Q. I am COVID-19 positive. How to manage it?

Answered by
Dr. Alexander Davis, Md
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Nov 26, 2020

Tested positive for covid 19 over a week ago. I had fever, shortness of breath, chest pain and diarrhea. Currently I have an excruciating headache and chest pain. Have taken Tylenol and advil. Nothing seems to be working.

#

I’m deeply saddened by your illness. Have you already had a chest CT? Pls. have an eye on your breathing frequency. If you have more than 20 breaths per minute, you should seek hospitalization.

As to the headache. Unfortunately Covid can also enter the brain and cause inflammation there. That’s the most likely explanation. I’m normally very skeptical in regards to opioids. But in this case Tramadol would be a good choice for short term use. If this doesn’t help you need to be treated in a hospital.

Please don’t take Tylenol since Acetaminophen is highly liver toxic in high doses and Covid is stressing your liver anyway. And maybe you should switch from Advil to Aspirin 500mg, 3 times a day, because Aspirin also prevents the formation of blood clots, a common complication of Covid. Advil does not have this effect.

What is more: convincing small studies indicate that the OTC medications Famotidin (3x40mg a day) and Clemastin (4x1mg a day) might help to reduce the symptom burden of Covid significantly within 24 to 48 hours. Since they are OTC products and in general well tolerated this might be worth a try. Please be careful. As soon as you feel a sudden deterioration of your condition, please call an ambulance. I wish you a speedy recovery!!!


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