drugstr
Central, NJ
Male, 61
I have worked as a drug discovery scientist for over 30 years performing experiments to help identify novel chemical compounds for their potential in treating diseases in the areas of infection, inflammation and cardiovascular disorders. I have a good familiarity with the entire process from discovery to safety to clinical trials and even marketing. Ask me about the business of Big Pharma. I’m happy to comment on any and all hot-button issues. My opinions are quite often not pro-business.
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Thank you for bringing this to my attention. I hadn't seen this. I'm very familiar with this drug, ivermectin, IVM. It was discovered and developed in the U.S. in the 70's. Its primary use is in animal medicine for the treatment of worms in the GI tract. The Australian discovery is very exciting. They showed that IVM blocks COVID-19 in vitro (petri dish) and clinical trials are underway to test its effectiveness in humans with the disease. From what little I've read, the levels of IVM used in vitro will be difficult to achieve in the blood of patients when dosed orally, the only route of administration currently approved. Nevertheless, it may work at low levels. A successful IV safety study might be worth trying. Time will tell.
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I would say that if these physicians' claims of success in treating COVID-19 patients are accurate then their methods should, indeed, be adopted by others. Having said that, their belief that hydroxychloroquine and azithromycin are the keys to positive outcomes is dubious. There's more to patient care than drugs. Bona fide, well-controlled clinical studies have shown these two to be of no benefit. I'm a little on the fence, however, about zinc. Zinc has a number of roles in biology. The one I'm thinking of is its interaction with protein which can influence tertiary structure (shape) and in so doing interfere with virus binding. As you probably know, zinc is purported to be a remedy for the common cold. Who knows? Maybe there's something there.
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Millions of people around the world rely on plant-based remedies for treating their ailments and I would never say that they are making a mistake. There's often thousands of years of experience behind this practice. It's well known that a vast number of pharmacological agents originated from biology. I myself prefer only to use the specific compounds derived from these materials for two reasons. First, it avoids the complications that might exist from other components in the material. For example, I wouldn't eat a fungus for the penicillin. And second, I'm confident that the pure drug has been demonstrated to be safe, is appropriate for my condition and is dosed properly for effectiveness. I believe that herbal medicines currently marketed in the US are generally safe, but like other non-FDA approved supplements for weight-loss, BPH, memory, etc. their health claims are dubious. Nevertheless, if it works for you, go ahead and use it.
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Administering convalescent plasma, or for that matter monoclonal anti-covid antibody, is referred to as passive immunity. It will no doubt be useful for patients in whom virus is circulating in the blood stream. This may well be life-saving in these patients, but it would not be expected to prevent infection which is initiated outside of the blood stream. There's more to immunity than antibodies. There's a cellular component which serves to combat invading pathogens by surveillance and direct destruction. It's not clear how important this is for disease protection or whether vaccines will generate this cellular immunity. It's possible that true immunity may only be gained by actual infection and, unfortunately, may not be permanent.
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This is not a pharma question.No numbers have been changed. Evidently, a CDC report on comorbidities was the source of this misinformation.
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These two drugs are not chemically related. Both have sedation as a side effect of their modes of action. Trazadone is an antidepressant. Etorphine is a powerful synthetic opiate significantly more potent than fentanyl. It's considered too dangerous to be used in human medicine. In veterinary medicine its use often requires reversal with an antidote. Thus, it's not practical as a treatment for insomnia.
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