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The Frontline Doctors put some “plausible” mechanisms for Hydroxychloroquine on the table

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In their July 28 seminar, the Frontline Doctors Group led by Dr Simone Gold, have put some plausible mechanisms for HCQ based cocktails on the table. These were noted on in an augmentation to an earlier post, but deserve headlining in their own right:

Dr Frieden OP: >>I have found at Bit Chute, a July 28 Frontline Doctors seminar which describes several mechanisms of action. Accordingly, I take liberty to annotate a screenshot, summarising several mechanisms of action described by these Doctors [cf. here for their references], but which are hard to find because of now almost pervasive censorship:

I add, that the above suggests a fairly similar viral attack process to the West Nile Virus (which is also an RNA virus), e.g.:

U/D, Mon Aug 16: I further add, a “DrBeen” — Dr Mobeen Syed — educational video, just found — this is the presenter summarised above:

https://www.youtube.com/watch?v=yjkPdwlhI8A

I note, this first answers a puzzle on the mode of action, shape-shift of ACE2: the shift is INTERNAL to the cell by hindering “glycation” of the final AA (thus prior to exposure to buffering of blood etc), altering the shape enough to hamper S-protein reception. This reduces fusion with bilipid layer and RNA injection.

Other direct mechanisms as noted, reduce intracellular acidity thus action of organelles. They highlight stalling of assembly of new viri in the Golgi bodies, with implication of blocking export of fresh viri, thus hampering the multiplication chain. The by now well known indirect activity is that as a lipophilic molecule, HCQ enters the cell bilipid layer membrane, acting as a Zn ionophore, i.e. it “shoots” Zn into the cell. Zn in turn hinders a key viral enzyme, RdRP.

Thus, we see a plausible picture of causal action, involving multiple, synergistic effects. This lends credibility to the use of HCQ-based cosctails in treating the early viral phases of CV19.>>

Unfortunately, WP for UD is not set up to embed BitChute videos.

An odd bit of support for this, is that HCQ/CQ have been used as fish tank cleaner for about 40 years. The complex animals (the fish) live, but the crud from several kingdoms, dies. That points to attack modes that hit core cell processes, such as we may summarise:

That seems to be what is now on the table, through the effects of pH shifting, as proposed. In short, we have reasonable mechanisms to go with the reports of doctors who are treating CV 19 in the early, viral phase, with vulnerable group patients:

From this, we can freely say that it is going to be a challenge to refute the framework of issues and implicit model being presented in the open letter to Dr Fauci:

>>There is currently no recommended pharmacologic early outpatient treatment for individuals in the flu stage of the illness, correct?

It is true that COVID-19 is much more lethal than the flu for high-risk individuals such as older patients and those with significant comorbidities, correct?

Individuals with signs of early COVID-19 infection typically have a runny nose, fever, cough, shortness of breath, loss of smell, etc., and physicians send them home to rest, eat chicken soup etc., but offer no specific, targeted medications, correct?

These high-risk individuals are at high risk of death, on the order of 15% or higher, correct?

So just so we are clear—the current standard of care now is to send clinically stable symptomatic patients home, “with a wait and see” approach?

Are you aware that physicians are successfully using Hydroxychloroquine combined with Zinc and Azithromycin as a “cocktail” for early outpatient treatment of symptomatic, high-risk, individuals?

Have you heard of the “Zelenko Protocol,” for treating high-risk patients with COVID 19 as an outpatient?

Have you read Dr. Risch’s article in the American Journal of Epidemiology of the early outpatient treatment of COVID-19?

Are you aware that physicians using the medication combination or “cocktail” recommend use within the first 5 to 7 days of the onset of symptoms, before the illness impacts the lungs, or cytokine storm evolves?

Again, to be clear, your recommendation is no pharmacologic treatment as an outpatient for the flu—like symptoms in patients that are stable, regardless of their risk factors, correct?

Would you advocate for early pharmacologic outpatient treatment of symptomatic COVID-19 patients if you were confident that it was beneficial?

Are you aware that there are hundreds of physicians in the United States and thousands across the globe who have had dramatic success treating high-risk individuals as outpatients with this “cocktail?”

Are you aware that there are at least 10 studies demonstrating the efficacy of early outpatient treatment with the Hydroxychloroquine cocktail for high-risk patients — so this is beyond anecdotal, correct?

