Gut

   - <https://pubmed.ncbi.nlm.nih.gov/?term=%22Gut%22%5Bjour%5D>
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   <https://www.ncbi.nlm.nih.gov/nlmcatalog?term=%22Gut%22[Title+Abbreviation]>
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<https://pubmed.ncbi.nlm.nih.gov/32499303/?fbclid=IwAR1tIe1Z-Z3iyPmcFH8iBFElVFUaBVOmw-otpJqot19TueKaXZh1jBRovzc#>

. 2020 Jun 4;gutjnl-2020-321852.
 doi: 10.1136/gutjnl-2020-321852. Online ahead of print.
Famotidine Use and Quantitative Symptom Tracking for COVID-19 in
Non-Hospitalised Patients: A Case Series
Tobias Janowitz
<https://pubmed.ncbi.nlm.nih.gov/?term=Janowitz+T&cauthor_id=32499303> 1
<https://pubmed.ncbi.nlm.nih.gov/32499303/?fbclid=IwAR1tIe1Z-Z3iyPmcFH8iBFElVFUaBVOmw-otpJqot19TueKaXZh1jBRovzc#affiliation-1>
 2
<https://pubmed.ncbi.nlm.nih.gov/32499303/?fbclid=IwAR1tIe1Z-Z3iyPmcFH8iBFElVFUaBVOmw-otpJqot19TueKaXZh1jBRovzc#affiliation-2>
, Eva Gablenz
<https://pubmed.ncbi.nlm.nih.gov/?term=Gablenz+E&cauthor_id=32499303> 3
<https://pubmed.ncbi.nlm.nih.gov/32499303/?fbclid=IwAR1tIe1Z-Z3iyPmcFH8iBFElVFUaBVOmw-otpJqot19TueKaXZh1jBRovzc#affiliation-3>
 4
<https://pubmed.ncbi.nlm.nih.gov/32499303/?fbclid=IwAR1tIe1Z-Z3iyPmcFH8iBFElVFUaBVOmw-otpJqot19TueKaXZh1jBRovzc#affiliation-4>
, David Pattinson
<https://pubmed.ncbi.nlm.nih.gov/?term=Pattinson+D&cauthor_id=32499303> 5
<https://pubmed.ncbi.nlm.nih.gov/32499303/?fbclid=IwAR1tIe1Z-Z3iyPmcFH8iBFElVFUaBVOmw-otpJqot19TueKaXZh1jBRovzc#affiliation-5>
, Timothy C Wang
<https://pubmed.ncbi.nlm.nih.gov/?term=Wang+TC&cauthor_id=32499303> 6
<https://pubmed.ncbi.nlm.nih.gov/32499303/?fbclid=IwAR1tIe1Z-Z3iyPmcFH8iBFElVFUaBVOmw-otpJqot19TueKaXZh1jBRovzc#affiliation-6>
, Joseph Conigliaro
<https://pubmed.ncbi.nlm.nih.gov/?term=Conigliaro+J&cauthor_id=32499303> 7
<https://pubmed.ncbi.nlm.nih.gov/32499303/?fbclid=IwAR1tIe1Z-Z3iyPmcFH8iBFElVFUaBVOmw-otpJqot19TueKaXZh1jBRovzc#affiliation-7>
 8
<https://pubmed.ncbi.nlm.nih.gov/32499303/?fbclid=IwAR1tIe1Z-Z3iyPmcFH8iBFElVFUaBVOmw-otpJqot19TueKaXZh1jBRovzc#affiliation-8>
, Kevin Tracey
<https://pubmed.ncbi.nlm.nih.gov/?term=Tracey+K&cauthor_id=32499303> 9
<https://pubmed.ncbi.nlm.nih.gov/32499303/?fbclid=IwAR1tIe1Z-Z3iyPmcFH8iBFElVFUaBVOmw-otpJqot19TueKaXZh1jBRovzc#affiliation-9>
, David Tuveson
<https://pubmed.ncbi.nlm.nih.gov/?term=Tuveson+D&cauthor_id=32499303> 1
<https://pubmed.ncbi.nlm.nih.gov/32499303/?fbclid=IwAR1tIe1Z-Z3iyPmcFH8iBFElVFUaBVOmw-otpJqot19TueKaXZh1jBRovzc#affiliation-1>

https://pubmed.ncbi.nlm.nih.gov/32499303/

   *Abstract*

*Objective: *Treatment options for non-hospitalised patients with
coronavirus disease 2019 (COVID-19) to reduce morbidity, mortality and
spread of the disease are an urgent global need. The over-the-counter
histamine-2 receptor antagonist famotidine is a putative therapy for
COVID-19. We quantitively assessed longitudinal changes in patient reported
outcome measures in non-hospitalised patients with COVID-19 who
self-administered high-dose famotidine orally.

*Design: *Patients were enrolled consecutively after signing written
informed consent. Data on demographics, COVID-19 diagnosis, famotidine use,
drug-related side effects, temperature measurements, oxygen saturations and
symptom scores were obtained using questionnaires and telephone interviews.
Based on a National Institute of Health (NIH)-endorsed Protocol to research
Patient Experience of COVID-19, we collected longitudinal severity scores
of five symptoms (cough, shortness of breath, fatigue, headaches and
anosmia) and general unwellness on a four-point ordinal scale modelled on
performance status scoring. All data are reported at the patient level.
Longitudinal combined normalised symptom scores were statistically compared.

*Results: *Ten consecutive patients with COVID-19 who self-administered
high-dose oral famotidine were identified. The most frequently used
famotidine regimen was 80 mg three times daily (n=6) for a median of 11
days (range: 5-21 days). Famotidine was well tolerated. All patients
reported marked improvements of disease related symptoms after starting
famotidine. The combined symptom score improved significantly within 24
hours of starting famotidine and peripheral oxygen saturation (n=2) and
device recorded activity (n=1) increased.

*Conclusions: *The results of this case series suggest that high-dose oral
famotidine is well tolerated and associated with improved patient-reported
outcomes in non-hospitalised patients with COVID-19.

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