Chikungunya medical therapy

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Medical Therapy

• There is no specific antiviral therapy. The treatment is symptomatic:
  • Assess hydration and hemodynamic status and provide supportive care as needed
  • Evaluate for other serious conditions (e.g., dengue, malaria, and bacterial infections) and treat or manage appropriately
  • Collect specimens for diagnostic testing
  • Use acetaminophen or paracetamol for initial fever and pain control
  • If inadequate, consider using narcotics or NSAIDs
  • If the patient may have dengue, do not use aspirin or other NSAIDs (e.g., ibuprofen, naproxen, toradol) until they have been afebrile ≥48 hours and have no warning signs for severe dengue
  • Persistent joint pain may benefit from use of NSAIDs, corticosteroids, or physiotherapy