Source: onedaymd.com
There are a number of protocols (sets of prescription and/or OTC meds) for COVID-19. There are prophylactic protocols, which reduce risk of infection. There are sick-at-home protocols, for the milder cases. And there are in-hospital protocols, for the more severe cases.
If you are sick at home, or if you are at high risk but not sick yet, how can you get prescription medications for prevention or treatment protocols?
There are many providers with telemedicine option available in most of the states in U.S. For a list of doctors to prescribe ivermectin, please refer to this find a doctor to prescribe ivermectin directory.
PushHealth.com also has a telemedicine option, not available in every State, where you may be able to obtain a prescription for Ivermectin from a physician via their online service. PUSH Health is an ethical Telemedicine service that rapidly can provide legal prescriptions for Ivermectin for humans for the treatment of COVID-19 at moderate cost (currently US$89).
PUSH Health will, after reviewing a medical questionnaire submitted by a patient, fax a prescription for Ivermectin tablets for humans to your local pharmacy. You can pick up your Ivermectin prescription at your selected local pharmacy and expect to pay approximately US$2 per tablet.
You can use GoodRx To Get Ivermectin. GoodRx offers coupons and you can get ivermectin with GoodRx at lesser than the regular price. Walgreens also offers coupons that are worth asking about that reduces the cost of your Ivermectin tablets. Estimated price for tablets (3 mg tablet) of Ivermectin for human use at Walgreens: $40.
The FLCCC Alliance offers a list of physicians in their network who believe in their I-MASK and MATH+ protocols, which include ivermectin and other medications for COVID-19. Click this link and then see the list of doctors at the bottom of that page.
The America’s Front Line Doctors (AFLDs) telemed doctors also prescribe Hydroxychloroquine and Ivermectin for Covid-19 treatment and prevention, and can treat many other medical issues, in all 50 states.
For a more comprehensive list of doctors to prescribe ivermectin, please refer to this find a doctor to prescribe ivermectin directory.
Ivermectin and COVID-19
In October 2020, FLCCC (US Front Line COVID-19 Critical Care Alliance) added ivermectin as a core medication in the prevention and treatment of COVID-19. FLCCC regard ivermectin as a core medication in the prevention and treatment of COVID-19.
For comprehensive information on ivermectin please refer to their Review of the Emerging Evidence Supporting the Use of Ivermectin in the Prophylaxis and Treatment of COVID-19 and the included references.
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| Image credit: ClevelandClinic |
.+0Ivermectin is a well-known, FDA-approved anti-parasite drug that has been used successfully for more than four decades to treat onchocerciasis “river blindness” and other parasitic diseases. It is one of the safest drugs known. It is on the WHO’s list of essential medicines, has been given 3.7 billion times around the globe, and has won the Nobel prize for its global and historic impacts in eradicating endemic parasitic infections in many parts of the world.
FLCCC medical discovery of a rapidly growing published medical evidence base, demonstrating ivermectin’s unique and highly potent ability to inhibit SARS-CoV-2 replication and to suppress inflammation, prompted FLCCC team to use ivermectin for prevention and treatment in all stages of COVID-19.
Ivermectin is not yet FDA-approved for the treatment of COVID-19, but on Jan 14, 2021, the NIH changed their recommendation for the use of ivermectin in COVID-19 from “against” to “neutral”. (see FLCCC press release).FLCCC (Front Line COVID-19 Critical Care) Protocol
The initial MATH+ protocol was released in April 2020. In early July and August, it was updated to include quercetin and a number of optional nutrients and drugs, not only for critical care but also for prophylaxis and mild disease being treated at home.
There is evidence that vitamin C and quercetin co-administration exerts a synergistic antiviral action due to overlapping antiviral and immuno-modulatory properties and the capacity of ascorbate to recycle quercetin, increasing its efficacy.
For prevention, the Front Line COVID-19 Critical Care Working Group (FLCCC) I-MASK+ protocol recommends (August 11, 2021 version):
- Vitamin D3: 1000–3000 IU/day. Note RDA (Recommended Daily Allowance) is 800–1000 IU/day. The safe upper-dose daily limit is likely < 4000 IU/day. Vitamin D deficiency has been associated with an increased risk of acquiring COVID-19 and from dying from the disease. Vitamin D supplementation may therefore prove to be an effective and cheap intervention to lessen the impact of this disease, particularly in vulnerable populations, i.e. the elderly and obese. (Amazon)
- Vitamin C: 500 – 1,000 mg BID (twice daily)
- Quercetin: 250 mg daily. It is likely that vitamin C and quercetin have synergistic prophylactic benefit. Quercetin should be used with caution in patients with hypothyroidism and TSH levels should be monitored. (Amazon)
- Melatonin: 6 mg before bedtime (causes drowsiness). (Amazon)
- Zinc: 30 – 40 mg/day (elemental zinc). Zinc lozenges are preferred. (Amazon)
- Gargle mouthwash: 2 x daily – gargle (do not swallow) antiseptic mouthwash with cetylpyridinium chloride (e.g. Scope mouthwash™, Crest mouthwash, Colgate mouthwash) or povidone/iodine 1 % solution as alternative (Betadine® Antiseptic Sore Throat Gargle™).
