Antiviral drugs are used to treat viral infections. Most antivirals, unlike antibiotics, do not kill the pathogen, instead, they inhibit their development. Some of the commonly used antiviral drugs are Zidovudine, Pyrimidine, and Acyclovir.
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Do I have to terminate my pregnancy as I took steroids for herpes zoster infection?
Query: Hi doctor, I am being advised to terminate the desired pregnancy because of the medication I have been prescribed to tackle a virus that I got just after becoming pregnant. I am looking for a second medical opinion on whether termination is necessary. I would like to understand the risks to the fetu... Read Full »
Answer: Hello, Welcome to icliniq.com. The increased exposure to corticosteroids can cross the placental barrier and cause adrenal suppression in the fetus. This can lead to salt wasting, electrolyte imbalances, and even poor development of the fetus. The organs can also have improper development, and an... Read Full »
Can you get hantavirus infection on exposure to mouse feces?
Query: Hello doctor, I was exposed to mouse poop. It was in my clothes, drawers and on the floor. The mouse was in my apartment. I swept it up. I was exposed to them for about three weeks. It has been 27 days since I have been around them, but today I am getting cough and scratchy throat. Does this soun... Read Full »
Answer: Hi, Welcome to icliniq.com. Hantavirus is mainly transmitted to people when you breathe in air contaminated with the virus especially when fresh rodent urine, droppings, saliva or nesting materials are stirred up; tiny droplets containing the virus get into the air. Normal incubation period is... Read Full »
What could be the cause for the sore at the tip of my lips?
Query: Hi doctor, I have this sudden sore at the tip of my lips. I am wondering what could it be. I used to have frequent fat sacks, but this seems very different. I am attaching a close-up photo of it. Please advice. Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through your complaint and have seen the attached photograph (attachment removed to protect patient identity). You are having herpes infection which is a viral infection. You should try taking a course of antiviral like tablet Acyclovir 400 mg thrice in a ... Read Full »
Can bronchoscopy help in lung collapse caused due to pneumonia?
Query: Hi doctor, My uncle has been admitted to a hospital, after a week of high-grade fever along with a cough, which gradually increased. They took a chest x-ray and blood tests and confirmed that it is pneumonia, and my uncle was on O2. He was also suspected for swine flu, and we waited for the reports,... Read Full »
Answer: Hi, Welcome to icliniq.com. I have seen all the reports (attachment removed to protect patient identity) This history seems to be of acute viral pneumonitis, probably due to a new unknown strain or H1N1. Sometimes, cultures may be negative while he can still harbor it. The CT scan is sugg... Read Full »
Am I suffering from genital herpes?
Query: Hello doctor, It started with a burning pain during urination, which lasted two days with no other symptoms. The doctor said I had a UTI and advised me to drink plenty of fluids, which I did. Then two days after, there was a lump on my right labia. The painful urination has gone, but this lump on m... Read Full »
Dr. Sanjay Kumar Bhattacharyya
Answer: Hello, Welcome to icliniq.com. First of all, there are no readily available blood tests for genital herpes, and most often, a clinical examination is enough to confirm it. This is a painful blister, and a possible cause is a genital herpes, with a previous history of urine infection for which ... Read Full »
Should I take Acyclovir medicine for asymptomatic HSV-1 IgG positive results?
Query: Hello doctor, I am a 35 year old male. I weigh 68 Kg and my height 5'5". I am in a healthy status. History: No episodes of herpes except chickenpox in childhood. No infection of HIV - clinically tested every 6 months since last 7 years. I am straight and only 1 relationship with spouse. Both me and ... Read Full »
Answer: Hi, Welcome to icliniq.com. Thank you for providing all the details. I shall answer your questions one by one. 1. As you have mentioned that you do not have any symptoms at the moment, there is no need to take Acyclovir. 2. A repeat test can be done just for your reassurance. Chances of false positi... Read Full »
I got chickenpox when I was a kid, but I got it again now. What medications should I use?
Query: Hello doctor, I got chickenpox when I was a kid, but I got it again now. I have been using Calamine lotion for rashes and antihistamines for itchiness. Could you suggest me some medications for it? What kind of medications will I have to take, and for how many days? Thank you. Read Full »
Answer: Hello, Welcome to icliniq.com. Thanks for writing in, and I understand your concern. First of all, I would like to ask you if you are sure it is chickenpox because you get chickenpox only once in your life. If you had chickenpox in childhood, it is less likely that it is chickenpox again. Mayb... Read Full »
I got infected with HSV-1 a few days back. Will it affect daily lifestyle in future?
Query: Hello doctor, I was diagnosed with HSV-1 four months back, HSV IgG was positive, and IgM was negative. I am a healthy person, and if I keep myself away from HIV, will I still have HSV outbreaks after 60 years of age? HIV is the only known immunocompromised state. Will a cold, flu, thyroid, diabete... Read Full »
Answer: Hi, Welcome to icliniq.com. If you are not immunosuppressed, then HSV (herpes simplex virus) outbreaks will not increase at 60 years or later. General ill health can cause an outbreak, but thyroid disorders, diabetes, flu, and cold will not cause an outbreak. Sore outbreaks at any time without any ... Read Full »
Is a blood oxygen level of 92 percent normal?
Query: Hello doctor, I have difficulty in breathing, and my oxygen level is 92 percent. Read Full »
Answer: Hello, Welcome to icliniq.com. It is better to start with a steroid if SpO2 goes less than 90%. For now, we will start with anti-inflammatory, multivitamin, and antiviral drugs. 1. Tablet Combiflam (Ibuprofen + Paracetamol) 1 tablet in the morning, afternoon, and night (after food). 2. Tablet Li... Read Full »
Does intake of Hepcivir L cause any cardiac side effects?
Query: Hi doctor, Is tablet Hepcivir L effective for HCV positive patient? Is that safe for a heart patient? Read Full »
Answer: Hi, Welcome to icliniq.com. Cardiac side effect chance is not significant. Drug trial does not mention the cardiac side effect of this drug (Hepcivir L - a combination of Sofosbuvir and Ledipasvir). It means any cardiac side effect is likely to be less than 1% and cannot be attributed to this drug.... Read Full »