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Rumor Mill News Reading Room, Current Archive

COVID treatment protocol from Eastern Virginia Medical School does not require Rx drugs

Posted By: MrFusion
Date: Sunday, 4-Oct-2020 23:45:28
www.rumormill.news/155383

Some of this is similar to what Trump is reportedly taking. Notable is the absence of HCQ.

Available as a PDF:
https://www.evms.edu/media/evms_public/departments/internal_medicine/EVMS_Critical_Care_COVID-19_Protocol.pdf

Presented for informational purposes only. Please do not use the following as medical advice. Consult a professional.

Here is an excerpt, in which BID means twice a day, and ASA is aspirin, and famotidine is Pepcid AC, available over the counter:

~~~~~~~~~~~~~~~~~~~~~~~~~~
Prophylaxis

While there is extremely limited data, the following “cocktail” may have a role in the prevention/mitigation of COVID-19 disease. This cocktail is inexpensive, safe, and widely available. It should be noted that a recent publication suggests that melatonin my reduce the risk of COVID-19 infection, [1] while many papers suggest that Vitamin D deficiency increases the risk of infection and is associated with a significantly worse outcome. [2-14]

•Melatonin (slow release): Begin with 0.3mg and increase as tolerated to 2 mg at night [1,15-19]
•Vitamin D3 1000-3000 u/day. Note RDA (Recommended Daily Allowance) is 800-1000 u/day. The safe upper-dose daily limit is likely < 4000 u/day. [2-14,20]
•Vitamin C 500 mg BID (twice daily) and Quercetin 250 mg daily [10,11,21-30] Note that prolonged high dose quercetin has very rarely been associated with hypothyroidism. [31,32] Quercetin should be used with caution in patients with hypothyroidism and TSH levels should be monitored.
•Zinc 50-75 mg/day (elemental zinc). After 1 month, reduce the dose to 30-50 mg/day.[10,11,21,28,33-37]
•Famotidine 20-40 mg/day [38-41]
•Optional/Experimental: Interferon-α nasal spray for health care workers [42]
•Optional: Ivermectin for postexposure prophylaxis (see ClinTrials.gov NCT04422561)

~~~~~~~~~~~~~


Symptomatic patients at home (for the duration of acute symptoms)

•Vitamin C 500 mg BID and Quercetin 250-500 mg BID
•Zinc 75-100 mg/day (elemental zinc)
•Melatonin 6-12 mg at night (the optimal dose is unknown)
•Vitamin D3 2000-4000 u/day
•ASA 81 -325 mg/day (unless contraindicated). ASA has antiinflammatory, antithrombotic, andantiviral effects.[43,44] Platelet activation may play a major role in propagating the prothromboticstate associated with COVID-19. [45]
•Famotidine 40 mg BID (reduce dose in patients with renal dysfunction) [38-41]
•Optional: Vascepa (Ethyl eicosapentaenoic acid) 4g daily or Lovaza (EPA/DHA) 4g daily; alternative DHA/EPA 4g daily. Vascepa and Lovaza tablets must be swallowed and cannot be crushed,dissolved or chewed. Omega-3 fatty acids have anti-inflammatory properties and play animportant role in the resolution of inflammation. In addition, omega-3 fatty acids may have antiviral properties. [10,46-49]
•Optional: Ivermectin 150-200 ug/kg orally (dose can be repeated on day 2) [50-55]
•Optional: Interferon-α/β s/c, nasal spray or inhalation. [42,56-58] It should be noted that Zinc potentiates the effects of interferon.[59,60]
•In symptomatic patients, monitoring with home pulse oximetry is recommended (due to asymptomatic hypoxia). The limitations of home pulse oximeters should be recognized, and validated devices are preferred.[61] Multiple readings should be taken over the course of the day,and a downward trend should be regarded as ominous.[61] Baseline or ambulatory desaturation< 94% should prompt hospital admission.


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AN EXPLANATION OF THE FACTIONS