Those naturally immune and vaccinated can expect a mild and brief illness characterized by nasal congestion, runny nose, fever, and viral malaise. The unvaccinated and COVID-19 naive may have slightly more pronounced symptoms. Low rates of hospitalization and death are expected, particularly with early treatment. Most patients now get through the illness with simple over-the-counter measures and without the need for prescription medications or monoclonal antibodies.
By now, everyone should know the most effective initial treatment to handle the rapidly replicating Omicron virus in the nasal cavity is nasal and oral rinses with viricidal solutions. For severe cases in seniors or those with many background medications, the monoclonal antibody to seek is sotrivimab from GSK. This product was designed to be more effective against mutant strains.
The lead agents are dilute povidone-iodine (1:10 dilution from a 10% povidone-iodine bottled product) or dilute hydrogen peroxide (1:3 dilution from standard off the shelf bottle). These solutions must be sniffed back in a good quantity to the back of the throat and then spit out and done twice in each nostril up to every four hours when sick. The remainder of the solution can be gargled and then spit out. None should be swallowed.link