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The outcome of fluticasone nasal spray on anosmia and triamcinolone oral paste in dysgeusia in COVID-19 patients

Singh et al., American Journal of Otolaryngology, doi:10.1016/j.amjoto.2020.102892
May 2021  
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Budesonide for COVID-19
19th treatment shown to reduce risk in April 2021, now with p = 0.0000011 from 15 studies, recognized in 8 countries.
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Prospective study of 120 COVID-19 patients in India showing significant improvements in smell and taste with fluticasone nasal spray and triamcinolone oral paste. In the treatment group, smell and taste significantly improved by day 5 compared to day 1, while the control group showed no improvement or worsening of smell and taste by day 5.
Singh et al., 31 May 2021, prospective, India, peer-reviewed, mean age 50.9, 3 authors, study period June 2020 - November 2020. Contact: cheer7us@hotmail.com.
This PaperBudesonideAll
The outcome of fluticasone nasal spray on anosmia and triamcinolone oral paste in dysgeusia in COVID-19 patients
Chandra Veer Singh, Shraddha Jain, Sana Parveen
American Journal of Otolaryngology, doi:10.1016/j.amjoto.2020.102892
Background: To study the outcome of fluticasone nasal sprays in smell disorders and triamcinolone paste in taste dysfunction in a population of laboratory-confirmed SARS-CoV-2 patients as the test group. The control group will not be given any intervention and only monitoring of these symptoms will be done to compare the recovery time. Methods: This prospective interventional study was conducted from June to Nov 2020 at, Datta Meghe University during the COVID-19 outbreak. The 120 enrolled patients were tested at days 1 and 5 after proven infection by RT-PCR test. Result: The mean age for all cases is 50.88 ± 15.93 years, whereas for the controls mean age is 51.2 ± 14.89. 2. Among cases 45 (75%) were males and 15 (25%) were females, among controls 43 (71.66%) were males and 17 (28.33%) were females. Among the case group, after the use of fluticasone spray in the nose and triamcinolone paste in the mouth there was a statistically significant improvement in recognizing all the odours and taste on day 5 compared to day 1. On comparing the smell and taste of cases and control group, either there is no improvement or worsening in smell or taste on day 5 in the control group. Conclusion: The use of fluticasone nasal spray and triamcinolone paste had immensely influenced the basic senses such as smell and taste. Our study showed that olfactory and taste function significantly improved in patients with COVID-19. For all anosmia and dysgeusia cases who received fluticasone nasal spray and triamcinolone medications the recovery of smell senses and the taste was within a week.
Declaration of competing interest None declared.
References
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