Evidence map›Paper›PMID 42393618›Full record

ArticleBMC public health2026

Self-management of long COVID symptoms with over-the-counter medicines and other non-prescribed therapies: a cross-sectional survey.

Naijie Guan, Grace Turner, Richard Hotham, Daniel Lange, Kirsty R Brown, Christel McMullan, Sarah E Hughes, Olalekan Lee Aiyegbusi, Karen Matthews, Louise Jackson and 8 more

Abstract read
In one paragraph

Article in BMC public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Naijie GuanDepartment of Applied Health Sciences, University of Birmingham, Birmingham, UK. n.guan@bham.ac.uk.
Grace TurnerSchool of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK.
Richard HothamDepartment of Applied Health Sciences, University of Birmingham, Birmingham, UK.
Daniel LangeDepartment of Applied Health Sciences, University of Birmingham, Birmingham, UK.
Kirsty R BrownSchool of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK.
Christel McMullanDepartment of Applied Health Sciences, University of Birmingham, Birmingham, UK.
Sarah E HughesDepartment of Applied Health Sciences, University of Birmingham, Birmingham, UK.
Olalekan Lee AiyegbusiDepartment of Applied Health Sciences, University of Birmingham, Birmingham, UK.
Karen MatthewsLong Covid SOS, Charity Registered in England & Wales, 11 A Westland Road, Faringdon, Oxfordshire, SN7 7EX, UK.
Louise JacksonDepartment of Applied Health Sciences, University of Birmingham, Birmingham, UK.
Asma YahyoucheInstitute of Clinical Sciences, School of Pharmacy, University of Birmingham, Birmingham, UK.
Yvonne AlderCentre for Patient Reported Outcomes Research, University of Birmingham, Birmingham, UK.
Felicity JeyesCentre for Patient Reported Outcomes Research, University of Birmingham, Birmingham, UK.
Lewis BucklandCentre for Patient Reported Outcomes Research, University of Birmingham, Birmingham, UK.
Amy ChongCentre for Patient Reported Outcomes Research, University of Birmingham, Birmingham, UK.
David StantonCentre for Patient Reported Outcomes Research, University of Birmingham, Birmingham, UK.
Melanie Calvert *Department of Applied Health Sciences, University of Birmingham, Birmingham, UK.
Shamil Haroon *Department of Applied Health Sciences, University of Birmingham, Birmingham, UK. s.haroon@bham.ac.uk.

Funding

National Institute for Health and Care Research COV-LT-0013UK Research and Innovation COV-LT-0013
6 · The paper itself

Abstract

backgroundThe high prevalence of long COVID globally necessitates investigation into its self-management, especially given the absence of definitive and effective treatments and uneven access to healthcare services.

methodsThis study surveyed the use of over-the-counter (OTC) medicines, supplements, remedies, and other non-prescription therapies for managing long COVID symptoms in the UK. It aimed to identify the range of treatments used for self-management, explore the sources of these treatments, factors influencing treatment choices, and associated out-of-pocket expenses. A cross-sectional electronic survey was provided to individuals experiencing long COVID. It included questions on the use of OTC medications, supplements, and other therapies, where they were sourced, decision-making influences, and financial costs. Descriptive statistics and thematic analysis were applied to analyse the data.

resultsAmong the 193 surveyed participants, significant use of vitamins, minerals, and herbal treatments (88.8%), and analgesics (73.6%) was reported, with 42% exceeding recommended dosages. Some participants sought relief through alternative therapies such as physiotherapy and acupuncture, often incurring significant personal expenses. Choices about self-management were influenced by medical professionals, family, friends, and online sources, including support groups and social media.

conclusionsPeople with long COVID may access a wide range of OTC medicines, dietary supplements, herbal remedies, and non-pharmacological therapies to self-manage symptoms. Healthcare providers should be aware of the use of non-prescribed therapies among long COVID sufferers and consider these in their treatment plans. Public health policies should focus on providing accurate information and guidance for patients self-managing long COVID symptoms.

Indexed as

Complementary TherapiesCOVID-19Nonprescription DrugsSelf-ManagementAdultAgedCross-Sectional StudiesDietary SupplementsFemaleHumansMaleMiddle AgedPandemicsPost-Acute COVID-19 SyndromeSARS-CoV-2Surveys and QuestionnairesNonprescription DrugsAlternative therapiesLong COVIDOver-the-counter medicinesSelf-management

Identifiers

PMID42393618
PMCPMC13595737

What Socratic holds

Textmetadata
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.