General Corona virus updates

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There is still not clear evidence that NSAIDS are a bad idea, and there is growing doubt about the report from France (as of our departments virtual meeting at 18:00). Due to that report however, Tylenol is now quite scarce.
I hear you. And I bit my lip on saying anything when the cases were published. But the WHO decided to weigh in and suggest it first line for self treatment for OTC use. And if I've got both in my cabinet I'd follow their guidance.
 

Chief

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It is not clear to me at this point if there is any validity to that report about susceptibility of different blood types; but you and I are in the same boat with A+
Excellent bedside manner doc.
 
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Dunno.
Just know ibuprofen currently QUESTIONABLE should not self medicate covid-19 with. Since Aleve is in a similar class, lean towards Tylenol/acetaminophen until better data available.

All are still fine for other things. Ibuprofen specifically with covid-19 QUESTIONABLE right now.


Edit with better terminology because casual doc speak coming across too strongly.

I've edited this post for fear of creating a run on the stores.

To be clear here is the history and here is sort of how science and medicine works.

Some guys in China saw some case reports where ibuprofen seemed to worsen covid 19.

France saw the same thing.

France went as far as putting out a country wide guideline to avoid ibuprofen in covid 19.

this became a big issue with lots of people pushing back that that was premature and international experts weighing in that they've been treating similar viruses and without the good evidence you're going to go and limit people's ability to treat fever and other immune responses, especially in mild disease, which is an important part of self medication.

After this the WHO came out yesterday stating that there isn't enough data for sure, but the data that has been quickly reviewed by them, they recommend avoiding ibuprofen for self-medication specifically in this disease. again that self medication because the data is kind of out and your doc can do whatever because then they can see if this is a response to a specific population the disease or not at all.

understand my shorthand is purely a reference to the WHO guidance on self-medication of covid 19.
I've edited my post to use the word questionable because that's really what it is and not necessarily risky which implies there's a known risk.

Also recognize that doctors use guidelines and that we leave off those guidelines to do whatever we want that's right for the patient all the time because guidelines are made for populations. There is no rule book for most of our patients.
 

Filthy

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There is still not clear evidence that NSAIDS are a bad idea, and there is growing doubt about the report from France (as of our departments virtual meeting at 18:00). Due to that report however, Tylenol is now quite scarce.
i saw a bottle on Amazon for $99

i picked up a giant bottle when I stocked my meds a couple weeks ago.
Dad called today and asked what mask he should get...'whatever you can find that says N95'

he didn't realize they were the same as some that he used to go up in the attic last year, but for his generation I think it's more about the stigma of putting one on.