If one of your loved ones had diabetes or asthma, or any potentially complicating comorbidity, and tested positive for COVID-19, would you recommend “wait and see how they do” and go to the hospital if symptoms progress?

Even with multiple studies documenting remarkable outpatient efficacy and safety of the Hydroxychloroquine “cocktail,” you believe the risks of the medication combination outweigh the benefits?

Is it true that with regard to Hydroxychloroquine and treatment of COVID-19 infection, you have said repeatedly that “The Overwhelming Evidence of Properly Conducted Randomized Clinical Trials Indicate No Therapeutic Efficacy of Hydroxychloroquine (HCQ)?”

But NONE of the randomized controlled trials to which you refer were done in the first 5 to 7 days after the onset of symptoms- correct?

All of the randomized controlled trials to which you refer were done on hospitalized patients, correct?

Hospitalized patients are typically sicker that outpatients, correct?

None of the randomized controlled trials to which you refer used the full cocktail consisting of Hydroxychloroquine, Zinc, and Azithromycin, correct?

While the University of Minnesota study is referred to as disproving the cocktail, the meds were not given within the first 5 to 7 days of illness, the test group was not high risk (death rates were 3%), and no zinc was given, correct?

Again, for clarity, the trials upon which you base your opinion regarding the efficacy of Hydroxychloroquine, assessed neither the full cocktail (to include Zinc + Azithromycin or doxycycline) nor administered treatment within the first 5 to 7 days of symptoms, nor focused on the high-risk group, correct?

Therefore, you have no basis to conclude that the Hydroxychloroquine cocktail when used early in the outpatient setting, within the first 5 to 7 days of symptoms, in high risk patients, is not effective, correct?

It is thus false and misleading to say that the effective and safe use of Hydroxychloroquine, Zinc, and Azithromycin has been “debunked,” correct? How could it be “debunked” if there is not a single study that contradicts its use?

Should it not be an absolute priority for the NIH and CDC to look at ways to treat Americans with symptomatic COVID-19 infections early to prevent disease progression?

The SARS-CoV-2/COVID-19 virus is an RNA virus. It is well-established that Zinc interferes with RNA viral replication, correct?

Moreover, is it not true that hydroxychloroquine facilitates the entry of zinc into the cell, is a “ionophore,” correct?

Isn’t also it true that Azithromycin has established anti-viral properties?

Are you aware of the paper from Baylor by Dr. McCullough et. al. describing established mechanisms by which the components of the “HCQ cocktail” exert anti-viral effects?

So- the use of hydroxychloroquine, azithromycin (or doxycycline) and zinc, the “HCQ cocktail,” is based on science, correct?>>

Let us see how the “game” moves forward beyond this point. END

PS: As an extra, here is Dr Zelenko:

https://www.youtube.com/watch?v=3ywj-PZTt4g

PPS: As a further extra, Aug 29, HT Jerry, Raoult et al on the pattern of cases and studies, involving 40,000+ cases:

