New guidelines prescribe inhaled steroid 'Budesonide', antiparasitic drug 'Ivermectin' for mild Covid cases

“Do not attempt to procure or administer Remdesivir at home,” it has been recommended.

Published: 29th April 2021 06:29 PM  |   Last Updated: 30th April 2021 12:57 AM   |  A+A-

A health worker inspects COVID-19 patients undergoing treatment at Shehnai Banquet Hall, converted into an isolation centre amid surge in coronavirus cases, near LNJP Hospital in Delhi. (Photo | PTI)

Express News Service

NEW DELHI: The latest guidelines by the Centre on home isolation of mild and asymptomatic Covid patients have incorporated drugs Ivermectin and Budesonide (inhaled steroid) and even oral steroids. 

This seems to be a tacit acknowledgment of the fact that many patients with advanced stages of Covid illness are not able to receive hospital care as these drugs were not prescribed for patients recommended for home isolation in the last guidelines, issued in July last year.

“Inhalational Budesonide (given via inhalers with spacer at a dose of 800 mcg twice daily for 5 to 7 days) to be given if symptoms (fever and/or cough) are persistent beyond 5 days of disease onset,” said the guidelines issued by the Union Ministry of Health and Family Welfare.

It adds that while systemic oral steroids are not indicated in mild disease if symptoms persist beyond 7 days which include persistent fever and worsening cough, the treating doctor can be consulted for treatment with low dose oral steroids.

ALSO READ | Domestic travel curbs can lead to more rather than fewer Covid infections: Study

In case of falling oxygen saturation or shortness of breath -- with an oxygen saturation level of less than 94%, the patient should require hospital admission and seek immediate consultation of their treating physician or surveillance team, according to the advisory.

While asymptomatic cases have been defined as laboratory-confirmed cases not experiencing any symptoms and having oxygen saturation at room air of more than 94%, clinically assigned mild cases are patients with upper respiratory tract symptoms along with or without fever but without shortness of breath and having oxygen saturation at room air of more than 94%.

The guidelines also recommend warm-water gargles and steam inhalation twice a day for infected people at home. 

If fever is not controlled with a maximum dose of paracetamol 650 mg four times a day, other drugs like non-steroidal anti-inflammatory drug Naproxen 250 mg twice a day, can be considered on the advice of a treating doctor.

Also, antiparasitic drug Ivermectin, the guidelines suggest, can be taken while the decision to administer Remdesivir or any other investigational therapy must be taken by a medical professional.

“Do not attempt to procure or administer Remdesivir at home,” it has been recommended.

Also, the guidelines say that the masks used by the patient and the caregiver should be discarded only after disinfecting them with 1% Sodium Hypochlorite.

India Matters


Disclaimer : We respect your thoughts and views! But we need to be judicious while moderating your comments. All the comments will be moderated by the editorial. Abstain from posting comments that are obscene, defamatory or inflammatory, and do not indulge in personal attacks. Try to avoid outside hyperlinks inside the comment. Help us delete comments that do not follow these guidelines.

The views expressed in comments published on are those of the comment writers alone. They do not represent the views or opinions of or its staff, nor do they represent the views or opinions of The New Indian Express Group, or any entity of, or affiliated with, The New Indian Express Group. reserves the right to take any or all comments down at any time.

  • Akash

    Yes Ivermectin is being used in India for inhibiting virus action/replication.
    2 years ago reply
  • Bruguduy

    Is this true? Ivermectin is being used ing India? Someone please verify. Because in our country, usig ivermectin is like violating human rights. Although many of us believe in its efficacy . Please verify
    2 years ago reply
    • Jaganmay Goswami

      It is true
      1 year ago reply
    • Sandipan Naskar

      2 years ago reply
flipboard facebook twitter whatsapp