In a nutshell, we showed that over-the-counter cheap generic antibiotic neomycin can be repurposed in nasal formulation to prevent & treat infection, block transmission, and reduce disease burden against a wide array of viruses. Since this is a host-directed strategy and virus-agnostic, it holds promise as a prophylactic strategy against any viral threat.

The advice in the screencapped thread was to apply a little with a q-tip to the inside of the nostrils.

There is no info on any dangers of doing this very often, but if you can’t avoid a high-risk environment it’s worth trying.

Here’s a thread about the study. https://threadreaderapp.com/thread/1782535781338222960.html

here’s the study: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5918160/

Also, just wear an N95 mask. But I see no reason not to do both.

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I am not anything, but a doc during am outdoor first aid cert course insisted that the real benefit of Neosporin was that it was petroleum jelly and it created a hydrophobic/biologically inert barrier over cleaned/irrigated membranes and wounds (blocking vectors of infection), and that every bug was already resistant to its antibiotic mix and had been for decades.

I did take a bunch of biology and microbio and he made a very convincing case for using petroleum jelly on nicks, cuts, etc.

but I am, again, not any sort of human health professional.

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15 points

There’s an old folk remedy that putting petroleum jelly around your nostrils helps hayfever, by absorbing pollen, I imagine that could be what’s happening here.

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24 points

petroleum jelly around your nostrils helps hayfever, by absorbing pollen

you have nothing to lose but your grains

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This isn’t saying the antibiotic prevents covid it’s saying it stimulates an anti viral response in the nose, thats separate from it being an antibiotic so resistance doesn’t matter

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6 points

Yeah, this is what I was thinking

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9 points
*

frankly, it’s amazing to me that the mouse HSV challenge study didn’t run a trial with petroleum jelly only

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1 point
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18 points

Honestly the risk of doing this occasionally (How often are you taking flights anyway? What are you Taylor Swift or something?) would almost certainly be lower than the risk of contracting covid even once, let alone for a subsequent time.

I’m not a doctor and this is not medical advice but… if you asked a covid specialist doctor which is worse for you - a full course of antibiotics or contracting covid, I know how they would answer. And applying a small amount of neosporin inside your nostrils is not nearly on the same level as a course of antibiotics.

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12 points

I feel like it’s just a physical barrier. Like if you used Vaseline instead you would get the same result.

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19 points

Or a mask 🙄

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12 points

Por que no los dos?

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1 point

Those paper masks is only really effective on protecting others from you, not other way around.

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is this not the antibiotic abuse that we’ve been warned about since forever? Not using antibiotics when there isn’t an open wound, or a microbial infection?

I mean, neosporin isn’t prescribed, but still.

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11 points

It’s not being used to treat a bacterial infection in this case, whatever properties it has causes the immune system in the nose to go into virus-attacking mode. So I would think the of overuse is minimal.

Probably not best to use it daily, but for occasional high risk situations it shouldn’t be a problem.

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6 points

Prophylactic use of antibiotics is still use of antibiotics, even if it’s being used for stimulation of toll like receptors. The bacteria don’t care if you’re trying to kill them or not. Benign organisms can still develop resistance to an agent and pass it off to hostile ones.

Now, resistance to this particular agent is not uncommon, so it’s not catastrophically harmful to use it for that purpose. Other antibiotics see use for purposes other than killing or suppressing the growth of bacteria as well (erythromycin for gastric motility, for example). I’m curious about the actual degree of benefit this measure confers in a human sample population, and am generally not a fan of putting petrolatum-based products where I can inhale them as I’m paranoid about accidentally giving myself lipoid pneumonia.

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5 points

It doesn’t sound like you need to coat the inside of your nose, just put enough to trigger an immune reaction, so I would guess occasional use wouldn’t destroy your nasal biome. Plain neomycin without the petroleum jelly should work the same, if you want to avoid petroleum jelly.

This needs more study to measure exactly how effective it is, but the one of the researchers doing the study, Prof Akiko Iwasaki, is a highly regarded immunobiologist.

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9 points

A concern I have about this is the long term effect on the nasal microbiome. In the same way that using antibiotics orally can fuck up your gut microbiome and lead to an increased risk of other health problems, could fucking up the nasal microbiome lead to poorer viral resistance in the long term, or an increased chance of developing allergy/histamine/MCAS issues (which are already triggered by COVID infections)?

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12 points

The authors share your concerns

Our results demonstrate a surprising and broad antiviral effect of the aminoglycoside family of antibiotics, when applied to mucosal surfaces. However, we do not advocate for use of these compounds as antivirals, as aminoglycoside application is expected to cause local dysbiosis of commensal bacterial community.

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4 points

Totally get the concern here, but I don’t think we have any idea of how the nasal microbiom impacts overall health. We’re really just now realizing how important the gut microbiome is, I doubt they’ve looked much at the nose.

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