On August 15, 2021, Ho Chi Minh City Department of Health issued Dispatch 5627/SYT-NVY about the update on “Guidelines for home-based care of F0 cases, in which instructions for Covid-19 treatment at home are as follows:
HCM city, Vietnam: Instructions on the prescription for home-based COVID-19 treatment (Illustration)
- Drugs used for home-based treatment include antipyretic drugs, physical condition improving drugs (vitamins, micro-nutrients and traditional medicines), antiviral drugs, and corticosteroid anti-inflammatory drugs and oral anti-coagulant drugs for certain situations.
- Indications for corticosteroid anti-inflammatory drugs and oral anti-coagulant drugs: patients showing early symptoms of respiratory failure (having difficulty breathing and/or respiratory rate > 20 per minute and/or SpO2 < 95% if applicable) AND unable to contact a healthcare worker for advice or support.
*One of the following corticosteroid anti-inflammatory drugs may be used:
- Dexamethasone
+ Dosage (for adults): 6mg/dose/day after a meal (best taken in the morning).
If Dexamethasone is not available, substitute it with any of the following drugs:
- Prednisolone
+ Dosage (for adults): 40 mg/dose/day after a meal (best taken in the morning).
- Or: Methylprednisolone
+ Dosage (for adults): 16 mg every 12 hours after a meal (in the morning and the evening).
Note:
+ Persons with a stomach disease should take the drug with drugs for the disease.
+ If responding well to the drug, take the drug for no more than 07 days.
* One of the following oral anti-coagulant drugs may be used (*): Rivaroxaban
+ Dosage: 10mg for once a day.
Note:
+ Take the drug for no more than 07 days.
+ The drug should only be used by persons aged 18 or older and used with caution in persons older than 80.
+ Contraindications: pregnant women, breastfeeding women, persons having liver failure, renal failure, a history of gastrointestinal hemorrhage or urinary tract hemorrhage, and diseases prone to bleeding.
+ Look out for signs of hemorrhage (such as subcutaneous hemorrhage, gingival bleeding, gastrointestinal hemorrhage, etc.) when using the drug.
Detailed instructions can be found in Vietnam's Official Dispatch 5627/SYT-NVY dated August 15, 2021.
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