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Paxlovid: You'd have expected more

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21–30 of 88 posts

Re: Paxlovid: You'd have expected more

#21

I have quite a bit of anecdata that Paxlovid works very well in helping very sick elderly people stay out of the hospital.

I’ve had Covid 5 times— I’m pretty familiar with how it progresses. The most recent time was the most severe— I went to the ER with a temp of 103 with ibuprofen. Got Paxlovid— the major symptoms nearly switched off like flipping a light switch. Of course there’s a possibility it would have done that anyway, but I’m sure as hell going to take it again if necessary.

Re: Paxlovid: You'd have expected more

#22
My experience was odd. And this is just a description with no science.

I was vaccinated, got COVID. At no point were my symptoms serious. Because of age and past heart issues I was given paxlovid. Two weeks after the paxlovid (or something like that) I became sick again, more seriously. With COVID. The symptoms I experienced were much worse but not life threatening and I recovered fully. However, it was odd that the COVID came roaring back. My conjecture is that the paxlovid suppressed COVID, but that caused my body to falter in terms of building immunity. So when the paxlovid wore off, I was actually worse off. In the same situation I would NOT take the paxlovid again unless it was clear I had serious symptoms - like I was going to end up hospitialized. I acknowledge there is no science here, but on the other hand none of the doctors were able to suggest why I had a second episode so quickly and why it was more severe.

My conclusion is that there was a lot of guessing, placebo, reassuring, best guessing going on. I think that is the take away if we face such a thing again.

Re: Paxlovid: You'd have expected more

#23
"I think it's very likely that if there had been a Paxlovid trial early on with a median age of 70 among unvaccinated adults (instead of the real median age of 42) that it would have shown much more than that 5.5% improvement in hospitalization risk! "

I find it wholly consistent with the entire "Have Faith in Science" trend of the COVID years for someone to say something like this.

I think it very likely that we don't know and shouldn't assume.

Re: Paxlovid: You'd have expected more

#24

My experience was odd. And this is just a description with no science. I was vaccinated, got COVID. At no point were my symptoms serious. Because of age and past heart issues I was given paxlovid. Two weeks after the paxlovid (or something like that) I became sick again, more seriously. With COVID. The symptoms I experienced were much worse but not life threatening and I recovered fully. However, it was odd that the…

Research "Paxlovid rebound". It sounds like that is what hit you.

Re: Paxlovid: You'd have expected more

#25
GoodRX, Paxlovid ranges from $1,497 at CVS to $1,696 at Costco.

Fuck me! Only for rich muppets then?

In my local Boots chemist Aspirin is about £2.00 for 28 tablets.

Paxlovid is a combination of 2 medicines called nirmatrelvir and ritonavir. Nirmatrelvir stops the virus from growing and spreading, and ritonavir helps nirmatrelvir from being broken down in your body long enough to do its job.

Fuck me! again.

Re: Paxlovid: You'd have expected more

#26

For most people now, the whole reason to take Paxlovid is the avoid long covid. The hospitalization risk is less of a concern. The article points out at the end that this drug has shown evidence of avoiding long covid.

Note: only in situations where it likely matters a lot.

Thanks.

Re: Paxlovid: You'd have expected more

#27
My impression has been that taking Paxlovid resulted in faster recovery and less severe symptoms. This is an anecdotal observation with a tiny small sample size so I wouldn't discount placebo or a weaker variant. Still, I'd like to see a broader study that looks into long COVID and severity.

Re: Paxlovid: You'd have expected more

#28

My experience was odd. And this is just a description with no science. I was vaccinated, got COVID. At no point were my symptoms serious. Because of age and past heart issues I was given paxlovid. Two weeks after the paxlovid (or something like that) I became sick again, more seriously. With COVID. The symptoms I experienced were much worse but not life threatening and I recovered fully. However, it was odd that the…

To add to the anecdata here, I had covid for a week (bedridden but otherwise not that bad), then had a single day in which I tested negative, and then it rebounded for a week, due to Paxlovid. Sounded like it was pretty common. So that was a waste of 15 days. On the plus side, my second week was much the same as the first week as far as symptoms go.

Re: Paxlovid: You'd have expected more

#29
post #2

Always enjoy Derek Lowe's writing. n=1 here, though I've heard others say the same -- but I (fairly healthy 30s male, vaccinated) found Paxlovid massively reduced symptom intensity for me. Within a day my symptoms went from "top 5 fevers I've ever experienced, normal function significantly impaired" to "feels like a cold; can reasonably handle myself around the house and even take a software engineering interview". I…

How do you know that it was Paxlovid that made you better, rather than coincidentally convalescing? There's a tendency for fevers to break as the body gets the upper hand on an infection, so if you started taking Paxlovid during a high fever your body might have been nearly done mopping up. I'm not saying Paxlovid didn't help you, just that it's tricky to distinguish from placebo without a study.

It worked extremely fast for me, I took it within 16 hours of symptoms that were increasing rapidly. Within 6-8 hours I started feeling much better, instead just dealing with the Paxlovid side effects. I don’t think my body fought off Covid that fast. Anecdotal of course, but I’d take it again in a heartbeat. I did get a rebound infection the next week but I couldn’t feel it, just tested positive for a couple days.

Re: Paxlovid: You'd have expected more

#30
I took Paxlovid twice. Horrible bitter taste, but kept the symptoms at bay. No long covid or persisting brain fog unlike some of my friends. Tested negative by the end of the treatment. My fiancé didn't catch it from my while I isolated.

Derek doesn't have to take Paxlovid next time, but I will.

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