What to Do When I Have Covid
Part of responsible citizenship during a pandemic involves avoiding becoming infected (and likely spreading infection) as much as possible. It also involves having a plan in place in case we do get infected. Just like we’re more likely to survive a fire or an earthquake if we’ve planned ahead for it (including gathering supplies, educating ourselves on risks and common mistakes, and developing protocols for ourselves and our families), we’re more likely to have a mild experience with Covid if we plan ahead.
This document is meant to get you thinking about what your Covid+ plan might look like. It is just a starting point – you are encouraged to download this, modify it, check the contents against your own medical history and medications (especially in the case of contraindications), and run it by medical professionals, friends, and family members to get second, third, and fourth opinions. Everything written here is for informational purposes only – it is not medical advice. It is information for you to begin developing your own plan.
You are also encouraged to begin acquiring the supplies that will be needed in the case of Covid infection. Altogether, the items listed in this document are quite expensive and out of reach for many people. This economic precarity is unjust and intertwined with the same capitalist mode of production that has allowed for the pandemic to spread unchecked. I’ve linked to free resources at the end, but they do not cover everything.
If you see something in here that is incorrect or incorrectly cited, or if you would add something to this document, please email emily@cleanairclub.org.
This document is best accessed on a desktop computer. Leer en español aqui (traducida por Juan).
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My Covid+ Plan
Below is a sample Covid+ plan and protocol for what to do within the first hour, day, week, and beyond of testing positive for Covid. There are many things on here that may not apply to you; there are many things not on here that you may want to add. This is a starting point for you to begin building your Covid+ plan.
If I test positive for Covid-19, either on a rapid test or PCR, my plan is to:
My Covid+ Supplies
Some of these supplies are easy to find; some are a bit harder. All of them are better obtained before you are positive for Covid. It is important to check the contraindications for everything you put in and on your body – adverse interactions can occur with other medications and pre-existing conditions. The below is a starting point for you to consider and research further in consultation with a medical professional.
Covid+ Daily Symptom Tracking
It is very important to track your symptoms and positivity status throughout the infection. It will keep you and your doctors well-informed, it will help you track any Paxlovid rebound, and it will alert you to some emergent situations as early as possible.
Rapid Test | PCR | Temp | O2 | Symptoms | Notes | |
Day 0 | This is the first day you test positive | |||||
Day 1 | ||||||
Day 2 | ||||||
Day 3 | ||||||
Day 4 | ||||||
Day 5 | ||||||
Day 6 | ||||||
Day 7 | ||||||
Day 8 | ||||||
Day 9 | ||||||
Day 10 | ||||||
Day 11 | ||||||
Day 12 | ||||||
Day 13 | ||||||
Day 14 | ||||||
Day 15 | ||||||
Day 16 | ||||||
Day 17 | ||||||
Day 18 | ||||||
Day 19 |
Covid+ Daily Symptom Tracking
SAMPLE
Rapid Test | PCR | Temp (F) | O2 | Symptoms | Notes | |
Day 0 | + | 99 | 95 | Sore throat | First positive test; begin Paxlovid | |
Day 1 | + | + | 100 | 96 | Sore throat; congestion; fatigue; fever; flu-like symptoms; night sweats; chills | |
Day 2 | + | 101 | 95 | Sore throat; congestion; fatigue; fever; flu-like symptoms; night sweats; chills; brain fog | ||
Day 3 | + | 99 | 95 | Fatigue; congestion; fever; flu-like symptoms; brain fog | ||
Day 4 | + | 98 | 95 | Fatigue; congestion; brain fog | Last day of Paxlovid | |
Day 5 | – | 97 | 94 | Fatigue; brain fog | ||
Day 6 | – | 97 | 95 | Fatigue; brain fog | ||
Day 7 | – | + | 97 | 95 | Fatigue | |
Day 8 | + | 99 | 95 | Fatigue; fever; flu-like symptoms; night sweats; chills; brain fog | Paxlovid rebound 🙁 | |
Day 9 | + | 100 | 95 | Fatigue; fever; flu-like symptoms; night sweats; brain fog | ||
Day 10 | + | 100 | 95 | Fatigue; fever; flu-like symptoms | ||
Day 11 | + | 99 | 95 | Fatigue; fever | ||
Day 12 | + | 98 | 96 | Fatigue | ||
Day 13 | – | 97 | 95 | Fatigue | ||
Day 14 | – | + | 97 | 95 | Fatigue | |
Day 15 | – | 97 | 96 | Fatigue | ||
Day 16 | – | 97 | 96 | Fatigue | ||
Day 17 | – | 97 | 94 | |||
Day 18 | – | – | 97 | 95 | First negative PCR test since infection 🙂 |
Medication Dose Schedule
It can be very hard to keep track of all the medications required during Covid and when to take each one, especially when they are on different dose schedules. A dose schedule, like the one below, is extremely helpful to have (both for yourself and for any caregivers that may be helping you through a covid infection). I’ve included a blank one for you to fill out as well as a sample one to see what a complete one can look like.
