The President of Brazil, Jair Bolsonaro, manifested through his Twitter account after his country approved the use of chloroquine for patients with non-severe coronavirus.
"The Ministry of Health released guidelines for the treatment of Covid-19, where chloroquine can be administered in mild cases, with medical recommendation and authorization from the patient / family, ”said the president in a first message on the social network.
And then he added: "No scientific evidence yet, but it is being monitored and used in Brazil and worldwide. However, we are at war: ‘Worse than being defeated is the shame of not having fought. ' God bless our Brazil"
The Brazilian Ministry of Health published this Wednesday a new protocol on treatment for patients with COVID-19 which extends the possible use of chloroquine and hydroxychloroquine, two medicines that have not yet been shown to be effective, to less severe patients and those with the first symptoms.
Protocol modification had been defended since last week by Bolsonaro and caused the resignation on Friday of the Health Minister, Nelson Teich, who disagreed with the president on strategies to combat COVID-19 in Brazil, the third country with the highest number of cases in the world.
Despite the fact that the efficacy of the two antimalarials has not yet been scientifically proven and that they have serious side effects, such as cardiac arrhythmia, the Brazilian president pressed for its use to be extended to all patients and not only to those in serious condition.
The revoked protocol provided for the use of chloroquine only in critically ill and critically ill patients, already admitted to intensive care units, and undergoing medical observation in hospitals, allowing treatment to be discontinued if they had cardiac arrhythmia.
The new protocol, despite admitting that the medicines do not have proven efficacy, includes "orientations”To supply it to patients at all levels of the disease, even those who are not serious.
The document provides for use of chloroquine combined with azithromycin, in different doses according to the progress of the treatment and the condition of the patient, since it is authorized by a doctor and after the analysis of the examinations.
"Despite being medicines used in various protocols and having laboratory-proven activity against coronavirus, There are still no more complete and multicenter clinical studies that prove the unequivocal benefit of these medicines to treat COVID-19.”, Recognizes the protocol.
Thus, he adds, "your prescription is at the discretion of the doctor”Since the patient, necessarily, declares his will to receive it.
According to the document, the patient has to sign a consent term in which he admits having knowledge that the medicines can cause side effects "such as reduction of white blood cells, liver dysfunction, cardiac dysfunction and arrhythmias, and visual alterations due to damage to the retina".
The new protocol was published a day after the Brazilian Intensive Medicine Association, the Brazilian Society of Infectious Diseases and the Brazilian Society of Pneumology discourage the use of chloroquine.
According to a report prepared by 27 specialists from the three entities, the evidence on the efficacy of chloroquine and its derivatives to treat COVID-19 are "weak" and medicine, on the other hand, has serious side effects, such as cardiac arrhythmia.
According to former Health Minister Luis Henrique Mandetta, Bolsonaro's insistence on forcing the use of chloroquine to treat all patients can cause many deaths because it is a medicine with serious side effects.
(With information from EFE)
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