Comments
JVL:
Ah but how do you know it was the HCQ?
The relevant professionals said it was.
What are his criteria for falsifying his stance? Has he stated it explicitly and is it possible?
Why are you asking me? You should be on google trying to figure that out. Jerry has posted the challenge on UD more than once.
Ah but how do you know it was the HCQ?
ET
October 3, 2020
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ET: And yet there are many people who have recovered from the virus thanks to hydroxychloroquine. Obviously Mac is just another willfully ignorant troll. Ah but how do you know it was the HCQ? That's the tricky part to establish. Dr Zelenko has a $200,000 reward to anyone who can demonstrate his use of HCQ is ineffective. It is very telling that no one has claimed the cash. What are his criteria for falsifying his stance? Has he stated it explicitly and is it possible?JVL
October 3, 2020
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And yet there are many people who have recovered from the virus thanks to hydroxychloroquine. Obviously Mac is just another willfully ignorant troll. Dr Zelenko has a $200,000 reward to anyone who can demonstrate his use of HCQ is ineffective. It is very telling that no one has claimed the cash.ET
October 3, 2020
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KF
RH7, you are still not able to sweep away the plausible action mechanisms in the OP.
You keep repeating this as if it’s relevant. I don’t think that anyone here is disagreeing with your description of the plausible action mechanism. What is relevant is that study after study, and there have been many, at all stages of infection, fail to find that HCQ has a significant benefit in recovery.Mac McTavish
October 3, 2020
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RH7, you are still not able to sweep away the plausible action mechanisms in the OP. There are no grounds to regard as excessively toxic and reanalysis of statistics is showing significant effects even in hospitalisation: https://www.worldtribune.com/effectiveness-of-hydroxychloroquine-was-hiding-in-plain-sight/ KF PS: This paper (HT Jerry, IIRC) opens out the issue to the broad question of antiviral activity: https://jpands.org/vol25no3/merritt.pdf That is, it's not just CV19, it is antivirals in general that have to be looked at. Let's clip the opening remarks: >>The Treatment of Viral Diseases: Has the Truth Been Suppressed for Decades? Lee D. Merritt , M.D. Since I started medical school in 1976, until 2020, I have heard the dogma that viral diseases are not treatable (with some exceptions such as antivirals for HIV/AIDS), certainly not with antimicrobials. My older son, a newly minted general surgeon, was educated much more recently, but with the same misunderstanding. Since viral diseases are not treatable, our only weapon is vaccination. A friend who spent his life as an academic university physician retiring in 2016 had never heard this fact either. As the “pandemic” broke out, I constantly watched and read online publications. After reading about the Chinese, Indian, and Korean use of hydroxychloroquine (HCQ), an antimalarial agent, against coronavirus, within an hour I found more than 20 scientific papers, written in the last 40 years on the use of lysosomotropic agents—specifically chloroquine—to treat viruses. Like Rip Van Winkle, I suddenly awoke, after decades, to a completely new medical reality. For example, “numerous investigations have reported in vitro antiviral activity of AZ [azithromycin] against viral pathogens with 50% inhibitory concentrations ranging from ~ 1–6 [micro]M[olar], with the exception of H1N1 influenza,” write Damle et al. 1 They state that in vitro evidence suggests that AZ has antiviral properties at concentrations that are physiologically achievable with doses used to treat bacterial infections in the lung. Intracellular sequestration of AZ may prevent viral replication. AZ is being used against COVID-19, with the generally stated rationale being its antibacterial or antiinflammatory activity. Antibiotics used in Lyme disease, including tetracyclines, macrolides, metronidazole, and ciprofloxacin, may have activity against a number of viruses. 2 How could all our medical education “overlook” this basic science? It may be difficult for non-physicians to appreciate the magnitude of this world-shaking scientific omission—and probable cover-up. It is the pharmaceutical equivalent of being told for 40 years the world is flat—only to have it conclusively exposed overnight to be round. This idea that viruses—like the current pandemic SARS-CoV-2 virus—can be killed by commonly used drugs—antibiotics, antimalarial, or antiparasitic agents—profoundly changes the practice of medicine. >>kairosfocus
October 3, 2020
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Professor Bernard Bégaud, pharmacologist and former president of the University of Bordeaux-II, has long headed one of the largest drug monitoring departments in France. He is also an expert who follows the work of Professor Didier Raoult with interest, without falling into controversy. He gives an update on hydroxychloroquine, after the publication of new studies on the subject. All, carried out abroad. What can we say today about the effectiveness or not of hydroxychloroquine? Do we now have a precise opinion? We can not say that the studies have definitively decided, in the sense that none provide certainty, but with time and the data that accumulate, all this leads us to note that hydroxychloroquine does not significant effect, neither on a reduction in the risk of developing a serious form linked to Covid-19 nor on the fact of preventing contamination or the passage to the disease. https://www.liberation.fr/france/2020/09/30/covid-19-l-hydroxychloroquine-n-a-pas-d-effet-significatif_1800963rhampton7
