Treatment Protocol – Dr. Vladimir Zelenko MD

Low Risk Patient- Younger than 45, no comorbidities, and clinically stable

  • 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

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Moderate/High Risk Patient-​ Older than 45, younger than 45 with

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  • 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