Treatment FAQ

how soon can treatment with spraza

by Karelle Fay Published 3 years ago Updated 2 years ago

When should I start treatment for COVID-19?

Contact a healthcare provider right away to determine if you are eligible for treatment, even if your symptoms are mild right now. Don't delay: Treatment must be started within days after you first develop symptoms to be effective.

What is the treatment for mild COVID-19?

Treatment for COVID-19 depends on the severity of the infection. For milder illness, resting at home and taking medicine to reduce fever is often sufficient. Antiviral pills such as Paxlovid or molnupiravir may be prescribed by a doctor if a patient is eligible.

What medication should I take for mild COVID-19 symptoms?

If you are worried about your symptoms, the Coronavirus Self-Checker can assist in the decision to seek care. You can treat symptoms with over-the-counter medicines, such as acetaminophen (Tylenol) or ibuprofen (Motrin, Advil), to help you feel better. Learn more about what to do if you are sick.

How often can you take Paxlovid?

“With Paxlovid, you take three pills, twice a day, for a total of five days," says Rachel Kenney, a pharmacist at Henry Ford Health. "It helps your body fight off the virus, preventing it from replicating before it becomes serious.”

Can I recover at home if I have symptoms of COVID-19?

If you have a fever, cough, or other symptoms, you might have COVID-19. Most people have mild illness and are able to recover at home. If you are sick:Keep track of your symptoms.If you have an emergency warning sign (including trouble breathing), call 911.

Should I go to the hospital if I have mild COVID-19 symptoms?

Mild COVID-19 cases still can make you feel lousy. But you should be able to rest at home and recover fully without a trip to the hospital.

Should you take cold medications if you have COVID-19 without symptoms?

If you have COVID-19 but don't have symptoms, don't take cold medications, acetaminophen (Tylenol), or over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Advil®) and naproxen (Aleve®). These medications may hide the symptoms of COVID-19.

Can ibuprofen worsen the symptons of the coronavirus disease?

CDC is currently not aware of scientific evidence establishing a link between NSAIDs (e.g., ibuprofen, naproxen) and worsening of COVID‑19.

Can Tylenol be used to treat COVID-19?

Acetaminophen, also called paracetamol or Tylenol, helps to reduce fevers and can definitely help manage muscle pain and body aches associated with COVID-19. Acetaminophen doesn't treat the virus itself, nor does it reduce the duration of your illness.

Who should take Paxlovid for COVID-19?

The FDA has authorized Paxlovid for anyone age 12+ who is at high risk for developing a severe case of COVID-19. “If youre pregnant, if youre obese, if youre older, if you have comorbidities or if you have underlying health issues, you should talk to your doctor about taking Paxlovid,” says Kenney.

Does Paxlovid have side-effects?

“Paxlovid is usually very well-tolerated,” he says. Common side effects, which are usually mild, include: Altered or impaired sense of taste. Diarrhea.

Is Paxlovid an antiviral?

Paxlovid is an oral antiviral pill that can be taken at home to help keep high-risk patients from getting so sick that they need to be hospitalized.

What is Spinraza's mechanism of action?

The Spinraza mechanism of action involves altering the splicing of the SMN2 gene to increase the levels of a more functional SMN protein. Spinraza...

Zolgensma vs Spinraza: What are the key differences?

Zolgensma (onasemnogene abeparvovec-xioi) and Spinraza (nusinersen sodium) are both treatments for people with spinal muscular atrophy (SMA). There...

Evrysdi vs Spinraza: How do they compare?

Evrysdi (risdiplam) and Spinraza (nusinersen) work in different ways to increase the level of functional SMN (survival of motor neuron) protein in...

How is Spinraza administered?

Spinraza (nusinersen) is injected using a syringe directly into the cerebrospinal fluid (CSF), the fluid around the spine, over 1-3 minutes. This t...

