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Description: Zelenko Treatment
Submitted on April 23, 2021 at 03:09 AM
Expires on April 23, 2022 at 03:09 AM (4 months from now)

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Zelenko Protocol
Treatment Plan for Patients with Covid-19 symptoms
Prehospital Management

Dr. Vladimir Zelenko
Website: Vladimirzelenkomd.com


Fundamental Principles 
Treat patients based on clinical suspicion as soon as possible, preferably within the first 5 days of symptoms.  Do not withhold treatment pending confirmatory testing 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.


Other 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 
 
 
TRY TO KEEP PATIENTS OUT OF THE HOSPITAL