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  • MAJOR UPDATE: Do Not...

MAJOR UPDATE: Do Not Use Molnupiravur, Favipiravir, Azithromycin, Doxycycline, Ivermectin etc in COVID-19, says ICMR New Guideline

Written By : Kajal Rajput |Medically Reviewed By : Dr. Kamal Kant Kohli Published On 2023-03-20T12:01:58+05:30  |  Updated On 12 Oct 2023 11:29 AM IST
MAJOR UPDATE: Do Not Use Molnupiravur, Favipiravir, Azithromycin, Doxycycline, Ivermectin etc in COVID-19, says ICMR New Guideline
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"Antibiotics should not be used unless there is clinical suspicion of bacterial infection. The possibility of coinfection of COVID-19 with other endemic infections must be considered. Systemic corticosteroids are not indicated in mild disease," revised guidelines said.

New Delhi: With a sudden spurt in COVID-19 cases across various parts of the country, the Indian Council of Medical Research (ICMR), the leading body for medical research has now issued revised guidelines for management of COVID-19

One of the major changes that are aimed to draw the attention of medical practitioners is the special DO NOT USE in COVID-19 Section that lists down various medicines including Lopinavir-ritonavir, HCQ, Ivermectin, Convalescent plasma, Molnupiravir, Favipiravir, Azithromycin, Doxycycline which are not be used for management of COVID-19

The Indian Council of Medical Research (ICMR) has issued revised guidelines for COVID-19 in the wake of the surge of cases in the past week across the country.

"@ICMRDELHI COVID19 National Task Force, @aiims_newdelhi & Dte.GHS revised clinical guidance for management of adult #COVID19 patients. Guideline does not advice use of Lopinavir-ritonavir, HCQ, Ivermectin, Convalescent plasma, Molnupiravir, Favipiravir, Azithromycin, Doxycycline," Dr Lokesh Sharma, Heath informatics researcher, ICMR tweeted.

.@ICMRDELHI COVID19 National Task Force, @aiims_newdelhi & Dte.GHS revised clinical guidance for management of adult #COVID19 patients. Guideline does not advice use of Lopinavir-ritonavir, HCQ, Ivermectin, Convalescent plasma, Molnupiravir, Favipiravir, Azithromycin, Doxycycline pic.twitter.com/Pxz49OPzgg

— Dr Lokesh Sharma (@drlokeshksharma) March 19, 2023

Also Read: Health ministry alerts 6 states on new, emerging COVID cases

"Antibiotics should not be used unless there is clinical suspicion of bacterial infection. The possibility of coinfection of COVID-19 with other endemic infections must be considered. Systemic corticosteroids are not indicated in mild disease," revised guidelines said.

As per the revised Covid-19 guidelines, maintain "Physical distancing, indoor mask use, hand hygiene, Symptomatic management (hydration, anti-pyretics, antitussive) Monitor temperature and oxygen saturation (by applying a SpO probe to fingers) Stay in contact with treating physician.

"Seek immediate medical attention if difficulty breathing, High-grade fever/ severe cough, particularly if lasting for more than 5 days. A low threshold is to be kept for those with any of the high-risk features," guidelines discussed and prepared in January said.

Additionally, in moderate or severe diseases at high risk of progression, the guidelines recommend, "Consider Remdesivir for up to 5 days (200 mg IV on day 1 followed by 100 mg IV OD for the next 4 days)".

Union Health and Family Welfare Ministry on Thursday wrote to the State governments of Maharashtra, Gujarat, Telangana, Tamil Nadu, Kerala and Karnataka to follow a five-fold strategy of test, track, treat and vaccinations as these states witness a rise in Covid-19 cases.

India has observed a significant decline in the number of Covid-19 cases during the past few months. However, in the past few weeks a rise in cases has been noted specifically in certain parts of the country with a total of 2,082 cases reported in the week ending March 8, 2023, which rose to 3,264 cases in the week ending March 15, said the Union Home Ministry's letter.

There are few States which are reporting a higher number of cases indicating the possible localized spread of infection and there is a need to follow a risk assessment-based approach to prevent and contain the infection, without losing the gains made so far in the fight against the pandemic, said the Union Health Ministry.

Gujarat has reported an increase in weekly cases from 105 in the week ending March 8, 2023, to 279 in the week ending March 15. Further, the State reported a positivity rate of 1.11 per cent in the week ending March 15 which is higher than India's positivity rate of 0.61 per cent during the same period, the letter said.

Also Read: ICMR advises against indiscriminate antibiotic use amid rising cases linked to Influenza subtype A H3N2

Antibiotics UseLopinavir ritonavirCovid CasesCOVIDCoronavirusIndian Council of Medical ResearchICMR guidelinesIvermectinMolnupiravirAzithromycinRemdesivirhealth MinistryICMR
Source : with inputs
Kajal Rajput
Kajal Rajput

    Kajal joined Medical Dialogue in 2019 for the Latest Health News. She has done her graduation from the University of Delhi. She mainly covers news about the Latest Healthcare. She can be contacted at editorial@medicaldialogues.in.

    Dr. Kamal Kant Kohli
    Dr. Kamal Kant Kohli

    Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751

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