Glimmers of Hope: Post-COVID Syndrome Research

Sep 2, 2022 | Greg Vanichkachorn | @drvan | Comments (90)

Post COVID Syndrome (PCS) has been part of our language for more than 2 years. Despite that, research on this condition has been progressing slowly. Most of the research in the world has been focused on first figuring out what PCS really looks like and how it affects different populations. While this information is important, many patients are desperate for some news on treatments. Well, today is your day.

In July 2022, a research team from Ireland published their findings on a medication called naltrexone.  Naltrexone is a medication that is commonly used to reverse the effects of opioids. For example, naltrexone could be used when someone may have overdosed on a pain medication like morphine. When used for this purpose, the dosage is typically around 50mg. However, when naltrexone is used at very low doses, for example 1-4.5mg, it has shown to work mainly the immune system. With this effect, low dose naltrexone has been used for conditions such as Chron’s disease and chronic fatigue.

In this study, 38 patients with PCS were treated with low dose naltrexone. When symptoms before and after treatment were compared, a statistically significant improvement was found for fatigue, function, pain, concentration, and sleep.

Now, before everyone starts calling their favorite long haul COVID clinic, the study findings need to be interpreted cautiously. As we have discussed before, no research is perfect, and we must go beyond the title to really understand the limitations. First, this study looked at a very small population of patients. The smaller the number of participants, the less reliable the results are. In addition, the results of the group treated with naltrexone was not compared to a group of patients not treated with naltrexone. Without that comparison group, called a control group, we do not know if the reported improvements are due to naltrexone or just due to something completely separate, like the weather or green grass in Ireland. Also, the patients who were treated with naltrexone were aware they were being treated and examined. Just knowing that can sometimes change how someone feels.

Despite all those limitations, I am still excited about this study and others coming down the pike. It represents finally some first steps in treatment research, and it should be a sign of hope for patients with PCS around the world.

At this time, the Mayo Clinic specific post-COVID studies are only recruiting participants that are being seen at Mayo Clinic post-COVID clinics. If you are a patient being seen in Mayo Clinic's post-COVID clinics and would like to participate in research, please email postCovidRSCH@mayo.edu

Learn more about the most recent developments with post-COVID syndrome by following the Newsfeed and discuss your experience in the Post-COVID Recovery discussion group.

Interested in more newsfeed posts like this? Go to the Post-COVID Recovery blog.

@cantek

https://web.cvent.com/event/11825c60-cdb2-446b-adcd-c1ea9e40368f
This is NIH’s upcoming conference ( free) to discuss successful interventions and future research.

I am an RN with Long Covid and doing my own research survey.
I’m thing of starting a blog to share what has worked for me so far, all research based by NIH and Pub Med.
I called UF Integrative and couldn't get in until mid October!

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Thanks for the information from NIH, but I will be on a Viking River Cruise with my husband and our neighbors and won’t be able to make it. I would love to be a part of the next one of there is one. Thank you so much for taking time out of your own schedule as an RN to do research on this. I truly hope you can find some answers for yourself and others.❤️

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@lkirnbauer

What were their responses to your symptoms? I’m assuming you’ve had this Zoom already as it’s now August. Can you please share what was told to you? We are all struggling here and any information would be helpful. Thank you.

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No, I got an appointment in July. Yesterday, I saw the doctor on Zoom. She referred me to longcovid.physio.
I have only briefly looked at it, but it looks like good information. I am going to start Mitoquinone to help with energy and Ubiquinone for brain fog. They are supplements you can get at Amazon. She referred me to a neurologist so I am waiting to find out the date. I asked for LDN but she wants to start with the before mentioned supplement's. Many of you guys have mentioned the effectiveness of LDN. Is it worth trying to get it?

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@mclelland1958

No, I got an appointment in July. Yesterday, I saw the doctor on Zoom. She referred me to longcovid.physio.
I have only briefly looked at it, but it looks like good information. I am going to start Mitoquinone to help with energy and Ubiquinone for brain fog. They are supplements you can get at Amazon. She referred me to a neurologist so I am waiting to find out the date. I asked for LDN but she wants to start with the before mentioned supplement's. Many of you guys have mentioned the effectiveness of LDN. Is it worth trying to get it?

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Thank you for the reference to longcovid.physio. I just visited their website and found helpful information about the use of Pacing to manage PEM.

I’m currently participating in the RECOVER-VITAL national clinical trial of Paxlovid at a nearby study site. That same site has applied to serve for an upcoming national RECOVER trial of Pacing. I’ll seek to be included in that trial.

