Did PAXLOVID also relieve your arthritis and autoimmune symptoms?

Posted by annewoodmayo @annewoodmayo, Jul 15, 2023

Hi, everyone

I have been diagnosed with autoimmune diseases.
The diagnoses have changed over time (lupus, not lupus, spondyloarthropathy, akylosing spondylitis, rheumatoid arthritis, psoriatic arthritis, Raynaud's, Sjorgren and maybe others that I have forgotten... sorry about the spelling).

When I took Paxlovid for Covid, many of my symptoms disappeared or were significantly reduced.

Has this happened to anyone else?

I'm thinking that perhaps my autoimmune disease is somehow based on a VIRUS, since paxlovid is an anti-viral and it was like a miracle cure for my symptoms.

I told my rheumatologist about it, but I couldn't get her to focus on the logical connection between the anti-viral (paxlovid) and the reduction in my symptoms. It was very frustrating. I actually cried in my car after the appointment.

I think this could be a game-changing piece of evidence in my medical treatment and diagnosis. And maybe for other autoimmune disease sufferers, too! But I don't know where to turn with this evidence.

What do you think I should do? What doctor should I go to?
My primary care doctor probably won't offer anything; he never intervenes in my rheumatological care.

Please let me know if you had the same experience: an anti-viral medication (paxlovid or another one) reduced your autoimmune/arthritis symptoms.

I searched around online, and it was hard to find and hard to understand information there. In the CDC's PubMed, I found one source that indicates the possibility that immune suppressing medications can reactivate the Epstein Barr virus in some patients. Epstein Barr causes fatigue, among other symptoms, but fatigue is one of my worst symptoms.

Thanks!

Interested in more discussions like this? Go to the Post-COVID Recovery & COVID-19 Support Group.

@allette3939

I emailed Pfizer too! Great work. The more of us the better. Do a search for online doctors who will prescribe medication for COVID — that’s how I get it. Plus my OB gets it for me. I have a new rheumatologist who I think will prescribe it too. I’m not someone who takes medication lightly. I take ibuprofen maybe 3 times a year. But Paxlovid has been so life changing for me that I make sure I have it on hand when a flare comes upon me. I have yet to be officially diagnosed with a specific disorder. I get very ill if I accidentally ingest gluten but I’m not celiac. I have every Graves symptom but my thyroid is normal. I’ve been debilitatingly sick on & off for 15 years. I’ve always suspected it was autoimmune but no one could find anything “wrong” with me. I finally found a great doctor about a month ago & I’m undergoing extensive testing. As far as I’m concerned, I’d be happy taking Paxlovid forever. Right now I take about 2 days worth every couple of months and that seems to be working to keep my symptoms under control. This is entirely my own protocol. No doctor has recommended this. But it works for me. I should also say that I have no kidney or liver disease. Paxlovid is dangerous if you have kidney or liver issues. I researched ritonavir (in Paxlovid) and found that after HIV patients had been on daily ritonavir for about 7 years they experienced vision loss, so ritonavir is only a “booster” with antivirals now in much lower doses. For this reason, I believe it’s very safe at the levels I’m taking it. I’m so glad you emailed Pfizer. I begged them for a study. I also emailed multiple directors at NIH using their contact info on their website. I got a response back saying my experience is “intriguing” and they are “passing it around”. They told me there is a study at Stanford but when I contacted them I was told it was more of a long haul study. However, NIH did tell me they are looking into Paxlovid for autoimmune disease. I hope it doesn’t take years.

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Have you ever tried just taking ritonavir, without the nirmatrelvir? Nirmatrelvir is necessary for treating COVID, but it doesn't sound like anyone here has tested whether is is necessary for the effect on their autoimmune symptoms.

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@rhig6203

I, like you, had developed a dx that allowed me to get IVIg. Covid either activated or inflamed my immune system and now u have several autoimmune diseases. Mayo Jax, misdiagnosed me as well. It's pretty bad when you have to beg for testing you know will come up positive. For me it was if they were trying to disprove what my referring neurologist already diagnosed me with. He sent me there for a rheumatologist neurological I had so much going on other than neuro. Oh well. We were fortunate to get diagnosed and the care we need. It's a frustrating condition though. Unlike cancer. We are all just managing symptoms. Living in pain and no true prognosis is very hard. Be well!

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I’m trying to be seen at Mayos. Have long covid for 6 months and am going there to get advice. Should I forget about going?
I get frustrated reading all the post, cuz they talk about things I don’t know about..

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@rhig6203

I, like you, had developed a dx that allowed me to get IVIg. Covid either activated or inflamed my immune system and now u have several autoimmune diseases. Mayo Jax, misdiagnosed me as well. It's pretty bad when you have to beg for testing you know will come up positive. For me it was if they were trying to disprove what my referring neurologist already diagnosed me with. He sent me there for a rheumatologist neurological I had so much going on other than neuro. Oh well. We were fortunate to get diagnosed and the care we need. It's a frustrating condition though. Unlike cancer. We are all just managing symptoms. Living in pain and no true prognosis is very hard. Be well!