September 30, 2020
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A meme being shared across social media has falsely suggested the low COVID-19 death toll in Uganda is due to hydroxychloroquine being used widely by the population. As of Sept. 29, 75 COVID-related deaths have been reported in Uganda along with 7,777 infections. Despite this being a higher number than cited in the meme, it is still a relatively low figure considering the size of the country and compared with the rest of the world. The reason is not entirely clear, but it is inaccurate to suggest a link to Ugandans taking hydroxychloroquine “like candy” for malaria. In the early 2000s, treatment for malaria in the east African nation often consisted of a mix of chloroquine and sulphadoxine-pyrimethamine (SP) (here), but this treatment policy was changed in 2005 to focus on artemisinin-based therapies (here). Early into the COVID-19 pandemic, in April, Ugandan officials said they had been using hydroxychloroquine on some virus patients (here), but the practice had been halted by July (here here). This was a month after the World Health Organization (WHO) discontinued experimental treatments involving the use of hydroxychloroquine and lopinavir/ritonavir after the initial results of an international trial showed the drugs produced little or no reduction in the mortality of hospitalised COVID-19 patients (here here). Instead, experts have suggested Uganda’s low death toll may have more to do with an aggressive lockdown imposed early in the crisis, and three days before it confirmed its first domestic case (here here). Other reports have said the limited capacity of the Ugandan health system may mean many infections and deaths have not been reported (here) . https://www.reuters.com/article/uk-factcheck-uganda-idUSKBN26L2KWrhampton7
September 30, 2020
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In a clinical trial testing whether a daily regimen of hydroxychloroquine could protect those most likely to be exposed to COVID-19, researchers from the Perelman School of Medicine at the University of Pennsylvania found there was no difference in infection rates among health care workers who took the drug versus those taking a placebo. While the researchers observed a lack of effect associated with hydroxychloroquine, infection levels were low among the participants, which the researchers believe points to the effectiveness of other prevention measures in the health system: social distancing, use of personal protective equipment, and proper hand hygiene. The study was published today in JAMA Internal Medicine. This work represents the first randomized trial of hydroxychloroquine's prophylactic effect for those not yet exposed to COVID-19," said the study's lead author, Benjamin Abella, MD, MPhil, a professor of Emergency Medicine and the director of Penn Medicine's Center for Resuscitation Science. "And while hydroxychloroquine is an effective drug for the treatment of diseases like lupus and malaria, we saw no differences that would lead us to recommend prescribing it as a preventive medication for COVID-19 in front line workers." https://medicalxpress.com/news/2020-09-hydroxychloroquine-effective-placebo-covid-.htmlrhampton7
September 30, 2020
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For Kf, You said you monitor this thread so this is for you. An article about treatments for virus infection. In an article on treating viruses
The Treatment of Viral Diseases: Has the Truth Been Suppressed for Decades?
considers the reason behind all the anti-HCQ hysteria is that it threatens the very large vaccine market. If a simple treatment can defeat the C19 virus could it or something similar also defeat the flu? We have been told for years that there is no treatment for the flu and similar viruses or the common cold except rest and our immune system. But would that all change if a simple treatment eliminated the need for a vaccine? https://jpands.org/vol25no3/merritt.pdfjerry
September 28, 2020
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Médias24: How do you perceive the Covid situation in Morocco, which you follow on a daily basis? El Mahdi El Mhamdi : I often wonder if there is a real monitoring of the progress of scientific knowledge. You don't have to be a professor of medicine to understand that hydroxychloroquine is not a cure. There are public statements, for example in Switzerland, from the health ministers of the various centers for disease control and prevention (CDC) ... who say so ... Since May, this subject is almost closed scientifically speaking . There is a sterile controversy in France around Raoult, but the directives of learned societies are very clear. The Swiss, for example, communicated well in May, on the fact that this product is not prescribed; except in controlled clinical trials in hospital settings (which have mostly stopped testing chloroquine since the evidence against it accumulated). The same goes for several countries including the United States, England but also South Korea, China, Canada, Australia, Japan, Portugal, Germany, Italy etc., i.e. the most medically developed. Moroccans must be told that there is no effective treatment , that hydroxychloroquine is not a treatment. It is harmful to make people believe that there is a cure. -Some will say that