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Not all, but only one, and it’s not a fact that there will actually be such a stir, but there is a possibility. As some time ago with masks, then with lemons, then with favipravir – in a word, with everything that, in fact, or at least according to unverified data, can help to cope with the coronavirus.
It would seem, how can psychiatrists help coronavirus patients? No, it is clear that to lower the level of anxiety, to try to raise the mood, still to try to do something with the complications of the infection, if they have happened to the brain (and it is not a given that the attempt goes successful). But addressing the treatment or prevention of the development of coronavirus pneumonia … sounds crazy, doesn’t it?
But American psychiatrists found it quite insane. And they conducted a preliminary clinical study, the results of which were published in the Journal of the American Medical Association. It was conducted with the participation of 152 patients who had confirmed coronavirus infection.
80 patients took fluvoxamine (Fevarin, Rocona), 72 patients took placebo. After 15 days, those 80 patients showed no worsening (this was also confirmed instrumentally). For the 72 who took the placebo the situation was worse: six became seriously ill, with complications, and four needed hospitalization (initially all 152 patients were observed at home).
I told you why fluvoxamine is used in psychiatry: in the vast majority of cases it is depressive states; but even with obsessive-compulsive disorder, it is also used with varying success, and in a number of anxiety disorders it may not be superfluous.
Here, colleagues used the property of fluvoxamine to interact with the sigma-1 receptor. This receptor is involved in controlling the body’s inflammatory response. Previously, there were studies showing that fluvoxamine (animal experiments were conducted later) helps reduce the manifestations of sepsis due to this feature. So the experience came in handy. Now the Americans are planning a more thorough and large-scale trial of fluvoxamine in hospitals.
As you can see, the coronavirus has played the role of a good penny for medicine. Somewhere it turns out as I showed in the reworked song, and somewhere (including us) interesting solutions appear that will be useful from time to time, and not just in the fight against the coronavirus.
PS My “Find Your Psychiatrist” project works as usual. If it happens that you need a competent, experienced and, above all, attentive and correct psychiatrist, contact us. What’s valuable in this situation is that most colleagues conduct an online appointment.
PPS articles about psychiatry, psychology and everything related to this area, we decided to duplicate in Yandex Zen – suddenly it is convenient for someone to look at them there
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