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Can I ask what you have? I just tested with High GAD65. I do not have DM and I am very symptomatic with spasms so STIFF PERSON SYNDROME is my 5th autoimmune. I'm so mad at Mayo clinic. It's so sad.
I'm so happy you got a dx and are having treatment.

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@bcborn

I’m trying to be seen at Mayos. Have long covid for 6 months and am going there to get advice. Should I forget about going?
I get frustrated reading all the post, cuz they talk about things I don’t know about..

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Hi bcborn,

I think it's frustrating for everybody since it's all so new that nobody really knows for sure. And everybody is trying to figure out all kinds of things, too.

I would keep going to Mayo if I were you.

Good luck to you!

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@val64

Have you ever tried just taking ritonavir, without the nirmatrelvir? Nirmatrelvir is necessary for treating COVID, but it doesn't sound like anyone here has tested whether is is necessary for the effect on their autoimmune symptoms.

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Hi Val 64,

That's interesting!

Have you tried it? What kind of doctor prescribes ritonavir? Immunologist?

All of my docs are reluctant to try anything atypical.

Thanks!

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@val64

Have you ever tried just taking ritonavir, without the nirmatrelvir? Nirmatrelvir is necessary for treating COVID, but it doesn't sound like anyone here has tested whether is is necessary for the effect on their autoimmune symptoms.

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Great question. I have not taken ritonavir alone because I strongly suspect that my autoimmunity is the result of a severe norovirus I had in adolescence. My most prominent symptoms are gastrointestinal. Noroviruses, as I understand it, are related to, or similar to, coronaviruses. For this reason, I suspect both parts of Paxlovid work well for me. Researchers know that noroviruses can cause autoimmune disorders. What I don’t understand is WHY it’s taken so long for them to figure out that antivirals plus boosters like ritonavir for HIV work well for other autoimmune disorders. I guess because AI disorders mostly affect women? If autoimmunity led predominately to erectile dysfunction, this would have handled 50 years ago.

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@annewoodmayo

Ritac,

That stinks, sorry to hear it.

Are you going to ask your doctor about it? My doctors won't prescribe it without current Covid.

Another person suggested contacting the manufacturer of Paxlovid to let them know and ask for them to do something. I went to their website and there is an email address. I think Pzifer is the manufacturer.

Still another person contacted the NIH.

Best to you,
Anne

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Hi, Anne.
I have an appointment with my Rheumatologist on Nov. 16th. I will for sure mention it to her. I'm not sure that they will prescribe it as a daily, long term medication. It's probably like antibiotics. Too much can make bacteria resistant. But... I WOULD like them to be aware of the virus/autoimmune connection. I think it could be important for research.
You take care! Hope you are doing better
Rita

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@allette3939

Great question. I have not taken ritonavir alone because I strongly suspect that my autoimmunity is the result of a severe norovirus I had in adolescence. My most prominent symptoms are gastrointestinal. Noroviruses, as I understand it, are related to, or similar to, coronaviruses. For this reason, I suspect both parts of Paxlovid work well for me. Researchers know that noroviruses can cause autoimmune disorders. What I don’t understand is WHY it’s taken so long for them to figure out that antivirals plus boosters like ritonavir for HIV work well for other autoimmune disorders. I guess because AI disorders mostly affect women? If autoimmunity led predominately to erectile dysfunction, this would have handled 50 years ago.

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A lot of scientific research isn't really planned, just dumb luck. The story I heard was that the drug that became Viagra was developed in the hope that it would treat angina. They were doing a clinical trial on angina patients and realized that these old guys liked the drug much more than could be explained by its (non) effect on their angina. The patients had to tell the researchers what it actually did.

Hopefully you guys telling the researchers and drug company that paxlovid helps your autoimmune symptoms will bring about a similar explosion of research activity. Lord knows there are enough people with autoimmune problems that they should be able to make money from it.

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I took Paxlovid for COVID two weeks ago. I think it temporarily reduced knuckle pain and swelling from osteoarthritis. My fingers have swelling and pain again now. Just wondered if there was a connection?

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@b3arlady53

Hi, Anne.
I have an appointment with my Rheumatologist on Nov. 16th. I will for sure mention it to her. I'm not sure that they will prescribe it as a daily, long term medication. It's probably like antibiotics. Too much can make bacteria resistant. But... I WOULD like them to be aware of the virus/autoimmune connection. I think it could be important for research.
You take care! Hope you are doing better
Rita

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Hey there Rita,
When I mentioned it to my rheumatologist she said she couldn't prescribe Paxlovid unless I had active Covid. She didn't say this, but I think it is illegal for doctors to prescribe Paxlovid "off label" since it still only has emergency authorization and not full approval.

Another person here said they got paxlovid from an online doctor. I don't think I want to go that route since I have had some liver damage.

I appreciate your good wishes. I am not doing well. I'm going to PT, and everything still hurts, and my new LDN has not done anything yet, and my house is a mess, and whine, whine, whine...It's making me frustrated, cranky and depressed. BUT, thanks for your post...makes me feel less alone! I feel a little less useless when I can post something here, in the off chance that it can help somebody else...But the back, hands and eyes have to let me...

Thanks, again! (sorry about the whine. Let's get some cheese and have a party.)

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