Yes, both the severe COVID-19 infection itself and some of your medications can impact your calcium and parathyroid hormone (PTH) levels. Specifically, corticosteroids like methylprednisolone and Dexona (dexamethasone) can temporarily alter how your body processes calcium. Additionally, severe infections like COVID-19 frequently cause temporary drops in calcium levels. As your body recovers, it is not uncommon to see fluctuations in both calcium and PTH as your endocrine system works to restore its natural balance. Please share these results with your doctor so they can safely monitor your recovery and guide any needed supplements.

Taking 13 doses of Dexona (dexamethasone) is not immediately life-threatening, but it is important to address this. Dexamethasone is a strong steroid, not a cure for typhoid, which requires specific antibiotics. Taking it unsupervised can mask symptoms or cause side effects like stomach irritation or blood sugar changes. Please do not stop taking it suddenly, as this can make you feel unwell. Instead, please consult a doctor immediately. Share exactly how many doses and the strength you took so they can safely guide you on how to taper off the medication and properly treat your typhoid.

These medications are not a direct cure, but they can support recovery under strict medical supervision. Multiple electrolytes and dextrose injections help maintain hydration if you are severely dehydrated. Dexona (dexamethasone) is a potent steroid that is highly effective for severe COVID-19 cases requiring oxygen, but it must only be used under a doctor?s guidance, as it can be harmful if taken too early or in mild cases. Polybion (vitamin B-complex) serves as supportive therapy to aid recovery. Please consult your doctor to determine the safest and most appropriate treatment plan for your specific health needs.

It is very important that you do not stop taking Dexona (dexamethasone) suddenly. Because you have been taking it for six weeks, your body needs time to adjust, and stopping abruptly can be unsafe. The safest protocol is a gradual dose taper, which must be carefully designed and supervised by a doctor. Please consult a physician right away for a personalized tapering plan. As you safely reduce the dose, the swelling and fluid retention will naturally begin to resolve. These side effects are temporary and will reverse once the medication is safely stopped under medical guidance.

At day 13, we must be cautious. Please consult a doctor immediately to review his medications. Both Dexolab and Dexona contain dexamethasone (a strong steroid); taking both together or using them for mild COVID-19 without strict medical supervision can be unsafe. Ivermectin is also no longer standard. He can safely recover at home if his oxygen levels (SpO2) remain at 94% or above and he breathes comfortably. Please monitor his oxygen levels and temperature regularly, keep him hydrated, and use paracetamol (found in Sinarest) for fever under medical guidance. Seek immediate hospital care if his oxygen drops below 94%.

Since she is stable and fever-free, continue keeping her well-hydrated. Regarding her medications, please continue the prescribed course of amoxicillin and clavulanate (Augmentin 625) for her lung infection. However, because medicines like dexamethasone (Dexona), hydroxychloroquine (HCQS), and theophylline/etofylline (Deriphylin) require careful medical supervision, please do not alter these doses until you reach her doctor. Keep monitoring her oxygen and blood pressure closely. If she develops any breathing difficulty, fever, or if her oxygen drops below 94%, please seek immediate emergency medical care.