*COVID Treatment Protocol : simplified*. 29/ 05/20

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.

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