Zelenko protocol
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
Supportive care with fluids, fever control, and rest
Elemental Zinc 50mg 1 time a day for 7 days
Vitamin C 1000mg 1 time a day for 7 days
Vitamin D3 5000iu 1 time a day for 7 days
Optional over the counter options
Quercetin 500mg 2 times a day for 7 days or
Epigallocatechin-gallate (EGCG) 400mg 1 time a day for 7 days
Moderate / High risk patients
Elemental Zinc 50-100mg once a day for 7 days
Vitamin C 1000mg 1 time a day for 7 days
Vitamin D3 10000iu once a day for 7 days or 50000iu once a day for 1-2 days
Azithromycin 500mg 1 time a day for 5 days or
Doxycycline 100mg 2 times a day for 7 days
Hydroxychloroquine (HCQ) 200mg 2 times a day for 5-7 days and/or
Ivermectin 0.4-0.5mg/kg/day for 5-7 days Either or both HCQ and IVM can be used, and if one only, the second agent may be added after about 2 days of treatment if obvious recovery has not yet been observed etc.
Treatment Options
Dexamethasone 6-12mg 1 time a day for 7 days or
Prednisone 20mg twice a day for 7 days, taper as needed
Budesonide 1mg/2cc solution via nebulizer twice a day for 7 days
Blood thinners (i.e. Lovenox, Eliquis, Xarelto, Pradaxa, Aspirin)
Colchicine 0.6mg 2-3 times a day for 5-7 days
Monoclonal antibodies
Home IV fluids and oxygen
Thanks. I believe that’s pretty much the same as I’d read before. Not 100% sure as I didn’t have the article saved.
But, regardless, sis-in-law’s hubby is over 2 weeks past onset of symptoms, with pneumonia in progress, so unless he had something else that weakened him to COVID hopping on later*, he’s past the window...
*Hard to sort out from this end, and maybe even at their end, at this point. As I know you’ve seen, health care for average folks in 3rd world countries is a whole ‘nother ball game than what we have here. :-(
(as someone in the rest of the family could have exposed him to COVID in the course of care, as they all seem to have it)
Oops, kinda messed that up. But it’s decipherable... :-)