ZALENKO PROTOCOL

TREATMENT PLAN FOR PATIENTS WITH COVID-19 SYMPTOMS

PREHOSPITAL MANAGEMENT

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. Perform PCR testing, but do not withhold treatment pending 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 – OVER THE COUNTER OPTIONS:

1. Elemental Zinc 50 Mg 1 time a day for 7 days
2. Quercetin 500 Mg 2 times a day for 7 days or Epigallocatechin-gallate (EGCG) 400 Mg 1 time a day for 7 days
3. Vitamin C 1000 Mg 1 time a day for 7 days
4. Vitamin D3 5000 iu 1 time a day for 7 days

HIGH RISK PATIENTS:

1. Elemental Zinc 50 Mg 1 time a day for 7 days
2. Hydroxychloroquine (HCQ) 200 Mg 2 times a day for 7 days
3. If HCQ is not available, Quercetin 500 Mg 3 times a day for 7 days or EGCG 400 Mg 2 times a day for 7 days
4. Azithromycin 500 Mg 1 time a day for 5 days or Doxycycline 100 Mg 2 times a day for 7 days
5. Vitamin C 1000 Mg 1 time a day for 7 days
6. Vitamin D3 50,000 iu 1 time a day for 1 or 2 days

OTHER TREATMENT OPTIONS:

1. Ivermectin 6 Mg 2 times a day for 1 or 2 days
2. Budesonide 1 Mg/2cc solution via nebulizer 2 times a day for 7 days
3. Dexamethasone 8 Mg 1 time a day for 7 days
4. Blood Thinners (i.e. Lovenox)
5. Outpatient monoclonal antibodies such as REGN-COV2 cocktail or Bamlanivimab
6. Home IV fluids and oxygen