if it doesn't hurt, it doesn't hurt ... -It lowers the guard. A significant part of society believes that there is a cure, believes in the existence of a good protocol, which works well, which is effective. It lets your guard down. There are Moroccan medical professors who speak of “national protocol”, of “sovereign decision” and persist in using these elements of language. Engaging the sovereignty of the country and tilting the debate towards a kind of nationalist populism on a subject of scientific debate is a serious mistake. On the one hand, there are generally young doctors who read English and technical literature. On the other, an older or older generation, which does not have a very dynamic practice of scientific research, which is partly rentier, well established, which is very disconnected from modern research practice. https://www.medias24.com/entretien-il-faut-cesser-de-faire-croire-que-l-hydroxychloroquine-est-un-traitement-13122.htmlrhampton7
September 25, 2020
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Kf, You may be interested in article from 2011 on medical recommendations by the IDSA
Analysis of Overall Level of Evidence Behind Infectious Diseases Society of America Practice Guidelines
While RCTs are the best source for recommendations, they make up a small percentage of the basis for recommendations. https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/226373
A second reason for the scarcity of level I quality-of-evidence recommendations may be the use of the IDSA evidence-grading system.11,13 This system was originally proposed to evaluate the effectiveness of preventive health care interventions in Canada.14 It requires at least 1 supporting RCT for a level I recommendation. Many IDSA recommendations, however, address questions about diagnosis or prognosis (neither of which can be studied using an RCT and, thus, could never receive the highest-level recommendation). Other recommendations endorse obvious interventions, such as hand hygiene, for which no RCT will ever be conducted. Finally, not all RCTs leading to a level I designation are of the same quality. Some may have used surrogate markers as an outcome measure, some may have had small sample sizes, and others may have been poorly conducted. Well-designed nonrandomized studies, on the other hand, may yield solid information but nonetheless cannot lead to a level I recommendation using the current evaluation system.
The issue is complicated but essentially blind adherence to RCTs as the only source for medical treatments would prevent effective medical recommendations. Nowhere is anyone arguing that RCTs are not useful but as we have seen for example in the two Boulware studies, they are sometimes poorly designed and implemented. Or in the testing of obvious treatments ethically appropriate when one of the likely outcomes is death But politics Trumps morals. Which indicates “what morals?” jerry
September 24, 2020
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Kairofocus
Tens of thousands of lives still hang in the balance. KF
As if the (mainly darwinist oriented) left cared just a little bit. "Survival of the fittest" is their mantra. If imposing their ideals costs millions of lives, so much the worse for the "less adapted" monkeys. The darwinian idea has to be imposed (very "funny" because according to these deranged individuals, both the mind and ideas "do not exist").Truthfreedom
September 24, 2020
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Jerry, there is the gold standard fallacy that gives pseudojustification for dismissing evidence that does not fit a dominant narrative. A very familiar problem. I notice on the OP how there has been conspicuous lack of cogent response to mechanisms on the table -- it's hard to dismiss ionophore and weak base absorbed by cells etc, a failure to recognise manageability of risks and a tendency to attack the man. Though, Dr Been is quite different from Dr Raoult. History will not smile indulgently on this year's fiasco. I am thinking of how the seemingly wonderful, glittering aristocrats stumbled into catastrophe in 1914. Four years later the credibility of monarchy was gone and four empires collapsed, triggering the instabilities of the past 100 years. KFkairosfocus
September 24, 2020
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F/N: A reflection on needless politicising of the HCQ issue and its consequences. Overview: >>The COVID-19 pandemic struck America nine months before a presidential election, turning basic medical activities like testing and treatment into partisan battlegrounds. No subject has been more distorted than hydroxychloroquine (HCQ), a safe, versatile medicine that has treated hundreds of millions of people for numerous diseases for seven decades. HCQ was adopted as a COVID-19 treatment in Asia in January 2020 without fanfare, based on lab tests with the related coronavirus SARS-1. But when President Trump stated in March that the U.S. would also begin studying the drug’s potential against the virus, political opponents defied longstanding scientific and medical consensus to portray HCQ as harmful and Trump as a mortal danger to public health. Flawed and even falsified studies [--> Lancet, FYI] were published and promoted by media outlets eager to discredit Trump, while positive studies were impugned or ignored. This campaign persists even as evidence of HCQ’s benefit against COVID-19 grows – including scores of observational controlled trials showing therapeutic effect when administered early in disease progression. Hundreds of drugs have been approved