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- The cheap and widely-used steroid called Dexamethasone has become the first drug shown to be able to save lives among Covid-19 patients in what scientists said is a “major breakthrough” in the coronavirus pandemic.
- The observations were part of the world’s biggest trial testing existing treatments to see if they also work for coronavirus.
the trial
- Around 2,100 hospital patients were given dexamethasone,
- Compared with more than 4,300 who were not.
- And the results, announced on Tuesday, showed that-
- For patients on ventilators, it cut the risk of death by a third.
- For those on oxygen, it cut the risk of death by a fifth.
- Had the drug had been used to treat patients in the UK from the start of the pandemic, up to 5,000 lives could have been saved, researchers say.
About Dexamethasone
- It’s a drug that relieves inflammation in various parts of the body.
- It is used specifically to decrease swelling (edema), associated with tumors of the spine and brain, and to treat eye
Beneficial for developing countries
- It could be of huge benefit in developing countries with high numbers of Covid-19 patients too.
- In India, the drug which is used to fight life-threatening sepsis and severe infections, has annual sales of Rs 100 crore.
- Ahmedabad-based Zydus Cadila is its largest manufacturer.
- “There are enough supplies in India. It’s been used for over four decades in several indications, and is very affordable,” Zydus group chairman Pankaj Patel.
- Its price is regulated under the Drug Price Control Order, and is around Rs 5-6 per injection.
- It is also produced by small scale manufacturers.
- The treatment for high-risk Covid-19 patients is up to 10 days.
- The drug is given intravenously in intensive care and in tablet form for less seriously ill patients.
- However, lead researcher Martin Landray warned that people should not go out and buy it to take at home.
- (Also, dexamethasone does not appear to help people with milder Covid-19 symptoms who do not need help with their breathing.)
What about Remdesivir?
- So far, the only other drug proven to benefit Covid patients is remdesivir, which has been used for Ebola.
- That has been shown to reduce the duration of coronavirus symptoms from 15 days to 11.
- But the evidence was not strong enough to show whether it reduced mortality.
- Unlike dexamethasone, remdesivir is a new drug with limited supplies and a price has yet to be announced.
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