12/03/2023
Are you looking for the “Magic Pill” for Viral fever?
Amidst a busy day at work, one of the many patients with a bad flu asked me a very recurring question – “Doctor, can you give me a magic pill? I need to feel fine by tomorrow.”
Do we really have a ‘Magic Bullet’ for flu?
‘Flu’ encompasses a constellation of symptoms including a running nose, sore throat, cough, fever and other constitutional symptoms like body aches and tiredness. The most common cause of this is a viral infection, seldom a bacterial infection. A myriad of viruses can be responsible for flu- like symptoms the common ones being rhinovirus, coronavirus, Influenza and RSV(respiratory syncytial virus).
Most patients presume antibiotics are their ‘ Magic pill’. Antibiotics help fight bacterial infections, and not viral infections. Most frequently we see azithromycin being conferred this prestigious title. A recent study has proven that Azithromycin is one of the most misused antibiotics in our country. Let me help debunk some of the myths surrounding azithromycin and other antibiotics when one is down with a flu.
Azithromycin is a superior antibiotic used for respiratory infections and is valuable for some specific bacterial infections, more than its counterparts. It also has some spectacular anti-inflammatory effects and hence probably helps patients feel better with regards to their symptoms which could be related to inflammation (and not the infection per se). A lot of patients purchase this or other antibiotics over the counter that are not only unnecessary, and make you susceptible to their side effects, but also contributes to the biggest healthcare crisis- Bacterial resistance.
With frequent misuse and abuse of antibiotics and emerging bacterial resistance, we doctors are left with lesser options of antibiotics for common infections. And no, it is not ‘you’, the human who becomes resistant to the antibiotic ( I have a large number of people tell me, this particular antibiotic doesn’t work for me ; I am resistant to it)!
It is the bacteria that becomes resistant to an antibiotic (predominantly gut and respiratory bacteria) and these resistant bacteria circulate and infect more and more people, leaving us doctors in a dilemma over antibiotic plan as we end up having very few choices. The global burden of antibiotic resistance has increased alarmingly over the last few years- an estimated 4.95 million deaths were associated with antibiotic resistance in the year 2019.So, do not self medicate and let your doctor decide whether you need an antibiotic or not.
Now you may ask if there is any specific medication for a viral fever. There are some anti-viral medications directed towards some viral infections, but the benefit of using them is usually in the first 24-48 hours of the infection and again, it boils down to whether your doctor deems it necessary for you.
So, is there a Magic bullet in this flu season that’s been taking us like a storm?
Not really.
But the key to recovery is good rest, adequate hydration and a nutritious diet, in addition to the medications prescribed by your doctor.
Sounds simple right?
So, lets stick with the basics and leave the not-so-basic stuff in the hands of your physician!