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Covid-19 Nepal: Don’t use these ‘basic medicines’ without doctors’ advice

This Facebook post claims the aforementioned are ‘basic medicines for treating Covid-19″. Doctors say medicines taken without consulting doctors can do more harm than good.

As the second wave of the Covid-19 pandemic surges across Nepal with an alarming rise in infections and deaths, a huge amount of misinformation about the contagion is circulating on the internet. Over the past few days, social media users have been sharing a picture containing various pills and capsules along with a handwritten list of medicines with a caption that they are some ‘basic medicines for Covid-19’. The handwritten ‘Covid tablets’ list, which is circulating on Facebook and messaging apps such as WhatsApp and Facebook Messenger among others, contains the names of various medicines and recommended daily dosages.

According to Ramesh Lamichhane, the owner of Samyukta Pharmacy at Manamaiju in Kathmandu, many people have been visiting his pharmacy with the list in order to buy the medicines.

“Within a span of three to four days, six to seven people came to me with an identical list of medicines. At first, I thought some doctor might have prescribed them, but I learnt about their origin later when one of my relatives sent me a picture of the same list saying he found it on Facebook and asked me if the list was reliable,” he says.

Lamichhane tells South Asia Check that after learning about the reality of the list, he has stopped dispensing the medicines to those who come with the list.

The list includes 7 types of medicines:

Name of medicineDescription
Doxy 100 mgDoxy 100mg is an antibiotic drug. It is useful in treating various forms of bacterial infections of the eyes, skin, respiratory tract, urinary tract, etc.
ZincovitZincovit is a multivitamin and multimineral supplement useful in treating and preventing vitamin and mineral deficiencies.
Azithral 500 mgAzithral is an antibiotic drug useful for treating various forms of bacterial infections of the respiratory tract, ear, nose, throat, lungs, skin, and eye. It is also used to cure typhoid fever and some sexually transmitted diseases like gonorrhoea.
Limcee 500 mg ChewableLimcee is a vitamin C supplement. It is used for vitamin C deficiency as well as for treating certain conditions caused by vitamin C deficiency.
Shelcal 500 mgShelcal 500 is a vitamin and mineral supplement. It is used to treat vitamin D and calcium deficiencies and bone-related problems.
IvermectinThis medication is used to treat certain parasitic roundworm infections.
Dolo 650 mgDolo is a paracetamol-based drug used to treat fever, pain and ache.

Among these, Zincovit, Limcee and Shelcal are vitamin and mineral supplements while Doxy and Azithral are antibiotics. Similarly, Dolo is paracetamol and Ivermectin is medicine for roundworm.

Although vitamin and mineral supplements may be useful for patients with Covid-19, their effectiveness in such patients still remains unproven. An article published by the Harvard Medical School advises using vitamin and mineral supplements as per the prescription and suggestion of a physician. The supplements will only help those Covid-19 patients who are infected with vitamin C, D and zinc deficiencies, according to an article in the ScienceNews. “Although complementary medicine is generally safe, it should be used according to the doctor’s advice to avoid infection,” says ScienceNews.

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The list also includes two antibiotics. According to Healthline, an American health website, “researchers believe antibiotics can do more harm than good if taken incorrectly. They can cause bacteria to become increasingly resistant to treatment, can damage immune cells and can damage the ability of white blood cells to fight infections.” The US-based Center for Disease Control and Prevention (CDC), warns against the unnecessary use of antibiotics saying this can make a person sicker or induce various side effects. It recommends using only the prescribed antibiotics and against using the antibiotics prescribed for others.

“These drugs can have very bad effects if taken without doctor’s advice,” Dr Arun Upreti, a resident doctor at Kathmandu-based Tribhuvan University Teaching Hospital, tells South Asia Check. “On the other hand, if everyone starts taking these medicines arbitrarily, this could cause a shortage in the market and genuine patients could suffer.

Dr Kalyan Subedi’s Facebook post warns against taking medicines without consulting doctors.

According to Dr Upreti, although it is normal to give these medicines to hospitalised Covid-19 patients under the supervision of doctors, others should not take these medicines without consulting doctors. Similarly, Dr Kalyan Subedi, on his Facebook page, has advised against taking any medicines other than those prescribed by the doctor.

“Don’t fall for that list,” he said. “One should not take any other medicines except for any fever-reducing drugs for high fever and any cough suppressant for cough.”

Since it is inappropriate or harmful to take any medicine without consulting a doctor, the drug list circulating on social media is misleading.

The article first appeared on South Asia Check.

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