Part 1. Immune boosting in low risk individuals: Aim here is to keep immune system healthy and prevent common vitamin deficiencies
1. 50 plus ‘One a day’ Multivitamin or suitable alternative with at least 24 mg of Zinc and 1000 IU of Vitamin D3 along with other vitamins and minerals.
2. Vitamin D3 1000 IU additional on top to the Multivitamin.
3. If vegetarian, Vitamin B12 / Cyanocobalamin 500 mcg sublingual once a day additional.
In addition to this it is important to sleep well, keep an ideal weight, stay active, keep stress down and follow a healthy and varied diet.
Part 2: Immune boosting in a high risk individual due to contact, premorbid conditions or occupation: Aim here is to reduce pre-existing inflammation within the body related to Metabolic Syndrome
In ADDITION to Part 1,
4. Vitamin C 1000 mg a day
5. Omega – 3 – Fatty Acids 1000 mg capsule. Two capsules once a day : if cardiovascular / metabolic syndrome risk factors such as age above 60, obesity, heart disease, diabetes, hypertension, kidney disease etc.
In addition it is important that patients taking statins for raised cholesterol or antihypertensives ( particularly ACE-I or ARB’s , usually ending with ‘sartan’ or ‘pril’ ) continue with their medications. Studies have demonstrated that there medication are associated with reduced in hospital mortality vs controls.
Part 3: Early treatment of mild COVID19 in asymptomatic or minimally symptomatic individuals with localised symptoms: Aim here is to reduce replication of virus.
In ADDITION to Part 1 & 2
6. Quercetin ( with Bromelain ) 400 mg twice a day or Bromhexine 8 mg three times a day ( available in Indian Subcontinent )
7. Curcumin ultra strength ( 32,500 mg raw herb equivalent ) one capsule twice a day
8. Zinc 50 mg once a day
Part 4: Treatment of mild to moderate COVID19 in patients with more significant generalised symptoms such as fever, body pain, chills and headaches: Aim here is to reduce oxidative stress related to systemic infection and reduce blood clotting tendency.
In ADDITION to Part 1, 2 & 3
9. NAC / N- Acetyl- Cysteine 600 mg twice a day
10. Melatonin 3mg with Magnesium 150 mg one tab at night
11. Famotidine 20 mg twice a day
12. Aspirin 81 mg EC tab once a day with heaviest meal.
Part 5: Monitoring and hospitalisation.
While patients with early breathing difficulty may try breathing exercises and lying prone in bed, it is important these patients monitor their Oxygen saturations closely at least four to six times a day. Patients with Oxygen Saturations below 94 % must present to hospital so that effective treatments such as anti-inflammatory steroids and high dose blood thinners can be administered. IV antiviral agents can also be considered at this stage. Patients experiencing chest pain , leg swelling or neurological symptoms at any stage should call an ambulance, as this may be due to a blood clot.
