The problem today is that for most physicians, managing Covid19 is virgin territory. When they were told to use steroids, nobody told them how to give steroids. We ENT Surgeons have been giving steroids to our patients for asthma and chronic sinusitis and sinonasal polyposis for a long time and know how to administer these potentially dangerous drugs safely.
For Covid19, they must be given high doses in INHALED FORM(Nebulized or using Metred Dose Inhalers more commonly known asthma pumps, or using Dry Powdered Inhalers as capsules using devices like Lupihaler.
When given as oral tablets, they have to be given in very high doses (1.5mg to 2mg per kg body weight per day for a short period of 4-5 days and then tapered off in another 3-4 days). This way, the medicines do they job to clear out the inflammation in the lungs and nose
Next Steps
get back to me via video consultation and let me at least speak to the patient and advise appropriately