apollo
  • Male
  • 58 Years
  • 20/02/2025

I'm really worried because despite following the treatment of Cepodem OD, Ivermectin, Doxycycline, Azithromycin, PanD, and a multivitamin my SPO2 levels are still below 80 and there's no sign of improvement. What could be going wrong and what should I do next?

Answered by 1 Apollo Doctors

take remdesivir

Dr. Dhankecha Suggests...

Consult a Pulmonology Respiratory Medicine Specialist

Answered 04/07/2025

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  1. Explanation of Medications:

    • Cepodem OD (Cefpodoxime 400mg): Antibiotic for bacterial infections.
    • Ivermectin (6mg): Antiparasitic, sometimes used off-label for viral infections.
    • Doxycycline (100mg): Antibiotic for various bacterial infections.
    • Azithromycin (500mg): Broad-spectrum antibiotic for respiratory infections.
    • PanD (Pantoprazole 40mg + Domperidone 30mg): Reduces stomach acid and aids digestion.
    • Multivitamin: Supports overall health with essential nutrients.
  2. Understanding Low SPO2 Despite Treatment:

    • Possible causes: severe lung issues, inadequate oxygenation, complications like pneumonia or COVID-19 lung damage.
    • Current medications may not address viral infections or lung inflammation directly.
  3. Immediate Steps to Take:

    • Seek urgent medical evaluation, preferably at a hospital or by a pulmonologist.
    • Oxygen therapy may be necessary to improve oxygen levels.
    • Further investigations like chest X-ray, CT scan, or blood tests might be required.
  4. Importance of Monitoring and Follow-up:

    • Continuous monitoring of oxygen saturation and symptoms is critical.
    • Treatment adjustments based on clinical findings and specialist advice.
  5. When to Seek Emergency Care:

    • If experiencing severe breathlessness, chest pain, confusion, or persistent low oxygen levels below 90%, seek immediate emergency care.

Answered 10/09/2025

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.