日常预防 Prophylaxis • Melatonin (slow release): Begin with 0.3mg and increase as tolerated to 2 mg at night • 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. • Vitamin C 500 mg BID (twice daily) and Quercetin 250 mg daily。 Note that prolonged high dose quercetin has very rarely been associated with hypothyroidism. 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. • Famotidine 20-40 mg/day • Optional/Experimental: Interferon-α nasal spray for health care workers • Optional: Ivermectin for postexposure prophylaxis (see ClinTrials.gov NCT04422561) /南美的不少医生说效果很明显。网上可以随便买到给马用的Ivermectin,给人用的Stromectol (12 mg) 可以在网上药店买,比如 firstmedstore.com./ 轻症治疗 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, and antiviral effects.Platelet activation may play a major role in propagating the prothrombotic state associated with COVID-19. • Famotidine 40 mg BID (reduce dose in patients with renal dysfunction) • 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 an important role in the resolution of inflammation. In addition, omega-3 fatty acids may have antiviral properties. • Optional: Ivermectin 150-200 ug/kg orally (dose can be repeated on day 2) • Optional: Interferon-α/β s/c, nasal spray or inhalation. It should be noted that Zinc potentiates the effects of interferon. • 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. Multiple readings should be taken over the course of the day, and a downward trend should be regarded as ominous. Baseline or ambulatory desaturation < 94% should prompt hospital admission. The following guidance is suggested: o Use the index or middle finger; avoid the toes or ear lobe o Only accept values associated with a strong pulse signal o Observe readings for 30-60 seconds to identify the most common value o Remove nail polish from the finger on which measurements are made o Warm cold extremities prior to measurement https://www.evms.edu/media/evms_public/departments/internal_medicine/EVMS_Critical_Care_COVID-19_Protocol.pdf
轻症治疗 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, and antiviral effects.Platelet activation may play a major role in propagating the prothrombotic state associated with COVID-19. • Famotidine 40 mg BID (reduce dose in patients with renal dysfunction) • 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 an important role in the resolution of inflammation. In addition, omega-3 fatty acids may have antiviral properties. • Optional: Ivermectin 150-200 ug/kg orally (dose can be repeated on day 2) • Optional: Interferon-α/β s/c, nasal spray or inhalation. It should be noted that Zinc potentiates the effects of interferon. • 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. Multiple readings should be taken over the course of the day, and a downward trend should be regarded as ominous. Baseline or ambulatory desaturation < 94% should prompt hospital admission. The following guidance is suggested: o Use the index or middle finger; avoid the toes or ear lobe o Only accept values associated with a strong pulse signal o Observe readings for 30-60 seconds to identify the most common value o Remove nail polish from the finger on which measurements are made o Warm cold extremities prior to measurement
https://www.evms.edu/media/evms_public/departments/internal_medicine/EVMS_Critical_Care_COVID-19_Protocol.pdf
https://forums.huaren.us/showtopic.html?topicid=2602868&postid=85631140#85631140
褪黑素可以调节免疫系统,不少医生的临床经验说它对新冠的防治很有帮助。白宫的医生也是开的这个药方,只是没有槲皮素。
mark褪黑素能调节免疫系统。
因为这些人是反智的。