[edit add 11-4-21] Please visit current recommendations:
Dr. Zelenko's website:
https://www.vladimirzelenkomd.com/Treatment Protocol
https://vladimirzelenkomd.com/treatment-protocol/Prophylaxis Protocol
https://vladimirzelenkomd.com/prophylaxis-protocol/ [end edit]
Copied and pasted as of 10/31/20https://docs.google.com/document/d/1i7C_6H1Yq0u8lrzmnzt5N1JHg-b5Hb0E3nLixedgwpQ/editZelenko Covid-19 Prophylaxis Protocol (
for treatment see 2nd half of post)
Twitter: @zev_dr
Prophylaxis is an action taken to prevent or protect against a specified disease. Greek in origin, from the word "phylax", meaning "to guard" and "watching."
Low Risk PatientsYoung healthy people do not need prophylaxis against Covid 19. In young and healthy people, this infection causes mild cold-like symptoms. It is advantageous for these patients to be exposed to Covid-19, build up their antibodies and have their immune system clear the virus. This will facilitate the development of herd immunity and help prevent future Covid-19 pandemics. However, if these patients desire prophylaxis against Covid-19, then they should take the protocol noted below.
Moderate Risk PatientsPatients from this category are healthy but have high potential viral-load exposure. This group includes medical personnel, caregivers of high-risk patients, people who use public transportation, first responders and other essential personnel who are crucial to the continued functioning of society. These patients should be encouraged to take prophylaxis against Covid-19 in accordance with the protocol noted below.
High Risk PatientsPatients are considered high risk if they are over the age of 60, or if they are younger than 60 but they have comorbidities, that is, they have other health conditions that put them at risk. These patients have between a 5 to 10% mortality rate if they are infected with Covid-19. These patients should be strongly encouraged to take prophylaxis against Covid-19 in accordance with the protocol noted below.
Protocol for Low and Moderate Risk Patients:Elemental Zinc 25mg 1 time a day
Vitamin C 1000mg 1 time a day
Quercetin 500mg 1 time a day
If Quercetin is unavailable, then use Epigallocatechin-gallate (EGCG) 400mg 1 time a day
Protocol for High Risk Patients:Elemental Zinc 25mg once a day
Hydroxychloroquine (HCQ) 200mg 1 time a day for 5 days, then 1 time a week
If HCQ is unavailable, then use the Protocol for Low and Moderate Risk Patients.
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https://docs.google.com/document/d/1TaRDwXMhQHSMsgrs9TFBclHjPHerXMuB87DUXmcAvwg/editZelenko Protocol
Treatment Plan for Patients with Covid-19 symptomsPrehospital 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 60, no comorbidities, and clinically stable
High risk patient - Older than 60, younger than 60 with comorbidities, or clinically unstable
Treatment OptionsLow risk patients - over the counter options:
1. Elemental Zinc 50mg 1 time a day for 7 days
2. Quercetin 500mg 2 times a day for 7 days or
Epigallocatechin-gallate (EGCG) 400mg 1 time a day for 7 days
3. Vitamin C 1000mg 1 time a day for 7 days
4. Rest, oral fluids and close follow up with doctor
High risk patients1. 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
2. Budesonide 1mg/2cc solution via nebulizer 2 times a day for 7 days
3. Dexamethasone 6mg 1 time a day for 7 days
4. Blood thinners (i.e. Lovenox)
5. Home Oxygen
6. Home IV fluids
IF POSSIBLE, KEEP PATIENTS OUT OF THE HOSPITAL____________________________________
Doing your best toward keeping patient out of hospital is echoed by Dr. Peter Mccullough at this link:
https://www.covid-19forum.org/index.php?topic=374.0No surprise since the hospital may deprive the patient of hydroxychloroquine even early upon admission.
https://www.covid-19forum.org/index.php?topic=384.0And instead give them what the most recent WHO trial demonstrated to be an abysmally poor, and as has been for some a dangerous therapeutic, Remdesivir.
https://www.covid-19forum.org/index.php?board=8.0
