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c19early.org COVID-19 treatment researchNaClNaCl (more..)
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0 0.25 0.5 0.75 1 1.25 1.5 1.75 2+ Chalageri (RCT) -200% 3.00 [0.13-69.5] hosp. 1/20 0/20 Improvement, RR [CI] Treatment Control Tanni (RCT) 75% 0.25 [0.01-6.02] hosp. 0/65 1/33 Jing (DB RCT) 71% 0.29 [0.17-0.50] OGD 14/120 56/140 OGD Tau​2 = 0.05, I​2 = 3.4%, p = 0.00067 Early treatment 68% 0.32 [0.17-0.62] 15/205 57/193 68% lower risk Delić (RCT) 26% 0.74 [0.53-1.03] death 22/42 37/52 Intubated patients Improvement, RR [CI] Treatment Control Tau​2 = 0.00, I​2 = 0.0%, p = 0.074 Late treatment 26% 0.74 [0.53-1.03] 22/42 37/52 26% lower risk All studies 49% 0.51 [0.23-1.13] 37/247 94/245 49% lower risk 4 NaCl COVID-19 studies c19early.org January 2025 Tau​2 = 0.32, I​2 = 68.9%, p = 0.098 Effect extraction pre-specified(most serious outcome) Favors NaCl Favors control
Dec 30
2024
Espinoza et al., Journal of Global Health, doi:10.7189/jogh.14.05044 Double-blind randomised trial of saline solution for gargling and nasal rinsing in SARS-CoV-2 infection
RCT 58 outpatients showing similar frequencies and durations of COVID-19 symptoms between low-saline and high-saline gargling and nasal rinsing regimens. Both groups followed the same gargling and rinsing protocol for frequency and durati..
Dec 9
2024
Graves et al., JDR Clinical & Translational Research, doi:10.1177/23800844241296840 A Cetylpyridinium Chloride Oral Rinse Reduces Salivary Viral Load in Randomized Controlled Trials
33% improved viral clearance (p=0.91). Two RCTs with a total of 247 recently diagnosed COVID-19 patients showing a significant reduction in salivary SARS-CoV-2 viral load 30 minutes after rinsing with a cetylpyridinium chloride (CPC) mouthwash compared to rinsing with saline o..
Sep 13
2024
Gandhi et al., The Laryngoscope, doi:10.1002/lary.31761 Washing Illness Away: A Systematic Review of the Impact of Nasal Irrigation and Spray on COVID‐19
Review of the efficacy of nasal irrigation with saline, povidone-iodine (PVP-I), and intranasal corticosteroids (INCS) at reducing SARS-CoV-2 nasopharyngeal viral load (NVL) and transmissibility. Saline nasal irrigation (SNI) showed the g..
Nov 21
2023
Jing et al., QJM: An International Journal of Medicine, doi:10.1093/qjmed/hcad262 Effective early strategy to prevent olfactory and gustatory dysfunction in COVID-19: a randomized controlled trial
71% lower progression (p<0.0001) and 97% lower severe cases (p<0.0001). RCT 379 mild COVID-19 cases showing significantly lower prevalence and severity of olfactory and gustatory dysfunction with budesonide nasal spray, chlorhexidine mouthwash, and saline nasal irrigation. The control group received no interv..
Sep 20
2023
Tanni et al., Journal of Clinical Medicine, doi:10.3390/jcm12186075 Efficacy of BREATHOX® Device Inhalation on Acute Symptoms Associated with COVID-19 (BREATH Study): A Randomized Pilot Clinical Trial
75% lower hospitalization (p=0.34) and 10% worse recovery (p=0.7). RCT 98 outpatients in Brazil, showing faster recovery from cough with inhaled hypertonic saline. Authors note that the effect on coughing may hypothetically be related to a hyperosmotic response influencing the function of different membr..
Jul 11
2022
Chalageri et al., Indian Journal of Community Medicine, doi:10.4103/ijcm.ijcm_804_21 Impact of steam inhalation, saline gargling, and povidone-iodine gargling on clinical outcome of COVID-19 patients in Bengaluru, Karnataka: A randomized control trial
43% improved recovery (p=0.0004). RCT with 20 saline and 20 control low risk patients in India, showing faster recovery with saline gargling, but no significant difference in viral clearance.
Jun 30
2022
Saud et al., Journal of Lipid Research, doi:10.1016/j.jlr.2022.100208 The SARS-CoV2 envelope differs from host cells, exposes procoagulant lipids, and is disrupted in vivo by oral rinses
In Vitro study and small RCT of mouthwashes. The in vitro study characterized the lipid composition of the SARS-CoV-2 envelope and showed that oral rinses containing lipid-disrupting chemicals can reduce infectivity, meeting European viru..
May 28
2022
Delić et al., Microorganisms, doi:10.3390/microorganisms10061118 Effects of Different Inhalation Therapy on Ventilator-Associated Pneumonia in Ventilated COVID-19 Patients: A Randomized Controlled Trial
26% lower mortality (p=0.09). RCT mechanically ventilated patients in Croatia, showing no significant difference in mortality with saline inhalation. ICU mortality results are from [repozitorij.mefst.unist.hr].
Please send us corrections, updates, or comments. c19early involves the extraction of 100,000+ datapoints from thousands of papers. Community updates help ensure high accuracy. Treatments and other interventions are complementary. All practical, effective, and safe means should be used based on risk/benefit analysis. No treatment or intervention is 100% available and effective for all current and future variants. We do not provide medical advice. Before taking any medication, consult a qualified physician who can provide personalized advice and details of risks and benefits based on your medical history and situation. FLCCC and WCH provide treatment protocols.
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