for both indication-specific and general usage on the basis of similar observational trials, especially when conducted in large numbers and subject to careful meta-analysis. As a matter of medical practice and especially in a pandemic emergency, it is flatly not the case that only randomized controlled trials can justify adopting a treatment, as HCQ detractors have insisted while publicizing randomized controlled trials results that are themselves deeply flawed. The U.S. is an international outlier on HCQ. Right now, doctors around the world are prescribing HCQ to treat COVID-19 outside of hospitals, as well as prophylactically to prevent infection among healthcare workers and vulnerable populations. This paper argues that HCQ has met the appropriate burden of proof and urges members of the U.S. news media, public health community, and regulatory agencies to stop politicizing the use of this medicine. Tens of thousands of lives still hang in the balance.>> KFkairosfocus
September 24, 2020
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gastrointestinal side effects were common but mild with the use of hydroxychloroquine, while serious side effects were rare.
HCQ is safe and inexpensive. Given that there is no effective alternative why not prescribe it? The upside is hundreds of thousands of lives saved. The downside is the patient is out $10-$20. The answer is there no reason except politics and greed, both the result of extreme callousness.jerry
September 23, 2020
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F/N: On the safety narrative, I note this study published 21st as medrxiv: https://www.medrxiv.org/content/10.1101/2020.07.16.20155531v3 >>Safety of Hydroxychloroquine among Outpatient Clinical Trial Participants for COVID-19 View ORCID ProfileSARAH M LOFGREN, View ORCID ProfileMelanie R Nicol, Ananta S Bangdiwala, View ORCID ProfileKatelyn A Pastick, View ORCID ProfileElizabeth C Okafor, View ORCID ProfileCaleb P Skipper, View ORCID ProfileMatthew F Pullen, View ORCID ProfileNicole W Engen, View ORCID ProfileMahsa Abassi, Darlisha A Williams, View ORCID ProfileAlanna A Nascene, View ORCID ProfileMargaret L Axelrod, Sylvian A Lother, View ORCID ProfileLauren J MacKenzie, View ORCID ProfileGlen Drobot, Nicole Marten, View ORCID ProfileMatthew P Cheng, Ryan Zarychanshi, View ORCID ProfileIlan S Schwartz, Michael Silverman, View ORCID ProfileZain Chagla, Lauren E Kelly, View ORCID ProfileEmily G McDonald, View ORCID ProfileTodd C Lee, View ORCID ProfileKatherine Huppler Hullsiek, View ORCID ProfileDavid R Boulware, View ORCID ProfileRadha Rajasingham Abstract Introduction: Use of hydroxychloroquine in hospitalized patients with COVID-19, especially in combination with azithromycin, has raised safety concerns. Here, we report safety data from three outpatient randomized clinical trials. Methods: We conducted three randomized, double-blind, placebo-controlled trials investigating hydroxychloroquine as pre-exposure prophylaxis, post-exposure prophylaxis and early treatment for COVID-19. We excluded individuals with contraindications to hydroxychloroquine. We collected side effects and serious adverse events. We report descriptive analyses of our findings. Results: We enrolled 2,795 participants. The median age of research participants was 40 (IQR 34-49) years, and 59% (1633/2767) reported no chronic medical conditions. Overall 2,324 (84%) participants reported side effect data, and 638 (27%) reported at least one medication side effect. Side effects were reported in 29% with daily, 36% with twice weekly, 31% with once weekly hydroxychloroquine compared to 19% with placebo. The most common side effects were upset stomach or nausea (25% with daily, 18% with twice weekly, 16% with weekly, vs. 10% for placebo), followed by diarrhea, vomiting, or abdominal pain (23% for daily, 16% twice weekly, 12% weekly, vs. 6% for placebo). Two individuals were hospitalized for atrial arrhythmias, one on placebo and one on twice weekly hydroxychloroquine. No sudden deaths occurred. Conclusion: Data from three outpatient COVID-19 trials demonstrated that gastrointestinal side effects were common but mild with the use of hydroxychloroquine, while serious side effects were rare. No deaths occurred related to hydroxychloroquine. Randomized clinical trials can safely investigate whether hydroxychloroquine is efficacious for COVID-19.>> The mechanisms on the table make it hard to argue, ineffective. KF PS: Of course, I have questions on resort to placebo based studies in face of a deadly pandemic.kairosfocus
September 23, 2020
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Jerry, the current magisterium is as unknowingly doomed as were the European Aristocracy c May 1914. they and their designated successors will be in the history but they will not be writing it -- and I do not mean victory propaganda, I mean serious well-founded history. The American status of a certain Mr Benedict Arnold comes to mind. KFkairosfocus
September 23, 2020
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Kf,
History is going to judge us harshly, for cause.
Depends on who will write the history. That is what the fight is about. HCQ is a side show and so is the million deaths that could have been prevented or delayed. For those who care there is a web site that keeps track of studies on C19 https://c19study.com/jerry
September 23, 2020