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@lkirnbauer

What were their responses to your symptoms? I’m assuming you’ve had this Zoom already as it’s now August. Can you please share what was told to you? We are all struggling here and any information would be helpful. Thank you.

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She recommended a website longcovid.physio. I haven’t gone really deep into it,but there is some really good information.
I ordered through Amazon a supplement called Mitoquinone. The reviews discuss the improvement of their energy and better concentration. There was little mention of side effects. I hope this helps.

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@denglish19

I'm sorry but western medicine is missing the point entirely. We need to treat the ROOT CAUSE of long-haul Covid, not just throw prescriptions at every symptom and malady. Since western medicine treats each system of the body as separate, and only treats symptoms one by one, it will be a LONG TIME coming to find any answers (if ever).

Many people have found GREAT relief from long-haul Covid by working with holistic practitioners who assess the whole body -- by greatly reducing inflammation, heavy supplementation of key nutrients, bringing the nervous system back into balance instead of hyperstimulation/overdrive (chiropractic care, vagal nerve reset). It would be nice if regular doctors were paying attention because many people have had really excellent results with these methods.

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Can you elaborate on the vagal nerve reset? Would it help bigeminy/trigeminy?

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@lbyrd02

A lot of good post that capture the patient impact. When reading the article I first noticed that only Mayo patients could participate in their upcoming study. This was similar to my request to get into the NIH Long Covid study - they only wanted participants close to their facilities so being sick in Northeast Connecticut precludes me from virtually all studies because of convivence of the program. If I lived in Boston, DC or NY no problem but apparently, I was discriminated on the basis of milage. Additionally, to get into a long covid recovery you have to have a referral from your primary care doctor to get in (Apparently the requirement of the care provider - not my insurance) and I have a doctor that believes in the stick your head in the sand to see if it goes away rather than actually do anything to investigate or treat it. So many of us are sitting around imagining our lives are quickly being extinguished while the medical industry sits back and does nothing.

Is this a huge conspiracy as one poster implies? Is it a political position to hide the impact and cost of actually investigating and treating long covid because if it became public, reelection would be doubtful, or is it insurance related to keep their expenses down or finally is it the ineptness of our Medical field that prevents them from exploring and doing even the most minimal effort to acknowledge and basically suggest potential mitigation.

Has anyone out there been given even the slightest investigative testing, a placebo, or even the minimal non evasive treatment to mitigate the symptoms, much less cure them?

Covid made the top 3 "Killers List" behind Heart Atack and Cancer last year - If you were found to a potential candidate for either of the number 1 or 2 on this list - do you think your doctor would be advising you to -"lets not verify it - why don't we sit around and do nothing - I'll see you in three months - you can pay the bill at the front desk on your way out." And one wonders why we are upset.

Treatment update - my pcp eventually gave me a referral to a Neurologist Physc on Monday - can't wait ask him the same questions and see if he has a kumbaya feel good cure.

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Good luck! Please let us all know what the magic cure is because I am overly physically and mentally exhausted. I don’t even know what meds work. Or if any of them do anything!

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Everytime someone posts a new idea to try, nonprescription& reasonable logic, I have a go at it.......desperate people do desperate things! NOT ONE THING HAS BEEN EFFECTIVE! I have a whole box full of high mg vitamins &minerals for instance.....useless.
Chronic uncontrollable inflammation has been the culprit identified by multiple worldwide researchers. KEEP UP THE RESEARCH!!!!!

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@armalone

Good luck! Please let us all know what the magic cure is because I am overly physically and mentally exhausted. I don’t even know what meds work. Or if any of them do anything!

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Ditto. Tho' I have learned to deal w/ some symptoms, others are too painful to ignore. It's not in my head.

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@jeindc

Ditto. Tho' I have learned to deal w/ some symptoms, others are too painful to ignore. It's not in my head.

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Be grateful it isn't. And over two yrs in the last 6 months have gotten so worse. I had to think about what my name was a couple wks ago. That is scary.

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@bettyjackson

Everytime someone posts a new idea to try, nonprescription& reasonable logic, I have a go at it.......desperate people do desperate things! NOT ONE THING HAS BEEN EFFECTIVE! I have a whole box full of high mg vitamins &minerals for instance.....useless.
Chronic uncontrollable inflammation has been the culprit identified by multiple worldwide researchers. KEEP UP THE RESEARCH!!!!!

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I’m still at a loss as to why doctors are not treating the inflammation with low dose. Long term prednisone.

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