COVID-19 can be cured in 48 hours
COVID-19 treatment regimen
At the request of a large group of doctors and the tragic epidemiological situation in Poland and in the world, I again provide my own treatment regimen. I am making available based on my observations and experiences. It can always be analyzed and changed based on your own experience. I make a reservation that I am the author of this scheme. This is my original project, I created it, analyzed and developed it myself.
Constant contact with the patient
The basic principle for me when undertaking COVID-19 treatment – the doctor must have constant contact with the patient and the patient’s duty is to report on their health every day. I do not envisage a different treatment scenario. COVID-19 is a very unpredictable and dangerous disease that can be fatal. In no case can the patient start or stop treatment on his own without consulting a doctor.
The sooner the better
The sooner we enter treatment, the better, in this way we shorten the time of adverse effects of the virus on the body and subsequent complications. If we have characteristic symptoms, we can suspect COVID-19 infection with high probability. In my opinion, without waiting for the test result, treatment with amantadine hydrochloride should be started. We perform a test regardless of the treatment. If the test is positive and the symptoms are positive, treatment is started immediately.
Disqualification from treatment
Patients with severe arrhythmia, renal failure or mental diseases are absolutely disqualified from treatment with amantadine.
Dosage variants of amantadine hydrochloride
Option 1 – Disease symptoms without sharp dynamics
Amantadine 4 × 100 mg (i.e. 1 every 6 hours) for 48-72 hours. The dose is reduced as the patient’s disease is stabilized. Later treatment reduction to 2 × 1 – 100 mg. There is no need to administer high doses for too long.
Option 2 – sharp and dynamic course
When the course is very acute, very dynamic from the first hours and deterioration from hour to hour, in my opinion it is a struggle against time, where the patient’s condition can turn into very serious.
0 o'clock first dose 2 o'clock second dose the next one every 6 hours, administered for 48 to 72 hours depending on the patient's condition.
Then we reduce according to the scheme.
Option 3 – Older people with reduced metabolism
When the metabolism is slower, we give 100 mg every 8 hours for 2-3 days. Then we reduce according to the scheme.
Option 4 – patients over 75 years of age, asymptomatic, only with a positive test
Recommended treatment with amantadine 2 × 1 – 100 mg – prophylaxis for 14 days.
Option 5 – on admission to a hospital ward
Administration of amantadine:
Hour zero - 100mg After an hour - 100 mg Then every 6 hours, because the therapeutic doses are high enough - administered for 48-72 hours, then we switch to maintenance doses Consideration may be given to administering 200 mg immediately at zero hour (without a time interval) for even faster saturation, then every 6 hours as above
Treatment with maintenance doses should be quite long. There is no golden mean, each case may need to be modified. It is a minimum period of 7-8 days, but sometimes even 10-14 days, depending on the length of the disease and the time when amantadine is included.
With no apparent improvement
If the patient does not show spectacular improvement after 2-3 days and is not fully stabilized yet, it may be suspected that he may already have complications, for example pneumonia. It must be examined and the lungs must be auscultated (in doubtful cases, computed tomography or at least X-ray, which may show inflammatory changes – inaudible on headphones). The audible changes absolutely require antibiotic therapy, preferably a combination of two antibiotics intramuscularly or intravenously. We do not use steroids unnecessarily, unless we have to use them in crisis situations. In the first stage of the disease, the interstitial reactions seen on tomography should disappear after treatment with amantadine.
(15/11/2020) As a pulmonologist, when I have clear auscultation changes in pneumonia – I do not dare to treat with oral antibiotics, even with two ‘because it may work’. Even with simultaneous administration of amantadine, this does not guarantee success. Yes, amantadine always suppresses the virus, but treating pneumonia with oral antibiotics will not always work. I warn you, in this disease there is no time for it! We treat with two antibiotics intramuscularly or intravenously because the bacterial flora after 40 years of age is mixed and the administration of one antibiotic in low doses is not very effective.
I have already written many times that if there is no evident improvement after the third day, it means that there are complications caused by the virus. There’s no other way. All patients have the same effect of amantadine on the virus, i.e. inhibition and stabilization after 48 hours. I emphasize once again that the patient must be examined and auscultated. I mentioned that many doctors, who are not pulmonologists, do not hear little auscultatory changes in the lungs. And if they are in the interscapular region, they are simply unheard of. It happens that in a few cases, despite very extensive pneumonia, the patient does not have auscultatory changes. I was surprised a few times myself, for example the example from 2 days ago:
In my opinion, the patient auscultated without changes. It would seem that in a mediocre condition, but on X-ray very extensive and advanced infiltrative changes in the lungs. Therefore, once again I am asking for absolute lung diagnostics on day 3-4, in the absence of a spectacular effect in the treatment with amantadine. If we have auscultatory changes, we know that the patient has pneumonia and bacterial superinfection. If not, then a CT scan or at least a lung X-ray is required. The interstitial reactions themselves regress very rapidly, because elimination of the virus results in a complete regression of inflammatory changes. Even if the patient is auscultated prior to administration of amantadine and is auscultatory unchanged, 48 hours are required for stabilization. During this transition period, the virus may be active and active pneumonia may develop.