Time | General time of day | Medication | Dose |
6 am | Before breakfast | ||
7 am | |||
8 am | Breakfast | ||
9 am | |||
10 am | Late morning | ||
11 am | |||
12 pm | |||
1 pm | Lunch | ||
2 pm | |||
3 pm | |||
4 pm | Late afternoon | ||
5 pm | |||
6 pm | |||
7 pm | Dinner | ||
8 pm | |||
9 pm | Before bed | ||
10 pm |
SAMPLE Dose Schedule
(This is a sample for informational purposes only; it is NOT your dose schedule.)
Time | General time of day | Medication | Dose |
6 am | Before breakfast | Nettle tea Saline nasal rinse | 1 cup |
7 am | |||
8 am | Breakfast | Paxlovid Herbal tinctures | 3 pills 1 tbsp 2 sprays 1 gargle |
9 am | |||
10 am | Late morning | Nattokinase Take temperature Pulse oximeter reading | 4,000/FU (titrate up to this) |
11 am | |||
12 pm | |||
1 pm | Lunch | Herbal tinctures Nasal Spray | 1 tbsp 2 sprays 1 gargle |
2 pm | |||
3 pm | |||
4 pm | Late afternoon | Nattokinase | 4,000/IU (titrate up to this) |
5 pm | |||
6 pm | |||
7 pm | Dinner | Herbal tinctures Paxlovid Nasal Spray | 1 tbsp 3 pills 2 sprays 1 gargle |
8 pm | |||
9 pm | Before bed | Nasal Spray | 2 sprays 1 gargle |
Post-COVID Checkup and Bloodwork
Covid infections damage the body. It is extremely important to get a new baseline for your health and to discover any changes to your health that should be addressed. The CDC recommends the following lab tests post-Covid:
Concern | Tests |
Blood count, electrolytes, and renal function |
|
Liver function |
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Inflammatory markers |
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Thyroid function |
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Vitamin deficiencies |
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Rheumatological conditions |
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Coagulation disorders |
|
Myocardial injury |
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Differentiate symptoms of cardiac vs. pulmonary origin |
|
In addition to the recommended tests from the CDC, you may consider testing for:
Free and Low Cost Resources
This will be updated as more information comes in.
[1] Jamie Ducharme, “Why You Should Rest - a Lot - If You Have Covid-19,” Time Magazine (Sep. 23, 2022).
[2] See “Free and Low Cost Resources” on p.11 for affordable telehealth options.
[3] The medications you use to treat COVID and its symptoms will be specific to you; this may include a mix of prescriptions, over-the-counter medications, and herbal supplements. For more on this, see page 3, “My Covid+ Supplies.”
[4] See “Symptom Tracker” on page 5.
[5] See our At Home Molecular Testing Guide for more information on high-quality, at-home testing.
[7] See “Post-COVID Checkup and Bloodwork” on page 9 below.
[9] Jennifer Chu, “Keeping indoor humidity levels at a ‘sweet spot’ may reduce spread of Covid-19,” MIT News Office (Nov. 16, 2022).
[10] See Baxter, et al., “Rapid initiation of nasal saline irrigation to reduce severity in high-risk COVID+ outpatients,” Ear, Nose, and Throat Journal (Aug. 25, 2022).
[11] Best to avoid acetaminophen, as evidenced here: https://c19early.org/acemeta.html
[12] Found in many mouthwashes available at common pharmacies like Walgreens and CVS. For more info, see Takeda et al., “Antiviral effect of cetylpyridinium chloride in mouthwash on SARS-CoV-2,” Scientific Reports (Aug. 18, 2022).
[14] “Outpatient treatment with metformin reduced long COVID incidence by about 41%, with an absolute reduction of 4·1%, compared with placebo. Metformin has clinical benefits when used as outpatient treatment for COVID-19 and is globally available, low-cost, and safe.” From Bramante et al., “Outpatient Treatment of COVID-19 and Incidence of Post-COVID-19 Condition over 10 Months,” The Lancet (June 8, 2023).
[15] Stephen Harrod Buhner, Herbal Antivirals: Natural Remedies for Emerging and Resistant Viral Infections, 2nd ed., Workman Publishing Co. (2021). Important note: some of these tinctures reduce the efficacy of Paxlovid, and should not be taken simultaneously with it. Internet friendly version here: https://americanherbalistsguild.com/sites/americanherbalistsguild.com/files/coronavirus-1.pdf
[16] Faridzadeh et al., “The role of melatonin as an adjuvant in the treatment of COVID-19: A systematic review,” Heliyon (Oct. 2022).
[17] See, e.g., Tanikawa et al., “Degradative effect of Nattokinase on Spike protein of SARS-CoV-2,” Molecules (2022). Some people have found that this classification of medication interacts poorly with those who have connective tissue disorders.