14 Comments
May 26, 2023Liked by Jeremy Faust, MD

Looking forward to some clinical trials and more information about drug interactions

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Somewhat relatedly, I’m curious whether at this point those few of us who are still (to our knowledge) infection-naïve would be considered “immunocompromised” with respect to COVID.

We have a family member who is immunocompromised by definition, so we have been and remain pretty tightly locked down, wearing N95 when out, etc., so we think it’s possible that we haven’t been even asymptomatically infected.

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Just got Covid for the first time (knowingly). I was traveling in Europe -- wore KN95s pretty much everywhere but on planes wore N95. Probably got it eating indoors in Vienna (it was raining a lot and there were few options). I am taking Paxlovid but now wonder if I should be. I am 66, have Inflammatory bowel disease but I am not on immune suppressants. I have not responded well (via AB testing) to vaccines but I was vaxxed to the max. I do feel sicker than anytime since I had the flu in 2018. I just hope taking Paxlovid isn't harmful. I do have access to 10 days if I want. Just grateful I made it this far without infection. Of note, I was also in Czechia for a week and did not wear a mask at all -- I was bike riding 309 miles and ate outdoors most of the time. No one was masking in Czechia or Vienna. Maybe saw 10 masks the whole time. Post Covid world for sure.

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I made it all the way to Dec 2022 without catching it. We survived 83 days in the NICU, baby's surgeries and tons of her doctor visits, and being severely immunocompromised due to SLE meds.

As soon as I had a sniffle I took the test, was positive, and my local FM doc sent in Paxlovid for me and my husband (he is not immunocompromised but asymptomatically tested positive 5 days after I did, started Paxlovid at that time). Sometimes it's nice being a doc- was able to take the first dose within 3 hours of first symptom.

I felt increasingly bad for the next 36hrs but never dipped below 90%. Woke up on day 3 and felt almost back to my normal self. I genuinely think Paxlovid, and my five rounds of vaccines by the time I caught C19, prevented hospitalization for me.

Definitely want to see independent data now.

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Dr Faust, I have seen the data that Paxlovid reduces the rates of the mostly the cardiovascular/pulmonary forms of long COVID. Is there any data to indicate that it reduces the rates of the me/cfs-like forms of disabling long COVID in young to middle-aged people? If so, would you consider it useful to fully vaccinated and up-to-date on their boosters middle-aged folks who would like to avoid the disabling condition?

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I'm 80 and in treatment (ADT) for cancer (chemo and radiation 7 and 17 years ago, respectively), fully vaccinated (including 2 bivalent boosters). My sense at this point is that if I am infected with covid (test positive with symptoms), I would ask my primary care physician for Paxlovid. Am I right in thinking there's nothing in what you say about wanting more data that would contradict that? Thanks.

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I can’t swallow pills so I chew them up. I couldn’t find out if it would be safe to chew Paxlovid because nobody had ever done this in the history of ever.

Any thoughts on if it would be safe to chew Paxlovid, or if this information will become available in the future? The pills aren’t small and I doubt I’m the only one with this problem.

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