{"id":27754,"date":"2020-06-16T23:19:59","date_gmt":"2020-06-16T17:49:59","guid":{"rendered":"https:\/\/kashmir.today\/coronavirus-dexamethasone-proves-first-life-saving-drug\/"},"modified":"2020-06-16T23:19:59","modified_gmt":"2020-06-16T17:49:59","slug":"coronavirus-dexamethasone-proves-first-life-saving-drug","status":"publish","type":"post","link":"https:\/\/kashmir.watch\/?p=27754","title":{"rendered":"Coronavirus | Dexamethasone proves first life-saving drug"},"content":{"rendered":"\n<p class=\"story-body__introduction\">A cheap and widely available drug can help save the lives of patients seriously ill with coronavirus.<\/p>\n\n\n\n<p>The low-dose steroid treatment dexamethasone is a major breakthrough in the fight against the deadly virus, UK experts say.<\/p>\n\n\n\n<p>The drug is part of\u00a0the world&#8217;s biggest trial testing existing treatments\u00a0to see if they also work for coronavirus.<\/p>\n\n\n\n<div class=\"wp-block-image media-landscape no-caption full-width lead\"><figure class=\"aligncenter\"><img decoding=\"async\" src=\"https:\/\/ichef.bbci.co.uk\/news\/375\/cpsprodpb\/050B\/production\/_112919210_gettyimages-1205534989.jpg\" alt=\"doctor with a drug\"\/><figcaption>Photo Credit: Getty Images<\/figcaption><\/figure><\/div>\n\n\n\n<p>It cut the risk of death by a third for patients on ventilators. For those on oxygen, it cut deaths by a fifth.<\/p>\n\n\n\n<p>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.<\/p>\n\n\n\n<p>And it could be of huge benefit in poorer countries with high numbers of Covid-19 patients.<\/p>\n\n\n\n<p>The UK government has 200,000 courses of the drug in its stockpile and says the NHS will make dexamethasone available to patients.<\/p>\n\n\n\n<p>Prime Minister Boris Johnson said there was a genuine case to celebrate &#8220;a remarkable British scientific achievement&#8221;, adding: &#8220;We have taken steps to ensure we have enough supplies, even in the event of a second peak.&#8221;<\/p>\n\n\n\n<p>Chief Medical Officer for England Prof Chris Whitty said it would save lives around the world.<\/p>\n\n\n\n<p>About 19 out of 20 patients with coronavirus recover without being admitted to hospital.<\/p>\n\n\n\n<p>Of those who are admitted, most also recover but some may need oxygen or mechanical ventilation.<\/p>\n\n\n\n<p>And these are the high-risk patients dexamethasone appears to help.<\/p>\n\n\n\n<p>The drug is already used to reduce inflammation in a range of other conditions, including arthritis, asthma and skin some conditions.<\/p>\n\n\n\n<p>And it appears to help stop some of the damage that can happen when the body&#8217;s immune system goes into overdrive as it tries to fight off coronavirus.<\/p>\n\n\n\n<p>This over-reaction,&nbsp;<a href=\"https:\/\/www.bbc.com\/future\/article\/20200505-cytokine-storms-when-the-body-attacks-itself\" class=\"story-body__link\">a cytokine storm<\/a>, can be deadly.<\/p>\n\n\n\n<div class=\"wp-block-image media-portrait no-caption full-width\"><figure class=\"aligncenter\"><img decoding=\"async\" src=\"https:\/\/ichef.bbci.co.uk\/news\/375\/cpsprodpb\/12202\/production\/_112924247_dexamethasone_drug_640_v2-nc.png\" alt=\"Chart showing effect on patients on ventilators and requiring oxygen\"\/><\/figure><\/div>\n\n\n\n<p>In the trial, led by a team from Oxford University, about 2,000 hospital patients were given dexamethasone and compared with more than 4,000 who were not.<\/p>\n\n\n\n<p>For patients on ventilators, it cut the risk of death from 40% to 28%.<\/p>\n\n\n\n<p>For patients needing oxygen, it cut the risk of death from 25% to 20%.<\/p>\n\n\n\n<p>Chief investigator Prof Peter Horby said: &#8220;This is the only drug so far that has been shown to reduce mortality &#8211; and it reduces it significantly. It&#8217;s a major breakthrough.&#8221;<\/p>\n\n\n\n<p>Lead researcher Prof Martin Landray said the findings suggested one life could be saved for:<\/p>\n\n\n\n<ul class=\"story-body__unordered-list wp-block-list\"><li class=\"story-body__list-item\">every eight patients on a ventilator<\/li><li class=\"story-body__list-item\">every 20-25 treated with oxygen<\/li><\/ul>\n\n\n\n<p>&#8220;There is a clear, clear benefit,&#8221; he said.<\/p>\n\n\n\n<p>&#8220;The treatment is up to 10 days of dexamethasone and it costs about \u00a35 per patient.<\/p>\n\n\n\n<p>&#8220;So essentially it costs \u00a335 to save a life.<\/p>\n\n\n\n<p>&#8220;This is a drug that is globally available.&#8221;<\/p>\n\n\n\n<p>When appropriate, hospital patients should now be given it without delay, Prof Landray said.<\/p>\n\n\n\n<p>But people should not go out and buy it to take at home.<\/p>\n\n\n\n<p>Dexamethasone does not appear to help people with milder symptoms of coronavirus who do not need help with their breathing.