1) *All covid positive patients*
* *Tab HCQ* 400 twice a day for 1 day
Then 200 twice a day for 4- 9 days
* *Tab Oseltamivir* 1-0-1 for 5 days
* *Tab Ivermectin* 12mg twice a day for 2 days
* *Tab Doxy* 100 twice a day for 5 days.
( In case of fever: Add : *Tab Azee* 500 twice a day for 5 days : add only for young patients without Co morbidity. Those with Co morbitidy: Add *Cefixime* 200 twice a day/ 5 days or Augmentin )
2) *To all Patients on Oxygen*
a) * All the above
*PLUS*
b) * *Inj clexane* 0.6 cc OD /BD for 5 days ( BD in seriously ill)
* *Inj Methyl prednisone* 40- 500 mg BD for 3 days ( 500 in seriously ill)
( instead of Inj methyl : use *Inj Dexa* 8mg tds in Diabetes patients)
3) *Salvage treatment*:
( Please take permission of consultants immediately)
* *Inj magsulf* 2gm iv tds diluted for 2 days
* *Inj Methylene Blue* diluted once may be repeat after 8 hours.
4) *High end Drugs*: ( depends on availability and permission of consultant)
a) *Inj Tocilizumab*: 300-400 IV infusion. Stat only SOS repeat after 12/24 hours.
To all patients with *pneumonitis requiring Oxygen*.
( ideally to those with IL6 levels more than 20 )
b) * *Tab Ibrutinib* 3 tab of 140 once/ day for 5 days
5) *Supportive treatment*
* Vitamin B with Zinc
* Vitamin A and D
* Cough Syrup.
* Paracetamol
* IV Fluids/ Others
6) *Antibiotics*
Mild to severe:
ceftriaxone – piptaz- meropenum.
II) *Prophylaxis*
*ICMR* :
* *Tab HCQ* 400 twice a day for 1 day then once a week for 3 weeks ( patients)
* Suggestion to add* :
* *Tab Ivermectin* once a week / 3 weeks.
* *Tab Doxy* 100 once a week / 3 weeks.
Consultants:
Dr. Deepak Baid: 9821019001/ 9223344450
Dr. Kumar Doshi: 9821029139
Dr. Chetan Jain: 9892741309