- lvermectin
- Chronic Prevention: 0.2 mg/kg per dose (take with or after a meal) — twice a week for as long as disease risk is elevated in your community
- Post COVID-19 Exposure Prevention: 0.4 mg/kg per dose (take with or after a meal) — one dose today, repeat after 48 hours
Notes:
- High risk Individuals: > 60 years with co-morbidities (hypertension, diabetes, chronic lung disease, chronic kidney disease), obesity, long term care facilities, etc.
- Post COVID-19 exposure: To use if a household member is COVID-19 positive, or you have prolonged exposure to a COVID-19 positive patient without wearing a mask.
- Ivermectin has a number of potentially serious drug-drug interactions. Please check for potential drug interaction at Ivermectin Drug Interactions – Drugs.com. The most important drug interactions occur with cyclosporin, tacrolimus, anti-retroviral drugs, and certain anti-fungal drugs.
- Due to the possible drug interaction between quercetin and ivermectin (may increase ivermectin levels), these drugs should not be taken simultaneously (i.e. should be staggered morning and night).
- Ivermectin is also lipophilic and therefore, bioavailability is maximised on a full stomach; or best to be taken with or just after a meal.
Related: List of Doctors that will prescribe Ivermectin
For early outpatient protocol (COVID-19 positive), the Front Line COVID-19 Critical Care Working Group, FLCCC I-MASK+ protocol recommends (updated August 10, 2021):
- Ivermectin: 0.4–0.6 mg/kg per dose (take with or after meals) — one dose daily, take for 5 days or until recovered. (Find a Doctor). Use upper dose range if: 1) in regions with more aggressive variants; 2) treatment started on or after day 5 of symptoms or in pulmonary phase; or 3) multiple comorbidities/risk factors.
- Fluvoxamine: 50 mg twice daily for 10–14 days. Add to ivermectin if: 1) minimal response after 2 days of ivermectin; 2) in regions with more aggressive variants; 3) treatment started on or after day 5 of symptoms or in pulmonary phase; or 4) numerous co-morbidities/risk factors. Avoid if patient is already on an SSRI (selective serotonin reuptake inhibitor).
- Vitamin D3: 4000 IU/day. (Amazon)
- Vitamin C: 500 – 1,000 mg BID (twice daily) (Amazon)
- Quercetin: 250 mg twice a day. (Amazon)
- Melatonin: 10 mg before bedtime (causes drowsiness). (Amazon)
- Zinc: 100 mg/day. Zinc lozenges are preferred. (Amazon)
- Gargle mouthwash: 3 x daily – gargle (do not swallow) antiseptic mouthwash with cetylpyridinium chloride (e.g. Scope mouthwash™, Crest mouthwash, Colgate mouthwash) or povidone/iodine 1 % solution as alternative (Betadine® Antiseptic Sore Throat Gargle™). (Reference, page 13)
- Aspirin: 325 mg/day unless contraindicated. (Amazon)
- Pulse Oximeter: FLCCC also recommend monitoring your oxygen saturation with a pulse oximeter and to go to the hospital if you get below 94%. (Amazon)
Editor’s Notes:
- Optional: Curcumin: 500 mg twice a day (Ref) (Amazon)
- Duration for supplements: Most supplements (e.g. vitamin D, zinc, quercetin) for early treatment are given for 5 – 10 days. To continue for preventive purposes, dosages will need to be reduced as per the prevention or prophylaxis protocol.
- If you can’t get fluvoxamine (Luvox), using 30mg once a day of fluoxetine (Prozac) is equally effective (equivalent to 50mg twice a day of fluvoxamine).
Behavioural Prevention:
- Face Masks – Must wear cloth, surgical, or N95 mask (without valve) in all indoor spaces with non-household persons. Must wear a N95 mask (without valve) during prolonged exposure to non-household persons in any confined, poorly ventilated area.
- Social Distancing – Until the end of the COVID-19 crisis, we recommend keeping a minimum distance of approx. 2 m / 6 feet in public from people who are not from your own household.
- Wash Hands – We recommend, after a stay during and after outings from home (shopping, sub – way etc.), a thorough hand cleaning (20–30 sec. with soap), or also to use a hand disinfectant in between.
The medical evidence to support each drug and nutrient can be found under “Medical Evidence” on the FLCCC’s website.
Check out the summary of evidence on Ivermectin versus COVID-19 from Ivmmeta.com (constantly updated).
Recent studies and clinical trials on ivermectin
For an up-to-date overview of all published studies on ivermectin in the treatment and prevention of COVID-19 we recommend visiting c19ivermectin.com; in addition, a meta-analysis of all studies can be found at ivmeta.com (constantly updated).
Source: Database of all ivermectin COVID-19 studies – www.c19ivermectin.com – (constantly updated)
Source: Global ivermectin adoption for COVID-19 – ivmstatus.com (constantly updated)
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