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RH7, it is long since clear that no actual accumulation of evidence will move you from your chosen distractive and dismissive red herring and strawman narratives. The reality is, that there is good reason to see that the placebo based testing "gold standard" is a fallacy that leads to selectively hyperskeptical dismissal of reasonable evidence and what it warrants. It is clear in particular that the focus of the OP above -- plausible mechanisms of action -- stands as just that, plausible. HCQ -- on direct action -- is absorbed by the body, is able to enter cells, acts as a weak base; disrupting the viral attack process. On indirect action it is a Zn-promoting ionophore, further promoting antiviral action by that ion. Azithromycin and/or doxycycline have ability to attack secondary infections and the former at least has antiviral action. Zn supplementation is obviously advisable. Vitamins D and C likewise, with some reason to believe D-deficiency [come on, sunlight!] is a serious risk factor. So, we are not just arguing statistical correlations, we have hard to dismiss action mechanisms on the table. Where the stitch in time saves nine principle makes it clear that there is patent justification to administer early before serious damage is done; reports indicate off-label use is up to 20% of prescriptions in the US. . Likewise, potentially harmful side effects are highly manageable, these are decades proved drugs. We can also add/substitute ivermectin, which has similar support. The real issue is why, since March/April, so much fight-down has been seen, and the answers to that are not happy ones. History is going to judge us harshly, for cause. KFkairosfocus
September 23, 2020
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Prof Raoult tried to blame Africans for the current surge in France; “ One strain, Raoult theorized, was brought in by people coming from North Africa after France lifted its lockdown in June. “ There is a problem with that hypothesis, “ The mutation has now disappeared, though others have popped up, the outlet reported.” Then Raoult tried to minimize the current outbreak in France, “ They are less severe, so something is happening with this virus, which makes it different,” Raoult testified. “The mutations we have are a rather degraded version of the initial form. At least that is our impression.” Except that, “ In the past few weeks, France has seen COVID-19 intensive care admissions and deaths grow. To try to curb the numbers, the cities of Nice, Marseille and Bordeaux have imposed new restrictions on bar hours and the size of gatherings.” Note Marseille’s inclusion. https://nypost.com/2020/09/19/france-uncovers-mutant-fast-moving-covid-19-strains/rhampton7
September 19, 2020
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RH7, the claim has little merit, given what has already been discussed and what is in protocols. KFkairosfocus
September 18, 2020
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Quasi-theological creed is not a good thing, is it? ;)Truthfreedom
September 18, 2020
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Wow, a leftist trying to play the "racism" card. What a typical, pathetic strategy. :) Didier Raoult Trashing Darwin
“Charles Darwin’s vision of the world deeply influenced biology in the twentieth century. Today, however, his theory of evolution is more a hindrance than a help, because it has become a quasi-theological creed that is preventing the benefits of improved research from being fully realized." Didier Raoult, Life After Darwin
Truthfreedom
September 18, 2020
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Is Prof. Didier correct in blaming Africans, Jews and Gypsies? Answering a question about the profile of people who have tested positive today; Didier Raoult indicated that these are people of all ages; noting that no remarkable incidence in small children has been observed. Continuing in this direction, the doctor did not hesitate to propose a curious theory; to explain the increase in the number of Covid-19 contaminations in France. "This upsurge seems to have started in July with a mutant that came from North Africa"; he advanced. Indeed, according to the speaker, this new wave would be the work of North Africans, Jews and Roma. “The IHU Méditerranée Infection has identified several viruses carrying numerous mutations; including the one that was named Marseille; would have arrived in the region and then spread during the celebrations of the Jewish and Roma communities ”; Raoult explained. "We know that in Marseille, weddings among the Roma or parties in the Jewish community were extremely important sources of contagion," said Didier Raoult, which would have helped to spread this new strain within the Marseille population . Since the city's port does have a connection with regular shipping lines to Algeria and Tunisia. However, this theory remains unlikely for many researchers and specialists who have refuted this assertion. "The strain of the virus that circulates mainly in France remains the one detected last March and is therefore not new"; they decided. Moreover, it should be remembered, Algeria has kept its borders closed since last March until today. Only a few rare ferries made the crossing, especially for the repatriation of French people stranded in Algeria. In fact, so far no date has been communicated about the opening of the borders. As for Tunisia, it only had a few cases during the period concerned. https://www.dzairdaily.com/didier-raoult-hausse-contagions-france-vient-maghreb/rhampton7
September 18, 2020
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R7
We can exclude the possibility of hydroxychloroquine versus standard care reducing the risk of death and serious adverse events by 20% or more.
