So, I here is the protocol from Dr. Paul Marik. He shows prophylaxis, Mildly Symptomatic here. He Shows protocol for hospitalized patients in Part 4. Now pay attention here: I AM NOT GIVING MEDICAL ADVICE, I am only showing you the protocol that Dr. Paul Marik from E. Virginia Medical School asked to be spread to every health care facility in the U.S. I guess he is not a big pharma guy. Plus he knows,it never was pneumonia they were treating and he knows your chance of survival once you are put on a ventilator is around 12%. I am staying away from that model. I like his model with Vitamins. ALL OF US SHOULD BE TAKING THIS!!!!! This is almost identical to my regimen. I also use A, and Quercetin as an ionophore for the zinc in my cells. Dr. Marik uses it later in the protocol under his mildly symptomatic. East Virginia Medical School Protocol in PDF
ACTUAL COPIED PROTOCOL FROM DR. MARIK
Prophylaxis
While there is very limited data (and none specific for COVID-19), the following “cocktail” may have a role in the prevention/mitigation of COVID-19 disease. While there is no high level evidence that this cocktail is effective; it is cheap, safe and widely available.
■ Vitamin C 500 mg BID
■ Quercetin 250-500 mg BID
■ Zinc 75-100 mg/day (acetate, gluconate or picolinate). Zinc lozenges are preferred.
After 1-2 months, reduce the dose to 30-50 mg/day.
Melatonin (slow release): Begin with 0.3mg and increase as tolerated to 1-2 mg at night
■ Vitamin D3. 1000-4000 u/day (optimal dose unknown).
Mildly Symptomatic patients (at home):
■ Vitamin C 500mg BID
■ Quercetin 250-500 mg BID (if available)
■ Zinc 75-100 mg/day
■ Melatonin 6-12 mg at night (the optimal dose is unknown)
■ Vitamin D3 1000-4000 u/day
■ Optional: Hydroxychloroquine 400mg BID day 1 followed by 200mg BID for 4 days
Mildly Symptomatic patients (on floor):
• Vitamin C 500mg BID
• Zinc 75-100 mg/day
• Quercetin 500-1000 mg/day
• Melatonin 6-12 mg at night (the optimal dose is unknown)
• Vitamin D 1000- 4000 u/day
• Enoxaparin 40-60mg day (if not contraindicated; dose adjust with CrCl < 30ml/min)
• Observe closely.
• N/C 2L /min if required (max 6L/min; however, consider early t/f to ICU for escalation of care).
• Avoid Nebulization and Respiratory treatments. Use MDI if required.
• NO Bagging.
• Avoid non-invasive ventilation
• T/f EARLY to the ICU for increasing respiratory signs/symptoms.
Page 3 of 11 | EVMS Critical Care COVID-19 Management Protocol 04-02-2020 | evms.edu/covidcare
ACTUAL COPIED PROTOCOL FROM DR. MARIK
Prophylaxis
While there is very limited data (and none specific for COVID-19), the following “cocktail” may have a role in the prevention/mitigation of COVID-19 disease. While there is no high level evidence that this cocktail is effective; it is cheap, safe and widely available.
■ Vitamin C 500 mg BID
■ Quercetin 250-500 mg BID
■ Zinc 75-100 mg/day (acetate, gluconate or picolinate). Zinc lozenges are preferred.
After 1-2 months, reduce the dose to 30-50 mg/day.
Melatonin (slow release): Begin with 0.3mg and increase as tolerated to 1-2 mg at night
■ Vitamin D3. 1000-4000 u/day (optimal dose unknown).
Mildly Symptomatic patients (at home):
■ Vitamin C 500mg BID
■ Quercetin 250-500 mg BID (if available)
■ Zinc 75-100 mg/day
■ Melatonin 6-12 mg at night (the optimal dose is unknown)
■ Vitamin D3 1000-4000 u/day
■ Optional: Hydroxychloroquine 400mg BID day 1 followed by 200mg BID for 4 days
Mildly Symptomatic patients (on floor):
• Vitamin C 500mg BID
• Zinc 75-100 mg/day
• Quercetin 500-1000 mg/day
• Melatonin 6-12 mg at night (the optimal dose is unknown)
• Vitamin D 1000- 4000 u/day
• Enoxaparin 40-60mg day (if not contraindicated; dose adjust with CrCl < 30ml/min)
• Observe closely.
• N/C 2L /min if required (max 6L/min; however, consider early t/f to ICU for escalation of care).
• Avoid Nebulization and Respiratory treatments. Use MDI if required.
• NO Bagging.
• Avoid non-invasive ventilation
• T/f EARLY to the ICU for increasing respiratory signs/symptoms.
Page 3 of 11 | EVMS Critical Care COVID-19 Management Protocol 04-02-2020 | evms.edu/covidcare