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%.

Dexona (dexamethasone) is a steroid, while Fabiflu (favipiravir) is an antiviral medication. While they can sometimes be used together, steroids like Dexona are generally reserved for specific stages of COVID-19, particularly when oxygen levels need support, and may not be necessary for mild cases. Taking steroids too early can sometimes delay your body's natural recovery. I gently advise consulting your doctor to confirm if this combination is currently suitable for your specific symptoms.

Regarding your medications, please do not substitute Dexona (dexamethasone) 0.5 mg for Medrol (methylprednisolone) 8 mg. They are not equal in strength; 0.5 mg of Dexona is a much weaker dose and may not adequately control your inflammation. However, Pantop D SR (pantoprazole with domperidone) and Rekool D (rabeprazole with domperidone) are very similar acid-reducing medicines. While this substitution is generally safer, it is vital to consult your prescribing doctor before making any changes, especially with steroids, to ensure your recovery stays safely on track.

It is generally safe and highly crucial to continue taking your Ecospirin 75 (aspirin) as prescribed to protect your heart. While Dexona (dexamethasone) can occasionally affect blood pressure or fluid retention with long-term use, it is very unlikely that a recent, temporary dose directly caused your heart attack. However, combining steroids and aspirin can sometimes irritate your stomach. Please consult your cardiologist promptly to discuss your full medication history and ensure your stomach is well-protected.

Using antibiotics like cefadroxil and steroid drops like dexamethasone can sometimes disrupt the natural balance in your ear, allowing a harmless fungal growth, often called otomycosis, to develop. This is a very common and highly treatable reaction. The black appearance is typical of certain benign fungi. I gently recommend contacting your doctor so they can examine your ear and prescribe an appropriate antifungal treatment. Avoid inserting anything into your ear canal in the meantime. We will get this cleared up quickly!

Yes, it is very possible that your familys fevers are due to a common viral infection, like a cold or flu, rather than COVID-19. Testing is the most reliable way to know for sure. For a standard fever, it is generally safe to take paracetamol for up to 3 days to manage symptoms. Always follow the dosage instructions on the package and ensure you do not exceed the maximum daily limit. If the fever persists beyond 3 days, worsens, or if anyone develops new symptoms, please seek advice from a doctor. Rest up and keep well-hydrated!