RE: NXP001 & Long Covid17 Oct 2021 14:11
Not sure how reliable the source is and it only relates to one isolated case so far but the document was first published last month and (if the document is correct) this is the first time Aprepitant has been used to try and treat the symptoms.
In summary, the subject was a nurse who had asymptomatic Covid & developed PACS symptoms in about July 2020. She did some of her own research and decided/managed to self-medicate with Aprepitant in March this year:
"After several months with these symptoms, as a healthcare worker, she carried out a search in PubMed and decided to self-medicate with aprepitant at her own risk. At the beginning of March 2021, she took aprepitant for 3 consecutive days at doses of 125 mg on day 1, and 80 mg on days 2 and 3. On day 4, the patient reported improvement, with disappearance of pain, asthenia, and psychomotor slowness, although with some variability over the 18 days, as she monitored her own symptoms using a diary of symptoms that she made herself. Today, two months later, the patient reports being in reasonably good health."
The document goes on to say:
"In summary, this is the first case of a patient taking aprepitant for a PACS. Considering the rationale, this clinical case may encourage researchers to look for the evidence for the efficacy and safety of NK-1R antagonist in PACS. If these findings are confirmed, we could be facing the first effective treatment against this frequent syndrome consequence of the current SARS-CoV-2 pandemic."