06/10/2021 6:01 AM
Updated 06/10/2021 6:01 AM
At the beginning of the coronavirus pandemic, ibuprofen had a
very bad press
among the global medical community. The World Health Organization (WHO) recommended that people with symptoms associated with Covid
with ibuprofen. It was believed that the risk of these patients developing complications was increased. Later, in practice, in our country
it began to be administered
in clinics and for those who carried the infection at home.
A study published in May in the prestigious scientific journal The Lancet now says that this anti-inflammatory
has no contraindications
, and ibuprofen appears to be on its way to finally clearing its bad reputation against Covid.
In our country,
6 out of 10
already alternate it with paracetamol.
But the "doubt" still persists in the population.
Is ibuprofen safe for everyone who has Covid?
The consensus is yes.
"The over-the-counter ibuprofen -the 400 milligram, because the 600 milligram is already sold by prescription- is safe to use at home if you have Covid," explains
Jimena Worcel, medical director of the Argentine Chamber of Over-the-
Counter Medicines to
He says this because, 14 months after the start of the pandemic, "unlike what happened in March 2020", those who have Covid "are very close to health centers - in the sense that, faced with symptoms, they they come to do the swab and have a follow-up, they are controlled and attentive, as if to simply self-medicate. But in the case of the classic symptoms, fever, joint pain, ibuprofen is safe. "
Remarks that this drug can be administered alternately with paracetamol.
"That way you
don't increase the toxicity
of either drug."
WHO Director Tedros Adhanom Ghebreyesus.
, in general terms, that is
of those who follow up from prepaid and social works: in case the fever does not subside with paracetamol every 8 hours, it is indicated, in the middle, that is, every 4 hours, take ibuprofen.
"We also recommend that people read the package insert for the ibuprofen they buy," closes Worcel.
The European Medicines Agency (EMA) had already advanced in Europe that there was "no scientific proof" that ibuprofen aggravated the disease.
How did the misunderstanding come about?
It all started when the French Minister of Health, Olivier Véran, at the beginning of the pandemic
through a tweet about its possible unwanted effects.
In a clear domino effect, specialists from other European countries also targeted it.
And the "bad press" of this anti-inflammatory drug reached Argentina.
"The use of non-steroidal anti-inflammatory drugs (its active substance is ibuprofen) is
with an increase in mortality or the severity of Covid-19", concludes the study by the British health authorities, published in the medical journal The Lancet Rheumatology.
"We now have clear evidence that they can be used safely in Covid patients," explained Ewen Harrison of the University of Edinburgh and lead author of the study of
The mortality rate, 31.3%, was
between patients who took ibuprofen and those who did not.
This study is the largest of its kind published to date.
Roberto Debbag, vice president of the Latin American Society of Pediatric Infectology, is aware of the
"new positive makeover"
of ibuprofen, but knows that doctors and patients continue to prefer paracetamol.
"Both could be used: acetaminophen or ibuprofen. Ibuprofen, as published in the Lancet study, does not lead to worsening of Covid pictures or to extension of hospitalization. Now, then, it is clear that it is not a contraindication. More paracetamol is being used, I assume that because
'it stayed like this'
since what was said at the beginning of the pandemic, "he says.
Eduardo López, renowned infectologist and advisor to President Alberto Fernández in the Health Committee created in the pandemic, continues to favor paracetamol in the first instance.
"If a patient does not have a fever with paracetamol, ibuprofen can be prescribed by mouth. But you have to be attentive to that persistent fever, if it does not decrease with the passing of days with paracetamol or ibuprofen. It is a guideline for alarm before the worsening of the disease ".
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