Indications and Usage For Spinraza

Spinraza Dosage and Administration

  • Dosing Information
    Spinraza is administered intrathecally by, or under the direction of, healthcare professionals experienced in performing lumbar punctures. Recommended Dosage The recommended dosage is 12 mg (5 mL) per administration. Initiate Spinraza treatment with 4 loading doses. The first th…
  • Important Preparation and Administration Instructions
    Spinraza is for intrathecal use only. Prepare and use Spinraza according to the following steps using aseptic technique. Each vial is intended for single dose only. Preparation 1. Store Spinraza in the carton in a refrigerator until time of use. 2. Allow the Spinraza vial to warm to room tempe…
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Dosage Forms and Strengths

  • Injection: 12 mg/5 mL (2.4 mg/mL) nusinersen as a clear and colorless solution in a single-dose vial.
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Warnings and Precautions

  • Thrombocytopenia and Coagulation Abnormalities
    Coagulation abnormalities and thrombocytopenia, including acute severe thrombocytopenia, have been observed after administration of some antisense oligonucleotides. In the sham-controlled studies for patients with infantile-onset and later-onset SMA, 24 of 146 (16%) Spinraza-treated p…
  • Renal Toxicity
    Renal toxicity, including potentially fatal glomerulonephritis, has been observed after administration of some antisense oligonucleotides. Spinraza is present in and excreted by the kidney [see Clinical Pharmacology (12.3)]. In the sham-controlled studies for patients with infant…
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Adverse Reactions

  • The following serious adverse reactions are described in detail in other sections of the labeling: 1. Thrombocytopenia and Coagulation Abnormalities [see Warnings and Precautions (5.1)] 2. Renal Toxicity [see Warnings and Precautions (5.2)]
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Use in Specific Populations

  • Pregnancy
    Risk Summary There are no adequate data on the developmental risk associated with the use of Spinraza in pregnant women. When nusinersen was administered by subcutaneous injection to mice throughout pregnancy and lactation, developmental toxicity (long-term neurobehavioral im…
  • Lactation
    Risk Summary There are no data on the presence of nusinersen in human milk, the effects on the breastfed infant, or the effects of the drug on milk production. Nusinersen was detected in the milk of lactating mice when administered by subcutaneous injection. The developmental and he…
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Spinraza Description

  • Nusinersen is a modified antisense oligonucleotide, where the 2'-hydroxy groups of the ribofuranosyl rings are replaced with 2'-O-2-methoxyethyl groups and the phosphate linkages are replaced with phosphorothioate linkages. Nusinersen binds to a specific sequence in the intron downstream of exon 7 of the SMN2transcript. The structural formula is: Spinraza is supplied as …
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Spinraza - Clinical Pharmacology

  • Mechanism of Action
    Spinraza is an antisense oligonucleotide (ASO) designed to treat SMA caused by mutations in chromosome 5q that lead to SMN protein deficiency. Using in vitro assays and studies in transgenic animal models of SMA, Spinraza was shown to increase exon 7 inclusion in SMN2me…
  • Pharmacodynamics
    Autopsy samples from patients (n=3) had higher levels of SMN2messenger ribonucleic acid (mRNA) containing exon 7 in the thoracic spinal cord compared to untreated SMA infants. Cardiac Electrophysiology Across the sham-controlled studies in 247 patients with spinal muscular atro…
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Nonclinical Toxicology

  • Carcinogenesis, Mutagenesis, Impairment of Fertility
    Carcinogenesis Long-term studies in animals to evaluate the carcinogenic potential of nusinersen have not been performed. Mutagenesis Nusinersen demonstrated no evidence of genotoxicity in in vitro (Ames and chromosomal aberration in CHO cells) and in vivo (mouse micronucleus) ass…
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Clinical Studies

  • The efficacy of Spinraza was demonstrated in two double-blind, sham-procedure controlled clinical trials in symptomatic infantile-onset and later-onset SMA patients (Study 1 and Study 2) and was supported by open-label clinical trials conducted in presymptomatic and symptomatic SMA patients. The overall findings from these trials support the effectiveness of Spinraza acros…
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