Treatment for Chickenkuniya?

Answer 1

There is no specific treatment for Chikungunya. Vaccine trials were carried out in 2000, but funding for the project was discontinued and there is no vaccine currently available.

A serological test for Chikungunya is available from the University of Malaya in Kuala Lumpur, Malaysia.

Possible role for chloroquine in the treatment of Chikungunya:

There is an interesting dialogue, mostly in French, about the possible use of chloroquine in the treatment of the arthralgia associated with Chikungunya.

1. A paper published in South Africa in 1984 concerning 10 cases of Chikungunya showed some effect of chloroquine in treating the symptoms of arthritis. Brighton SW. Chloroquine phosphate treatment of chronic Chikungunya arthritis. An open pilot study. S Afr Med J 1984 Aug 11;66(6):217-8.

The abstract of the paper: "Over 12% of patients who contract Chikungunya virus infection develop chronic joint symptoms. These symptoms respond only partially to the non-steroidal anti-inflammatory drugs. An open pilot study on the efficacy of chloroquine phosphate was carried out and 10 patients completed 20 weeks of therapy. Both the Ritchie articular index and morning stiffness improved significantly. In the patient's assessment, 7 out of 10 considered their conditions to have improved. On the basis of the doctor's assessment, 5 of the 10 had improved. These results justify further controlled blind trials of chloroquine in chronic Chikungunya arthritis."

2. From the University of Malaya: http://www.vadscorner.com/alphaviruses.html

"Treatment [of Chikungunya]:

Supportive care with rest is indicated during the acute joint symptoms. Movement and mild exercise tend to improve stiffness and morning arthralgia, but heavy exercise may exacerbate rheumatic symptoms. In unresolved arthritis refractory to aspirin and nonsteroidal antiinflammatory drugs, chloroquine phosphate (250 mg/day) has given promising results."

3. In January 2006, an Italian researcher, Andrea Savarino, and colleagues advocated a possible use of chloroquine as a broad spectrum antiviral agent in an article published in the Lancet Infectious Diseases. "the tolerability, low cost, and immunomodulatory properties of chloroquine/hydroxychloroquine are associated with biochemical effects that suggest a potential use in viral infections, some of whose symptoms may result from the inflammatory response.


4. The French government issued a press release(in French) on this topic in March 2006: http://agmed.sante.gouv.fr/pdf/10/chicungu.pdf Rough translation: "In the context of the search for molecules with activity against the Chikungunya virus, lab tests on cell cultures in vitro have shown that chloroquine (NivaquineR) has some antiviral activity against this virus. It is also used in the symptoms of rheumatoid polyarthritis and of lupus. The use of this medication requires a prescription".




5. Homeopathy may be tried under professional guidance.

Answer 2

Chikungunya infection is a generalised viral infection. There is no specific antiviral drug available to treat this infection. This infection needs supportive and symptomatic treatment. Analgesics, antipyretics and fluid supplementation are important aspects in managing this infection.

Answer 3

Diabetes is usually treated through a combination of diet (low sugar), exercise and medications/insulin. Milder cases can be controlled with just diet an/or exercise while more severe cases require meds or insulin as well.
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Answer 4

consult a homeopath as there are very sure remedies that can cure chickenkuniya.