Ouch.Mac McTavish
September 18, 2020
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Interventions for treatment of COVID-19: A living systematic review with meta-analyses and trial sequential analyses (The LIVING Project) This is the first edition of a living systematic review of randomized clinical trials comparing the effects of all treatment interventions for participants in all age groups with COVID-19. We planned to conduct aggregate data meta-analyses, trial sequential analyses, network meta-analysis, and individual patient data meta-analyses. Our systematic review is based on Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) and Cochrane guidelines, and our 8-step procedure for better validation of clinical significance of meta-analysis results. We performed both fixed-effect and random-effects meta-analyses. Primary outcomes were all-cause mortality and serious adverse events. Secondary outcomes were admission to intensive care, mechanical ventilation, renal replacement therapy, quality of life, and nonserious adverse events. We used Grading of Recommendations Assessment, Development and Evaluation (GRADE) to assess the certainty of evidence. We searched relevant databases and websites for published and unpublished trials until August 7, 2020. Two reviewers independently extracted data and assessed trial methodology. We included 33 randomized clinical trials enrolling a total of 13,312 participants. All trials were at overall high risk of bias. Our results show that dexamethasone and remdesivir might be beneficial for COVID-19 patients, but the certainty of the evidence was low to very low, so more trials are needed. We can exclude the possibility of hydroxychloroquine versus standard care reducing the risk of death and serious adverse events by 20% or more. Otherwise, no evidence-based treatment for COVID-19 currently exists. This review will continuously inform best practice in treatment and clinical research of COVID-19. https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1003293rhampton7
September 18, 2020
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KF, you neglected the most important point: “ Researchers noted that combining hydroxychloroquine with azithromycin further increased risk for heart failure and cardiovascular mortality, even in the short term.”rhampton7
September 18, 2020
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RH7, long term use is of order 5 - 10 years and the incidence is small. We take that as a measure of onward comments. Kindly observe, too, the mechanisms on the table. KFkairosfocus
September 17, 2020
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Prof. Didier Raoult Trashing Darwin
“Charles Darwin’s vision of the world deeply influenced biology in the twentieth century. Today, however, his theory of evolution is more a hindrance than a help, because it has become a quasi-theological creed that is preventing the benefits of improved research from being fully realized." Didier Raoult, Life After Darwin
Truthfreedom
September 17, 2020
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Letter to Professor Raoult from a "little" general practitioner Part 2 I remember your multiple statements and successive reflections: * you weren't going to panic for three Chinese people who are dying, * Covid-19 was going to kill fewer people than scooter accidents, * you had the treatment and it would be the most infectious disease. * easier to treat, the virus would go away in summer, * the epidemic was over, * the epidemic was resuming, * transmission was through the hands and * respiratory contamination had been expressed long ago for other ailments but was not to be taken seriously, * then talking about respiratory and manual contamination * returning during your hearing to mainly manual contamination You also said: take out those who are afraid and put forward those who are not afraid. I do not know caregivers paralyzed by fear, I only know caregivers aware of their role, their responsibilities, their missions, caregivers who, I repeat, have faced particularly difficult conditions, all over the place. territory and will do it again. You said so many things ... "we must give hope" you said like this justified all the statements, all the lies. Hope has a placebo effect, you recalled, in a curious statement for anyone who refuses double-blind randomized studies. You have given hope to the point of establishing certainties in the treatment you advocate and that you do not want to submit to any validation other than your opinion, in your publications, supported by your teams, in your journals. Your ideas have spread abroad, Trump and Bolsonaro have defended it, should this be seen as a link with the management of the epidemic in the USA and in Brazil? History will tell ... You played on the mistakes of politicians, their manipulations and the need to believe in the face of the unknown and fear. You have created a movement, a religion one could say so much the irrational is present there, where simple belief, conspiracy, anti-mask movement, or anti-ax are mingled ... or the extremists meet and make your ideas a fertile ground. This you cannot ignore, yet you say nothing, you accept to be followed, greeted, adulated, whatever the bottle, as long as you are drunk. Dr Jérôme Marty president UFMLS https://www.atlantico.fr/decryptage/3592353/lettre-au-professeur-raoult-d-un-petit-medecin-generaliste-chloroquine-coronavirus-covid-19-pandemie-epidemie-jerome-marty-rhampton7
September 17, 2020
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