Home » Health » Solve doubts! Patients and doctors can choose antiviral drugs to treat covids themselves? | Hfocus.org in-depth health system

Solve doubts! Patients and doctors can choose antiviral drugs to treat covids themselves? | Hfocus.org in-depth health system

After the National Communicable Disease Committee Agreed that all hospitals under both public and private throughout the country Able to purchase antiviral drugs to treat covids on their own from September 1, 2022. There is a doubt about the treatment and dispensing of antiviral drugs to treat covids. Can the doctor prescribe the medication at his or her discretion?

On 10 Aug. Dr. Somsak Ankasil, Director-General of the Department of Medical Services Discussing guidelines for treating COVID-19 After adjusting to a contagious disease, watch out for the situation with COVID-19 cases in Bangkok. quite stable but in the provinces The number of infected people has not decreased. For the drug dispensing guidelines If there are no risk factors The patient had mild to moderate symptoms. to be at the discretion of the physician If favipiravir is chosen, it should be given as soon as possible within 4 days as it reduces the symptoms of the patient. If there is one risk factor and the onset of symptoms In the group with children under 18 years of age, favipilavir was also given. Because there are no research findings on the use of molnupiravir. and Paxlovid But in other groups, molnupiravir can be given. at the discretion of the physician Because molnupiravir and Paxlovid There hasn’t been a lot of research results yet. therefore at the discretion of the physician But I can give you nothing. Medication guidelines of the Department of Medicine have no problem. What kind of drugs are you having problems with? Therefore, we have to wait for the results of more empirical research studies.

“If comparing the case of diabetic patients taking diabetes medication. But the patient wants to inject diabetic injections. It is a step that is not correct. in which non-stakeholders came to sit and talk to see the point Must consider whether the drug ingested will have an effect against or complement the disease, it will be a problem. For Bangkokians, having scanned and paid, they will be able to enter the system without any problems. In principle, once logged in if need medication the patient will receive the drug The distribution of the drug The Food and Drug Administration (FDA) will inform again that when distributing the drug to pharmacies How do I need a doctor’s prescription? reiterate that Molnupiravir and Paxlovid It is under the registered Emergency Use of Molnupiravir. There is a break in the RNA of the virus, causing the virus to be distorted. The theory therefore fears that human RNA’s genes may also be misdivided. Although the chances of it happening are very small. But I don’t know the long-term effect. I can see that the overuse of drugs is not good. For example, if you get a fever and go buy antibiotics and take it yourself, it’s not. Director-General of the Medical Department said

On the side, Dr. Narumon Sawanpanyalert Dr. Songkhun, Department of Medical Affairs, mentioned about the guidelines for dispensing medicines to treat covids that the treatment is divided into 4 groups. 1. The group has no symptoms. Able to isolate at home Don’t take any medicine and it’s gone. will not give antiviral drugs Consider giving Andrographis paniculata when having a fever. 2. Patients with mild symptoms X-ray of the lungs is normal no risk factors Able to isolate at home Favipiravir may be given. In case of fever higher than 38 degrees Celsius, severe sore throat, but no coughing Because studies have shown that if given within the first 4 days, symptoms will not get worse.
3. Groups of patients with risk factors / major comorbidities may have mild symptoms Mild pneumonia is in group 608, self-isolate at home. or provide treatment at the hospital need antiviral medication at the discretion of the physician and the patient’s condition Dosage will be indicated as prescribed. One of these antiviral drugs is molnupiravir, paxlovid, remdesivir. favipiravir and 4. Patients with pneumonia who will have high fever, cough, blood oxygen saturation level below 94, must be hospitalized and treated. Remdesivir will be given. in combination with corticosteroids

while Asst. Prof. Dr. Kamthorn Malatham, Deputy Director of Ramathibodi Hospital Said that alternative medication is at the discretion of the physician. Groups that are not at risk can recover on their own. without medication Your doctor will determine your risk of major comorbidities, such as being overweight or diabetes. Because each antiviral drug has different advantages and disadvantages. Still not very worried Because the drug is given in a short time, but the side effects from the drug are not clear. If we take medicine, it has therapeutic benefits. There may be a risk of side effects. But if you can buy the drug yourself, be careful of side effects, for example, patients who take migraine pills with Paxlovid can be dangerous. therefore do not want to buy medicines according to the patient’s own needs but would like to have medicine dispensed from knowledgeable people Keep medication in the hands of health care professionals.

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