A Ray of Hope During the COVID-19 Pandemic

By Dr. (Prof.) Purshotam Lal in Cardiology

May 15, 2020

The COVID-19 pandemic stands as one of the most significant public health challenges of the modern era.As countries across the world mobilized to contain the virus, scientists, researchers, and healthcare professionals searched tirelessly for effective treatments and preventive strategies.

In India, organizations like the Indian Council of Medical Research (ICMR) and the Ministry of Health formed dedicated task forces to monitor and manage the evolving situation. During this global effort, Hydroxychloroquine (HCQ) emerged as a potential focus of treatment and prevention strategies.

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Hydroxychloroquine: Hope or Hype?

As early studies suggested HCQ might be effective against COVID-19, several nations reached out to India—one of the leading producers of the drug—for large-scale supplies. This led to a flurry of media attention and widespread speculation, with some even labeling it a “cure.”

To address growing public confusion, Dr. (Prof.) Purshotam Lal, one of India’s most respected cardiologists and Chairman of Metro Group of Hospitals, offered his expert insights in a televised interview. With honors such as the Padma Bhushan, Padma Vibhushan, and the Dr. B.C. Roy National Award, Dr. Lal emphasized the importance of separating scientific facts from social media-driven myths.

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Dr. Lal’s Perspective: Focus on Facts, Not Fear

Dr. Lal clarified that while Hydroxychloroquine is not a cure for COVID-19, it may have potential when used carefully and selectively. He strongly supported the ICMR’s preventive guidelines, highlighting the importance of:

• Maintaining social distancing
• Wearing masks in public spaces
• Practicing frequent hand hygiene
• Strengthening personal immunity through proper nutrition

According to Dr. Lal, the elderly and individuals with pre-existing health conditions—such as heart disease, diabetes, hypertension, or respiratory illness—are particularly vulnerable. Similarly, healthcare workers and frontline responders face high exposure risks and may benefit from prophylactic treatment under medical supervision.

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Use with Caution, Not Assumption

Dr. Lal acknowledged that while some international trials, including those in Japan and France, explored higher doses of HCQ in elderly COVID-19 patients, its use must be cautious and well-regulated.

He recommended that low-dose HCQ could be explored under a doctor’s guidance, especially in high-risk individuals. In cases with mild symptoms, Azithromycin may serve as a supportive antibiotic. However, combining both drugs without supervision could result in side effects such as:

• Heart rhythm disturbances (ECG changes)
• Hypoglycemia
• Nausea or vomiting

He advised against self-medication and stressed that dosing should always be individualized and prescribed by qualified physicians.

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The Role of Research & National Guidelines

Dr. Lal also referenced the ICMR’s advisory on HCQ use as a preventive option for at-risk groups, including healthcare workers. However, he warned against viewing the drug as a standalone shield against infection. Even with prophylaxis, protective measures must continue.

He further highlighted ongoing studies at institutions like AIIMS, which were investigating the preventive and therapeutic potential of HCQ as part of their broader COVID-19 research initiatives.

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Building Immunity: The Best Defense

While we await more definitive treatment protocols and vaccines, Dr. Lal strongly advocated for boosting the immune system through lifestyle and dietary choices. His advice includes:

• A diet rich in antioxidants (fruits, green vegetables, turmeric, etc.)
• Adequate hydration
• Regular sleep and reduced stress
• Avoidance of smoking and alcohol
• Light exercise or yoga, as tolerated

Message of Hope

Dr. Lal concluded with a message of hope and resilience:

“We are going through unprecedented times, but with patience, science, and solidarity, we will overcome this pandemic. Let’s support each other, follow guidelines, and stay committed to protecting our families and communities.”

He continues to pray for the health and safety of all and urges everyone to remain informed and vigilant, rather than fearful or misled.

Final Thought:

Hydroxychloroquine may offer a potential preventive tool for specific groups, but it is not a cure, and its use should be guided strictly by medical professionals. Our strongest protection still lies in prevention, awareness, and responsible behavior.