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In light of the ongoing COVID-19 pandemic, the National Institutes of Health has issued recommendations for individuals who are unvaccinated against COVID and at high risk for severe illness to take Paxlovid within five days of the onset of mild to moderate symptoms. The drug is taken twice daily for five days, but its effectiveness in treating those who are fully vaccinated or healthy yet unvaccinated remains unclear. To address this issue, a study published on April 3, 2024, in The New England Journal of Medicine aimed to investigate the effectiveness of Paxlovid in treating various groups.

The study enrolled 1,300 individuals with mild to moderate COVID-19 symptoms. Participants had to either be vaccinated (fully or partially) with at least one risk factor for more severe symptoms or unvaccinated with no risk factors to be eligible. Unvaccinated individuals at high risk were excluded from the study. Half of the participants were randomly assigned to receive Paxlovid every 12 hours for five days, while the other half received a placebo. The study found no significant difference in symptom relief or disease progression between the two groups.

These findings suggest that many individuals with mild or moderate COVID symptoms may not immediately require Paxlovid treatment. However, certain groups should still consult their doctors for guidance before taking any medication related to COVID-19. These include people aged 65 and older, those with chronic conditions (especially heart or lung disease), individuals with compromised immune systems, and those whose symptoms worsen over a 24-hour period. It is important to note that direct medical advice from a healthcare professional should always be sought before making any decisions regarding one’s health during this time of pandemic uncertainty.

Harvard Health Publishing provides archived content as a service to its readers. It is important to note the date of the last review or update on all articles. Regardless of the publication date, the content on this site should never be used as a replacement for direct medical advice from a healthcare professional.

In conclusion, while Paxlovid can help alleviate some symptoms associated with mild to moderate COVID-19 cases, its effectiveness varies depending on individual circumstances such as age, underlying health conditions and vaccination status. As such, it is crucial that patients seek professional guidance before taking any medication related to COVID-19 management during these uncertain times.

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