<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter\"><img decoding=\"async\" src=\"https:\/\/ichef.bbci.co.uk\/news\/375\/socialembed\/https:\/\/twitter.com\/CMO_England\/status\/1272877425295319040~\/news\/health-53061281\" alt=\"Twitter post by @CMO_England: This is the most important trial result for COVID-19 so far. Significiant reduction in mortality in those requiring oxygen or ventilation from a widely available, safe and well known drug. Many thanks to those who took part and made it happen. It will save lives around the world. \"\/><figcaption><a class=\"embed-original-post-link\" href=\"https:\/\/twitter.com\/CMO_England\/status\/1272877425295319040\">Image Copyright @CMO_England@CMO_ENGLAND<\/a><a class=\"embed-report-link\" href=\"https:\/\/www.bbc.co.uk\/news\/contact-us\/editorial\">Report<\/a><\/figcaption><\/figure><\/div>\n\n\n\n<p>The Recovery Trial, running since March, also looked at the malaria drug hydroxychloroquine, which has subsequently been\u00a0ditched amid concerns\u00a0it increases fatalities and heart problems.<\/p>\n\n\n\n<p>The antiviral drug remdesivir, meanwhile, which appears to shorten recovery time for people with coronavirus, is already\u00a0being made available on the NHS.<\/p>\n\n\n\n<figure class=\"wp-block-image media-landscape no-caption body-width\"><img decoding=\"async\" src=\"https:\/\/ichef.bbci.co.uk\/news\/375\/cpsprodpb\/3959\/production\/_112918641_7158d6ed-929c-4987-859e-b00973867bae.jpg\" alt=\"Presentational grey line\"\/><\/figure>\n\n\n\n<div class=\"wp-block-image media-landscape no-caption full-width\"><figure class=\"aligncenter\"><img decoding=\"async\" src=\"https:\/\/ichef.bbci.co.uk\/news\/375\/cpsprodpb\/F46A\/production\/_111207526_ferguswalsh-nc.png\" alt=\"Analysis box by Fergus Walsh, health correspondent\"\/><\/figure><\/div>\n\n\n\n<p>The first drug proven to cut deaths from Covid-19 is not some new, expensive medicine but an old, cheap-as-chips steroid.<\/p>\n\n\n\n<p>That is something to celebrate because it means patients across the world could benefit immediately.<\/p>\n\n\n\n<p>And that is why the top-line results of this trial have been rushed out &#8211; because the implications are so huge globally.<\/p>\n\n\n\n<p>Dexamethasone has been used since the early 1960s to treat a wide range of conditions, such as rheumatoid arthritis and asthma.<\/p>\n\n\n\n<p>Half of all Covid patients who require a ventilator do not survive, so cutting that risk by a third would have a huge impact.<\/p>\n\n\n\n<p>The drug is given intravenously in intensive care and in tablet form for less seriously ill patients.<\/p>\n\n\n\n<p>So far, the only other drug proven to benefit Covid patients is remdesivir, which has been used for Ebola.<\/p>\n\n\n\n<p>That has been shown to reduce the duration of coronavirus symptoms from 15 days to 11.<\/p>\n\n\n\n<p>But the evidence was not strong enough to show whether it reduced mortality.<\/p>\n\n\n\n<p>Unlike dexamethasone, remdesivir is a new drug with limited supplies and a price has yet to be announced.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A cheap and widely available drug can help save the lives of patients seriously ill with coronavirus. The low-dose steroid treatment dexamethasone is a major breakthrough in the fight against the deadly virus, UK experts say. The drug is part of\u00a0the world&#8217;s biggest trial testing existing treatments\u00a0to see if they also work for coronavirus. It [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":24429,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[15],"tags":[],"class_list":["post-27754","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-national"],"_links":{"self":[{"href":"https:\/\/kashmir.watch\/index.php?rest_route=\/wp\/v2\/posts\/27754","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kashmir.watch\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kashmir.watch\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kashmir.watch\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kashmir.watch\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=27754"}],"version-history":[{"count":0,"href":"https:\/\/kashmir.watch\/index.php?rest_route=\/wp\/v2\/posts\/27754\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/kashmir.watch\/index.php?rest_route=\/"}],"wp:attachment":[{"href":"https:\/\/kashmir.watch\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=27754"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kashmir.watch\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=27754"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kashmir.watch\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=27754"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}