What pharmacologic and non-pharmacologic strategies have you found helpful in managing brain fog following COVID-19 infection?

In general, a systematic approach should be taken to evaluate COVID-19-related brain fog, which can then guide treatment. Additionally, brain fog following COVID infection can often be multifactorial, and the treatment accordingly often needs to be multi-pronged and comprehensive. The recommendation...

I’ve had some success, I think, with NAC and guanfacine. The patients say it helped.

This was a great review of a challenging situation. I’ve learned some ideas about pharmacological therapy that I did not previously think about. Learning about cognitive rehab is also new to me. I’m sure this will impact my approach to this issue in the future.

For non-pharmacologic treatments, I strongly recommend a graded exercise program. If the patient reports ongoing nausea, decreased appetite, or changes to their sense of smell (I've noticed the more recent COVID infections seem to leave the person with a fantom putrid smell rather than loss of their...