Don Pepino at 2:13 PM on March 22 [1 favorite]

no aspirin, ibuprofen (Motrin, Advil), naproxone, etc.

OK, let's keep the dodgy info and scare tactics to a minimum please? OP asked for peer-reviewed, or clinician generated information. The actual word on ibuprofen is a big question mark, like many things about this medication and the virus:

There is currently no strong evidence that non-steroidal anti-inflammatories (NSAIDs) such as ibuprofen can make coronavirus (COVID-19) worse. But until we have more information, take paracetamol to treat the symptoms of coronavirus, unless your doctor has told you paracetamol is not suitable for you.

If you have no coronavirus symptoms and regularly take ibuprofen for pain relief, carry on taking it as usual. If you develop coronavirus symptoms, ask your doctor about changing to paracetamol instead.

There have also been some flat-out false stories circulated about those medications, detailed here. [BBC]

Those medications you mention reduce fever not as an accident, but by intention. There is a medical opinion that having a fever can help the body fight viral infections, but having too high a fever can make you just as dead. Also, acetaminophen has its own side-effects, especially with your liver function, and some people simply have bad reactions to it.
posted by The Pluto Gangsta at 3:43 PM on March 22 [18 favorites]

Yes, make sure you never exceed recommended dosage of acetaminophen. Liver failure is an unpleasant way to go.
posted by Chrysostom at 9:53 PM on March 22

6 things to know if you're living with someone who has coronavirus, or think you might be (Joseph Allen and Marc Lipsitch, USA Today Opinion)
[...] 1. Isolate those who are visibly ill [...] 2. Open your windows [...] 3. Increase your filtration [...] 4. Humidify [...] 5. Clean and disinfect surfaces [...] 6. Run exhaust fans in the bathroom
Joseph Allen, assistant professor and director of the Healthy Buildings program at the Harvard T.H. Chan School of Public Health, is co-author of "Healthy Buildings: How Indoor Spaces Drive Performance and Productivity." Marc Lipsitch is professor of epidemiology and director of the Center for Communicable Disease Dynamics at the T.H. Chan School.
posted by katra at 10:56 AM on March 26 [1 favorite]

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