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LONG HAUL COVID-19 SYNDROME PAID ADVERTISEMENT It has now been determined that many patients are suffering from Long Haul COVID-19 Syndrome (LHCS). According to the CDC, the most common lasting symptoms are fatigue, shortness of breath, cough, joint pain and chest pain. Other issues include cognitive problems, difficulty concentrating, depression, muscle pain, headache, rapid heartbeat, intermittent fever as well as brain fog. The approach outlined below is a consensus protocol based on collaboration led by Dr. Mobeen Syed, Dr. Tina Peers, and the FLCCC Alliance. Given the lack of clinical treatment trials of LHCS, these recommendations are based on the pathophysiologic mechanisms of COVID-19 and post-viral illnesses along with the collective experience observing profound and sustained clinical responses achieved with the treatment approaches below. 1. FIRST LINE THERAPIES • IVERMECTIN: 0.2mg/kg body weight. Once daily for 1 week. • PREDNISONE: 10-15mg daily for 3 weeks. Taper to 10mg for three days, then 5mg for three days and then stop. • Low dose NALTREXONE (LDN): Begin with 1mg daily and increase to 4.5mg as required. May take 2-3 months for full effect. • OMEGA-3 FATTY ACIDS: Vascepa, Lovaza or DHA/EPA 4g per day. These play an important role in the resolution of inflammation. • VITAMIN D: The majority of those with post-COVID-19 syndrome continue to have hypovitaminosis D. 2. SECOND LINE THERAPIES • FLUVOXAMINE (low dose): 25mg once daily. Stop if symptoms increase. Caution with use of other antidepressants and psychiatric drugs. Taper and discontinue once symptoms improve. A third line of therapy is also suggested as well as optional adjunctive therapies. i Relative contraindications: 1)Patients on Warfarin require close monitoring and dose adjustment. 2)Pregnant or lactating women require a more in-depth risk/benefit assessment. ii Side effects may include: increased appetite, mood changes, insomnia, raised blood glucose, dyspepsia.
Find us on @themixpharmacy 14369 Blanco Road San Antonio, TX 78216 | P: 210-226-1112 • F: 210-226-1119 | www.mixingpharmacy.com For more info on the suggested medications, you can refer to the FLCCC website or contact The Mix Pharmacy.
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