4 ms·
That's not true, there have been several medical center drug lists since mid 2020, with the most(?) popular probably being the one shared by the Eastern Virgini
by simonsarris 4y ago
That's not true, there have been several medical center drug lists since mid 2020, with the most(?) popular probably being the one shared by the Eastern Virginia Medical School which they began in Jul 2020 and kept updating. Here's a snapshot of it:
(formatting compactly to save space)
Suggested approach to prophylaxis and treatment of COVID-19
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, especially amongst the most vulnerable citizens
in our community; i.e. those over the age of 60 years and those with medical comorbidities. While there
is no high level evidence that this cocktail is effective; it is cheap, safe and should be readily available. So
what is there to lose?
• Vitamin C 500 mg BID and 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). Likely that those with baseline low 25-
OH vitamin D levels and those > living at 40o latitude will benefit the most.
Mildly Symptomatic patients (on floor):
• Vitamin C 500mg BID and 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
• Enoxaparin 40-60mg day (if not contraindicated; dose adjust with CrCl < 30ml/min)
• Optional (and if available): Chloroquine 500 mg PO BID for 5 days or hydroxychloroquine 400mg
BID day 1 followed by 200mg BID for 4 days
• Observe closely.
• N/C 2L /min if required (max 4 L/min; consider early t/f to ICU for escalation of care).
• Avoid Nebulization and Respiratory treatments. Use “Spinhaler” or MDI and spacer if required.
• Avoid non-invasive ventilation
• T/f EARLY to the ICU for increasing respiratory signs/symptoms.
https://srpc.ca/resources/Documents/COVID-19%20Resources/Clinical%20Assessment%20and%20decision-making%20tools/Treatment/EVMS_Critical_Care_COVID-19_Protocol.pdf.pdf https://srpc.ca/resources/Documents/COVID-19%20Resources/Cli...
- deleted 4y ago[deleted]