Page 16 - IMCJ April 2020
P. 16

strongly recommends that these should be begun at first   SARS. 11-12   The IV Vitamin C dose regimen recommended
            sign of the virus. Period. Many of the arguments against   by Dr. Klinghardt is 7.5-50 gm IV daily for 3 days.
            this in the media (including medical media) are coming   So this is a time for caution rather than fear. Follow
            from the illness becoming politicized.           the recommendations for social distancing, handwashing,
               Although the human research was done in a number of   etc. Then turn off the “news” which is giving misinformation
            non-placebo-controlled  small  studies,  and  reported  case   grossly out of perspective, to scare people so they watch all
            series, they were reasonably well done, include ~ 1000 cases,   day. Watching five minutes a day will be enough to learn
            and show that combining these two treatments caused 83 %   what you need to know.
            of people to be virus free after three days and 100% at five   So relax, enjoy the time with yourself and your family,
            days (versus 19% in the control group), instead of the usual   and do the things above to help you and those who treat
            20 days.  It also made the illness much less severe in both   stay safe. You’re going to  be OK.
                  6,7
            the French study combining Plaquenil and Zithromax 6, as
            well as in the Chinese Plaquenil study.          References
                                          8
               Preliminary  reports  from  the  Chinese  authorities   1.  Los  Angeles  Times.  2020.  Why  This  Nobel  Laureate  Predicts  A  Quicker
            suggests that approximately 100 infected patients treated   Coronavirus  Recovery:  'We're  Going  To  Be  Fine'.  [online]  Available  at:
                                                                 <https://www.latimes.com/science/story/2020-03-22/coronavirus-outbreak-
            with chloroquine experienced a more rapid improvement   nobel-laureate> [Accessed 25 March 2020].
            in fever and lung CT scan changes, and recovered more   2.  Wang  D,  Ju  XL,  Xie  F,  et  al.  Zhonghua  Er  Ke  Za  Zhi.  2020;58(4):E011.
                                                                 doi:10.3760/cma.j.cn112140-20200225-00138
            quickly than the control groups. There were no obvious   3.  Ludvigsson JF. Systematic review of COVID-19 in children show milder cases
            serious  adverse  effects.  A  recent  randomized  Chinese   and a better prognosis than adults [published online ahead of print, 2020 Mar
                                                                 23]. Acta Paediatr. 2020;10.1111/apa.15270. doi:10.1111/apa.15270
            study of 64 cases showed significant benefits as well, with   4.  Zhang, L. and Liu, Y., 2020. Potential interventions for novel coronavirus in
            faster  recovery.  All  4  of  the  patients  who  progressed  to   China: A systematic review. Journal of Medical Virology, 92(5), pp.479-490.
            severe illness were in the control group. 9       5.  te Velthuis AJW, van den Worm SHE, Sims AC, Baric RS, Snijder EJ, et al.
                                                                 (2010) Zn2+ Inhibits Coronavirus and Arterivirus RNA Polymerase Activity
               Because of this, the Chinese medical advisory board   In Vitro and Zinc Ionophores Block the Replication of These Viruses in Cell
            has  suggested  chloroquine  inclusion  in  the  COVID-19   Culture.  PLOS Pathogens  6(11):  e1001176.  https://doi.org/10.1371/journal.
                                                                 ppat.1001176
            treatment guidelines.                             6.  Medscape.  COVID-19:  Could  Hydroxychloroquine  Really  Be  An  Answer?
               In  vitro  studies  also  suggest  hydroxychloroquine   Available at https://www.medscape.com/viewarticle/927033/.
            (Plaquenil) to be highly effective against COVID 19.    The   7.  Gautret P, Lagier J, Parola P, Thuan Hoang V, Meddeb L, Mailhe M, Doudier
                                                     10
                                                                 B, Courjon J, Giordanengo V, Esteves Vieira V, Tissot Dupont H, Honoré S,
            entire treatment costs about $20, and is much safer than   Colson  P,  Chabrière  E,  La  Scola  B,  Rolain  J,  Brouqui  P,  Raoult  D.
            ibuprofen or acid blockers. You may be hearing scare stuff   Hydroxychloroquine and azithromycin as a treatment of COVID-19: results
                                                                 of  an  open-label  non-randomized  clinical  trial.  International Journal of
            in the media about visual damage in the retina and other   Antimicrobial  Agents.   2020.   doi:   https://doi.org/10.1016/j.
                                                                 ijantimicag.2020.105949.
            problems from the Plaquenil. When you see people saying   8.  Devaux CA, Rolain J, Colson P, Raoult D. New insights on the antiviral effects
            this, you can know right away that they have no familiarity   of  chloroquine  against  coronavirus:  what  to  expect  for  COVID-19?
            with  the  science  or  no  interest  in  being  accurate.  For   International Journal of Antimicrobial Agents.  2020.  doi:https://doi.
                                                                 org/10.1016/j.ijantimicag.2020.105938.
            example, generally the eye changes do not occur unless one   9.  Xueting Yao, Fei Ye, Miao Zhang, Cheng Cui, Baoying Huang, Peihua Niu, Xu
            is taking it for over five years. I have seen no reported cases   Liu, Li Zhao, Erdan Dong, Chunli Song, Siyan Zhan, Roujian Lu, Haiyan Li,
            of significant eye changes or cardiomyopathy with a six day   Wenjie  Tan,  Dongyang  Liu,  In  Vitro  Antiviral  Activity  and  Projection  of
                                                                 Optimized Dosing Design of Hydroxychloroquine for the Treatment of Severe
            course of treatment. Except for occasional stomach upset,   Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), Clinical Infectious
                                                                 Diseases, , ciaa237, https://doi.org/10.1093/cid/ciaa237
            this treatment is incredibly safe. Knowing this can help you   10.  Fiore C, Eisenhut M, Krausse R, et al. Antiviral effects of Glycyrrhiza species.
            separate the sense from the nonsense in what you read.  Phytother Res. 2008;22(2):141–148. doi:10.1002/ptr.2295
                                                              11.  Hoever G, Baltina L, Michaelis M, Kondratenko R, Baltina L, Tolstikov GA,
                                                                 Doerr  HW,  Cinatl  Jr  J.  Antiviral  Activity  of  Glycyrrhizic  Acid  Derivatives
            Dosing Plaquenil and Zithromax                       against SARS-Coronavirus. J. Med. Chem. 2005;(48):1256-1259
               Although right now the pharmacies are largely sold   12.  Ray WA, Murray KT, Hall K, Arbogast PG, Stein CM. Azithromycin and the
            out of the Plaquenil, major efforts are being made to make   risk  of  cardiovascular  death.  N Engl J Med.  2012;366(20):1881–1890.
                                                                 doi:10.1056/NEJMoa1003833
            this  available  again.  The  dosing  that  I  recommend  is
            Plaquenil 200 mg, two tablets twice a day for the first day,
            and  then  one  tablet  twice  a  day  for  five  days.  The  full
            treatment is a total of 14 pills over five days. The Zithromax
            250 mg dosing would be two tablets the first day, and then
            one a day for four days (1 Z pack). It is incredibly easy, low
            cost, and safe. I recommend taking both of them together
            at first sign of having the infection.

            IV vitamin C and glycyrrhizin
               For those of you doing IV infusions, both of these I
            think are warranted for acute infections. Glycyrrhizin has
            been  shown  to  be  active  against  coronavirus,  including


       14   Integrative Medicine • Vol. 19, No. 2 • April 2020                              Teitelbaum—COVID 19
   11   12   13   14   15   16   17   18   19   20   21