alias_sqbr: the symbol pi on a pretty background (Default)
[personal profile] alias_sqbr
Neither very urgent. Also: I rang my doctor and they have started offering phone consultations, hooray.

1) I think I'll cancel my psychiatrist appointment in 2 weeks. When I call to cancel I can ask if they do remote consults, but if they don't: when would be a good time to reschedule for?

It seems to have taken 2-3 months for the number of new infections in China etc to mostly calm down, if I wait 4 months that's August but I've also seen people expect that to be the peak in Western Australia so...??? I would like to see him eventually, I want to discuss the possibility of ADHD meds.

2) It turns out anti-inflammatory drugs are bad for Covid and also possibly the flu/pneumonia in general. Would that include PEA/Palmitoylethanolamide? Does the fact I have chronic inflammation change anything?

I poked at the linked articles and didn't follow most of it, but one thing I noticed is that NSAIDs inhibit the inflammation related enzyme Cox-2/Prostaglandin-endoperoxide synthase 2. Lowering the amount COX-2 decreases the amount of initial inflammation but may increase it's duration or have other complicated negative effects. And Palmitoylethanolamide also inhibits COX-2.

Am I right to interpret this as PEA also possibly making COVID worse? I realise the answer even from doctors may be a big shrug but I thought I might as well ask.

I mean I'm not going to stop taking PEA right away, since I'm pretty sure the negative effect on my physical and mental well being would far outweigh the potential benefit. But I might stop if I start getting Covid-y symptoms (beyond my usual base level of sore throat/muscle ache/fatigue, which SURE IS GREAT to have as a symptom profile right now)

Date: 2020-03-18 07:28 am (UTC)
lilacsigil: 12 Apostles rocks, text "Rock On" (12 Apostles)
From: [personal profile] lilacsigil
August is the probable peak for WA, July for the rest of Australia.

As for the ibuprofen thing, we don't know the actual mechanism of effect yet (there are some guesses but nothing certain, and this effect hasn't been observed everywhere). COX-2 inhibitors like meloxicam and celecoxib have no data, so PEA would likely be in that category also. I think all you can do on that front is continue your medication and wait for more information.

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