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RIO – After testing positive for Covid-19, US President Donald Trump, who had mild symptoms of the disease, began treatment with a synthetic antibody cocktail produced by the pharmaceutical company Regeneron, in addition to receiving doses of zinc, vitamin D, famotidine, melatonin, and aspirin.
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According to Margareth Dalholm, a pulmonologist at Fiocruz, this type of treatment is not part of the validated protocols to treat Covid-19. The expert points out that the recommendation for cases like Trump’s is the use of anticoagulants, since the coronavirus increases the chances of thrombosis.
– The recommendation in a case of moderate severity in a 74-year-old man would be to control his comorbidities, if any, use anticoagulants and treat possible complications of the disease. This was a measure, so to speak, prophylactic and, in fact, it is not a treatment ”, explains Dalholm, who adds that it is also important to monitor the clinical status of the patient.
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Due to Trump’s age, he is part of the risk group for disease and therefore must receive medical attention. Despite being a tall man, 1.91 m, the American president weighs about 110 kg, which can also be considered a risk factor.
The use of antibody cocktails to treat new coronavirus infections is experimental, as explained by professor and researcher Alessandro Farias, coordinator of the Diagnostic Front of the Unicamp Task Force against Covid-19. Although its efficacy has not yet been proven, preliminary results suggested a satisfactory result when used early in the disease in patients with a moderate condition.
– This type of cocktail uses several different antibodies and has different specificities. Then they will stick to different parts of the virus protein. It is not a common treatment, but in this case, it was what they call in the United States “use of compassion”: they don’t know what to do, so they use something experimental – says Farias.
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It also notes that the dose used by Trump, the 8 grams of cocktail, is the highest ever tested so far. In the White House statement, the president’s doctor, Sean Conley, said he responded well to the drug.
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The city of Rio de Janeiro even said, in August, that it would try this treatment in the city. However, it has not gone through all the phases of clinical trials and has not yet been approved by the National Health Surveillance Agency (Anvisa).