new delhi the health ministry on thursday issued the revised guidelines for home isolation of mildasymptomatic covid19 cases in which it advised against attempting to procure or administer remdesivir injections at home underlining that it should be administered only in a hospital settingthe guidelines stated that systemic oral steroids are not indicated in mild cases and if the symptoms persistent fever worsening cough etc persist beyond seven days the treating doctor should be consulted for treatment with lowdose oral steroidselderly patients aged more than 60 years and those with comorbid conditions such as hypertension diabetes heart disease chronic lung or liver or kidney disease cerebrovascular disease etc shall only be allowed home isolation after a proper evaluation by the treating medical officer it addedin case of falling oxygen saturation levels or shortness of breath the person should require hospital admission and seek immediate consultation with the treating physician or surveillance teamelderly patients aged more than 60 years and those with comorbid conditions such as hypertension diabetes heart disease chronic lung or liver or kidney disease cerebrovascular disease etc shall only be allowed home isolation after a proper evaluation by the treating medical officeraccording to the revised guidelines the patients may perform warmwater gargles or take steam inhalation twice a dayif fever is not controlled with a maximum dose of tab paracetamol 650 mg four times a day consult the treating doctor who may consider advising other drugs like nonsteroidal antiinflammatory drug nsaid ex tab naproxen 250 mg twice a daytab ivermectin 200 mcgkg once a day to be taken on empty stomach for 3 to 5 days should be considered the guidelines statedinhalational budesonide given via inhalers with spacer at a dose of 800 mcg twice daily for five to seven days to be given if the symptoms fever andor cough persist beyond five days they addedthe decision to administer remdesivir or any other investigational therapy must be taken by a medical professional and it should be administered only in a hospital setting the ministry saiddo not attempt to procure or administer remdesivir at home systemic oral steroids are not indicated in mild disease if symptoms persist beyond seven days persistent fever worsening cough etc consult the treating doctor for treatment with lowdose oral steroids the guidelines saidthe revised guidelines stated that the asymptomatic cases are laboratoryconfirmed cases that are not experiencing any symptoms and having oxygen saturation at room air of more than 94 per cent while the mild cases are patients with upper respiratory tract symptoms andor fever without shortness of breath and having oxygen saturation at room air of more than 94 per centthose patients eligible for home isolation should be clinically assigned as mild or asymptomatic case by the treating medical officer and they should have the requisite facility at their residence for selfisolation and quarantining the family contactsthe caregiver and all close contacts of such cases should take hydroxychloroquine prophylaxis in accordance with the protocol and as prescribedthe patients must isolate themselves from the other