Early steroid use can worsen Covid infection, caution doctor
Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...
Get authentic, real-time news that helps you fight COVID-19 better.
Install PlexusMD App for doctors. It's free.
Steroids, the latest class of medication given to US President Donald Trump, are a double-edged sword as far as Covid patients are concerned. Doctors said steroids could worsen the infection if given too early but work like magic in critically ill patients.

Traditionally associated with inflammatory conditions such as asthma and arthritis, steroids have been a part of Covid treatment in India since early April when the first guidelines were drawn up.

But Dr Rahul Pandit, a member of Maharashtra’s Covid task force, said steroids — either dexamethasone or methylprednisolone — are only recommended for Covid patients with hypoxia.

“On rare occasions, a patient with high levels of c-reactive proteins may be given steroids based on the doctor’s clinical judgement,” added Dr Pandit, who uses it for patients in his ICU at Fortis Hospital, Mulund.

The thumb rule, said a civic hospital doctor, is to give it to patients whose oxygen saturation levels are below 94%.

Pulmonologist Dr Lancelot Pinto from Mumbai’s Hinduja Hospital said, “The first week of Covid illness is mainly about the virus causing havoc. In the second week, the body mounts an immune response. It is in the second state that steroids have a role to play.”

If a patient is incorrectly given steroids in the first week, it may actually worsen the infection spread or allow other bacteria in the lungs to multiply.

Unfortunately, some doctors prescribe steroids even for Covid patients in home isolation. “This is wrong, but it is being done,” said Dr Pinto.

There are other problems too. A team from AIIMS Delhi’s pulmonary medicine wing in July mentioned in a medical journal that the use of steroid therapy for moderate to severe disease could have an adverse effect on patients with diabetes.

Source: https://health.economictimes.indiatimes.com/news/diagnostics/early-steroid-use-can-worsen-covid-infection-caution-doctors/78505168
S S and 10 others like this15 shares
Like
Comment
Share
Dr. L●●l S●●●●●a
Dr. L●●l S●●●●●a General Medicine
Early use of stroid in covid 19 is not advisable as per general opinion and one has to be careful and have proper way to work for covid patient.
Oct 6, 2020Like
Dr. L●●l S●●●●●a
Dr. L●●l S●●●●●a General Medicine
Early use of stroid in covid 19 is not advisable as per general opinion and one has to be careful and have proper way to work for covid patient.
Oct 6, 2020Like
Dr. R●●●●H A●●●●●L
Dr. R●●●●H A●●●●●L General Medicine
DR.RAMESH AGRAWAL,NAVSARI GUJRAT FAMILY PHYSICIAN EARLY USE OF STEROID IN COVID 19 MAY GIVE GOOD RESULTS(TO RELIEVE THE SYMPTOMS) IN EARLIER PHASE BUT LATER ON IT MAY BE HARMFUL IN EARLY PHASE ,NO ANTIBOTICS/ MEDICINES WILL RELIEVE THE SYMPTOMS.IT DEPENDS ON EARLY VIRAL LOAD.
Oct 6, 2020Like