Treatment Plan for Patients with symptoms of Covid-19
by Dr. Vladimir Zelenko Twitter: @zev_dr
Treat patients based on clinical suspicion as soon as possible, preferably within the first 5 days of symptoms. Perform PCR testing, but do not withhold treatment pending results.
Risk Stratify Patient
Low risk patient – Younger than 60, no comorbidities, and not toxic (i.e. no shortness of breath)
High risk patient – Older than 60, younger than 60 with comorbidities or looks toxic
Low risk patients
- Rest, oral fluids, Tylenol as needed
- Vitamin C lgm once a day for 7 days
- Quercetin 500mg twice a day for 7 days
- Elemental Zinc 50mg once a day for 7 days
- Close follow up with doctor
High risk patients
- Rest, oral fluids
- Tylenol as needed
- Elemental Zinc 50mg once a day for 5 to 7 days.
- Hydroxychloroquine (HCQ) 200mg twice a day for 5 to 7 days
- Azithromycin 500mg once a day for 5 days or doxycycline 100mg twice a day for 5 to 7 days
Note: If HCQ is inaccessible (e.g. pending PCR test results) then use Quercetin 500mg three times a day in place of HCQ. If HCQ becomes accessible (e.g. positive PCR test result) , then switch to HCQ.
Additional treatment options. Should be uniquely custom tailored for every patient.
- Ivermectin 6mg twice a day for l day
- Budesonide 1mg/2cc solution v ia nebulizer twice a day for 7 days
- Dexamethasone 6mg once a day for 5 to 7 days
- Blood thinners (i.e. Eliquis or Xarelto)
- Home O2
- Home IV fluids
Our goal is to keep patients out of hospital