Thursday, October 1, 2020

Dr. Zelenko's Protocols for Treating Covid-19

Prehospital Management of Covid-19
Zelenko Protocol
Dr. Vladimir Zelenko
Twitter: @zev_dr


Treatment Plan for Patients with symptoms of Covid-19

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 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


Treatment Options

Low risk patients 

1. Rest, oral fluids
2. OTC Quercetin 500mg  2 a day for 7 days with Vitamin C 1000mg once a day for 7 days or     

    OTC Epigallocatechin-gallate (EGCG) 400mg once a day for 7 days

3. Elemental Zinc 50mg once a day for 7 days

4. Close follow up with doctor


High risk patients

1. Rest, oral fluids

2. Elemental Zinc 50mg once a day for 5 to 7 days. 

3. Hydroxychloroquine (HCQ) 200mg twice a day for 5 to 7 days or 

    Quercetin 500mg (OTC) 3 a day for 7 days and Vit. C 1000mg once a day for 7 days or
    EGCG 400mg (OTC) twice a day for 7 days
.
4. Azithromycin 500mg once a day for 5 days or 

    doxycycline 100mg twice a day for 5 to 7 days


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

1. Ivermectin 6mg twice a day for 1 day   

2. Budesonide 1mg/2cc solution via nebulizer twice a day for 7 days

3. Dexamethasone 6mg once a day for 5 to 7 days

4. Blood thinners  (i.e. Lovenox)

5. Home O2

6. Home IV fluids



IF POSSIBLE, KEEP PATIENTS OUT OF THE HOSPITAL 

Supporting documents can be found here:  


https://faculty.utrgv.edu/eleftherios.gkioulekas/zelenko/index.html

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