ECONOMYNEXT – Vietnam has begun to distributing medicine packs with an antiviral drug and anit-coagulants at home, while a top business group bought half a million doses of Remdesivir for hospitals which battled Coronavirus with hi tech and volunteers.
South Vietnam authorities began distributing a medicine pack for patients on home treatment in August as hospitals filled up with patients with mass-testing and the inability to enforce a lockdown.
Pack A is made of antipyretic like paracetamol to reduce fever and vitamins to boost immunity.
Pack C is an experimental anti-viral drug Molnupiravir produced by the the firm Merck which has not yet got formal approval by Vietnam’s drug regulator but the Ho Chi Minh health authorities has given the go ahead to use it.
In August ago Australia gave a provisional determination for the Molnupiravir to consider it for treatment.
The drug was provided by Stellapharm, a pharmaceutical firm based in Vietnam.
Pack B is for persons with stronger symptoms whose symptoms intensify and may be awaiting transfer to hospital.
They are asked to take the drugs if they feel shortness of breath and breathing goes above 20 times a minute and oxygen concentration falls below below 95 percent on a pulse oxymeter.
It has one of three alternatives, Prednisolene 5mg a corticosteroid, methylprednisolene 16mg or Dexamethosone 0.5mg.
Dexamethosone for adults a maximum of 6mg a day, chidlren 0.15mg a day after meals, preferably in the morning.
Or Prednisolone: adults 40mg orally after meals. Methylprednisolene 16mg taken twice a day 12 hours apart maximum 32mn a day after meals in the morning and evening.
Pack 02 also has an anti-coagulant (many Covid patients suffer heart attacks or strokes due to thickening of blood) Rivaroxaban 10mg, or Apixaban 2.5mg (twice a day) or Dabigatran 110mg, a dose of 220mn taken once a day.
A hotline is available for assistance.
Reports said the drugs sold out in pharmacies in Ho Chi Minh City after the information was released prompting warnings that taking all three drugs could kill someone. Amid reports of fake drugs sold, health authorities have warned persons to be careful.
Vingroup, a top business group in Vietnam has also procured 500,000 doses of Remdesivir for the health system which it would give free.
The first batch arrived in the country on August 06.
Vietnam has also initiated talks with Indian pharma firms to get another 1 million doses, the government news portal said.
Vietnam confirmed 13,101 cases on September 05 and 281 deaths.
The health system was handling 6,291 seriously ill patients, Vietnam’s Touitre newspaper said, with 4,015 persns on oxygen.
Another 1,207 were on high flow oxygen, 146 on non-invasive ventilation, 892 on ventilators and 31 on extra-corporeal membrane oxygenation (heart-lung machines).
Vietnam kept deaths to zero int the first wave in 2020 with ECMO machines.
Authorities have ramped up vaccinations as it became increasingly difficult to enforce a stay at home order, especially in Ho Chi Minh City.
A gradual opening up is planned from mid-September. (Colombo/Sept05/2021)