FDA fully approves Paxlovid. Now we can learn how well it really works.
insidemedicine.substack.com
During the Covid-19 pandemic, the FDA used its authority to allow new medications and vaccines to reach the public, without its usual lengthy approval process. That power—emergency use authorization (EUA)—saved a lot of lives by getting new vaccines and therapeutics to people in months, instead of years.
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.
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.
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?
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.
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.
Looking forward to some clinical trials and more information about drug interactions
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.
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.
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?
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.
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.