Protocol^[1]

Treatment Plan for Patients with Covid-19 symptoms

Prehospital Management

Dr. Vladimir Zelenko

Twitter: @zev_dr

Fundamental Principles 

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 Patients 

Low risk patient – Younger than 45, no comorbidities, and clinically stable

High risk patient – Older than 45, younger than 45 with comorbidities, or clinically unstable

Treatment Options

Low risk patients – over the counter options:

1. Elemental Zinc 50mg 1 time a day for 7 days^[2]

2. Quercetin 500mg 2 times a day for 7 days^[3] or

Epigallocatechin-gallate (EGCG) 400mg 1 time a day for 7 days^[4]

3. Vitamin C 1000mg 1 time a day for 7 days    

4. Rest, oral fluids and close follow up with doctor

High risk patients

1. Elemental Zinc 50mg 1 time a day for 7 days

2. Hydroxychloroquine (HCQ) 200mg 2 times a day for 7 days  

If HCQ not available, Quercetin 500mg 3 times a day for 7 days or

EGCG 400mg 2 times a day for 7 days

3. Azithromycin 500mg 1 time a day for 5 days or

Doxycycline 100mg 2 times a day for 7 days

4. Vitamin C 1000mg 1 time a day for 7 days

5. Rest, oral fluids and close followup with doctor

Additional treatment options.  Should be uniquely custom tailored for every patient.

1. Ivermectin 6mg 2 times a day for 1 day^[5]   

2. Budesonide 1mg/2cc solution via nebulizer 2 times a day for 7 days^[6]

3. Dexamethasone 6mg 1 time a day for 7 days^[7]

4. Blood thinners  (i.e. Lovenox)^[8]

5. Home Oxygen

6. Home IV fluids

IF POSSIBLE, KEEP PATIENTS OUT OF THE HOSPITAL