David de Luna, Evangelina Soler and Cesar Gamalier / El Dia
Locally, patients have been treated with medications that have been said to produce good results. To tell from the declining number of patients in intensive care units, the treatments seem to be working for the better. The physicians that have accumulated experience with Covid-19 patients are sharing their results with the drugs that previously had been used to treat other diseases.
As reported in El Dia, if you fall seriously ill with Covid-19 in the Dominican Republic, you could be treated with low costing hydroxychloroquine (plaquinol) and ivermectin. Tocilizumab (actemra) is a high cost pharmaceutical that is used for patients in serious conditions. The drugs had been used to treat malaria, rheumatoid arthritis and lupus, inflammation and parasites.
Dr. Evangelina Soler tested positive herself for the disease, but has continued to treat patients from home. The neumologist recommends building up the immune system with supplements for those that catch the disease. She recommends treating the fever with acetaminophen, lots of water and electrolyte substances with alkaline PH, and Azithromycin as an antibiotic to fight inflammation in the lungs. She recommends Vitamin D3 (dose of 5,000 iu and 50 mg of zinc every 12 hours. Also 2,000 mg of vitamin C every 24 hours and a diet rich first in vegetables and fruits and then protein.
Dr. Johnny Rafael Tavarez Capellán of the Centro Médico Bournigal in Puerto Plata says he has been successful treating patients with Ivermectin. The dose he uses is for those weighing less than 80 kilograms, 2 pills of 6mg of Ivermectin, and those over 80 kilograms, three pills, per day up to 36 mg total.
Infectologist Carlos Rodríguez said in an interview on Esta Noche Marisela on 21 April 2020 that the most promising drug is remdesivir, an antiviral.
Public Health Minister Dr. Rafael Sánchez Cárdenas said in his 21 April press conference that the medications are being used in a controlled way and the local health authorities are in constant contact with the scientific health community and health agencies at the global level. He referred to working closely with the Pan American Health Organization and the Center for Disease Control of the United States.
As reported in El Dia, Dominican physicians have been sharing their experiences treating patients in advanced phases of the disease. Neumologist Natalia García of the Clínica Unión Médica in Santiago prepared a 100-page guide for diagnosing and treating the patients. Given the scarcity of PCR tests, Santiago and San Francisco de Macoris physicians have been recommending computed tomographies of the lung to diagnose the disease when the usual diagnostic tests are not available.
Well known cardiologist advisor to the High Commission for Prevention of Coronavirus, Dr. Pedro Ureña says physicians in the Dominican Republic are clear that all Covid-19 treatments are experimental since there are no controlled studies. He says the authorized experimental treatments need to be applied with medical supervision. He made the observation during an interview with Dr. Erika Perez on Consulta de MCA on Channel 9.
About when will hospitalization be needed, he recommended using a finger oxygen monitor that can be purchased on Amazon. He says this can help people differentiate from whether they are having an anxiety or panic attack to whether the illness has worsened and they may require a ventilator. Ureña says that 80% of people who catch the disease can recover satisfactorily by staying at home.
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22 April 2020
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