This morning my partner got a message from his ex, with a recording from a guy saying "Don't take Ibuprofin, it will make COVID-19 worse!"
I was and am appalled. While NSAIDs like ibuprofin, aspirin and tylenol work as COX-2 inhibitors, and therby reduce inflamation, pain & fever, COX-2 also plays a key role in the production of antibodies and inhibiting this function is concerning.
However, there is also strong evidence that NSAIDs (Nonsteroidal anti-inflammatory drugs) also have direct anti-viral properties.
The question here is if antibody production might be dangerously impaired by NSAIDs, vs the anti-viral properties we might benefit from them.
Specifically, naproxen blocks the RNA binding groove of the nucleoprotein, preventing formation of the ribonucleoprotein complex, thus taking the vital nucleoproteins out of circulation. The researchers write that naproxen is a lead compound for drug development that could be improved by tweaking the molecule to boost its ability to bind to nucleoprotein.
https://www.sciencedaily.com/releases/2013/03/130321151926.htm
Re Aspirin and fighting virus
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5155651/So should you take ibuprofin/NSAIDs? Looks like there is good and bad.
However, inflamation plays a major role in the pneumonia stage of COVID-19, where it actually kills you. Inflamation blocks oxygen/Co2 exchange in the lungs, so an anti-inflamatory might help save your life at this point.
Fever: Fever plays a role in our immune system. Many of our bodies immune systems are activated by fever, so the fever itself is not bad so long as it does not go too high for too long. NSAID's, especially Tylenol, are very good for reducing fever, but you might not want to interfere with the bodies' imune response unless the fever itself becomes life threatening.
So what is too high a high fever? I've done research on the internet and this is hard to find clear information on this subject, except that adults can withstand higher temperatures than children can. I had scarlet fever as a child (from untreated strep-throat) and my mom finally took me to the doctor when my fever went over 106F because that was considered dangerously high. I also found that it is not unusual for adults to get a 104F fever from seasonal flu.
So should you take NSAIDs? I'm sure everyone would agree that is not an easy question to answer at this point. Best to listen to your doctor, especially if you have reasons to take anti-inflamatories. NSAIDs might be more important to your health in the long-run.
Take-away: don't listen to hysterical alarmists that don't know the whole picture. Do your own reseach as much as you can and when it comes to your own health, discuss the pros & cons with your doctor.