Treat patients based on clinical suspicion as soon as possible, preferable within the first 5 days of symptoms. Perform PCR testing but do not withhold treatment pending results.

Risk Stratify Patient

Low-risk patient-Younger than 60, no comorbidities, and no serious symptoms.

High-risk patient-Older than 60, younger than 60 with comorbidities, or serious symptoms.

Treatment Options

Low-risk patient

1. Rest, oral fluids, Tylenol as needed
2. Vitamin C 1 gm once a day for 7 days
3. Quercetin 500 mg. twice a day for 7 days
4. Elemental Zinc 50 mg. once a day for 7 days
5. Close follow up with a doctor

High-risk patient

1. Rest, oral fluids
2. Tylenol as needed
3. Elemental Zinc 50 mg. once a day for 7 days
4. Hydroxychloroquine (HCQ) 200 mg twice a day for 5 to 7 days
5. Azithromycin 500 mg. once a day for 5 days or doxycycline 100 mg twice a day for 5 to 7 days

Note if HCQ is inaccessible then use Quercetin 500 mg. three times a day in place of HCQ. If HCQ becomes accessible, then switch to HCQ.

Additional treatment options. Should be custom tailored for every patient.

1. Ivermectin 6 mg. twice a day for 1 day
2. Budesonide 1 mg/2cc solution via nebulizer twice a day for 7 days
3. Dexamethasone 6 mg. once a day for 5 to 7 days
4. Blood thinners (i.e. Eliquis or Xarelto)
5. Home 02
6. Home IV fluids