As a brick and mortar business servicing guests in close contact for prolonged periods of time in enclosed spaces, there is an urgent need for pre exposure prophylaxis protocol (PrEP) to increase the confidence of safety, comfort and protection for our guests, therapists and everyone here at Honua Therapy. Refining and evolving existing safety measures as more evidence and data comes in is an imperative. The search for tools to help solve this problem started at the end of March 2020. Dr. Zelenko’s work was discovered through this effort. Outside of America, much to our delight and dismay, treatments that may work or have been working to defend against this disease do exist.
Zelenko Protocol Plan A regimen was preferred as more evidence and research exists. Plan A prophylaxis path was to utilize a more potent zinc ionophore, immunological and anti viral proposed mechanisms of action of Hydroxychloroquine or Ivermectin off label with elemental Zinc and elements of MATH+ protocol including Vitamin D and C.
Reviewing all body of literature available including proposed regimens and doses used in prophylaxis and early out patient treatment protocols from case, retrospective, observational, meta, prospective randomized clinical trials domestically and internationally, we have become aware of the overwhelming empirical evidence of clinical successes, biological plausibility, proposed mechanisms of actions, their safety and side effect profiles. With the information reviewed, 100% consent to the use of Ivermectin and HCQ Off Label with elemental Zinc and elements of MATH+ protocol including Vitamin D and C to utilize as prophylaxis, maybe the missing variable in solidifying effective safety measure protocols.
We have been requesting for care locally through our PCP, hospitals, clinics here in Honolulu, Hawaii for the last 5 months and every doctor, clinician and nurse practitioner we sought for care refuse to help or even see us to confer (PrEP) Pre Exposure Prophylaxis Protocols for Covid 19 specifically an off label non indicated conditions prescription assistance for Ivermectin and HCQ.
The last resort was our primary care provider at Makahiki clinic. She could not help us indicating that their policy does not allow for off label prescription of Hydroxychloroquine for prophylaxis purposes and referred us to another doctor who maybe able to help. Currently in the process of seeking out this doctor and scheduling an appointment. In parallel the search for other outpatient doctors out of state continues with a pivot towards off label prescription of Ivermectin for prophylaxis in parallel with HCQ.
Great Harm has been caused to us and our community as our first hand experiences with the private and public healthcare system doctors here in Honolulu over the prior months have violated the sanctity of the doctor patient relationship according to the Geneva Declaration of 1948, as factors other than evidence based medicine have tarnished this sacred relationship. For this reason seeking urgent care out of state from clinicians who will help us to prevent spread of this disease surging in our county now became the course of action.
What has come to our attention is that there are doctors and nurses self administering Hydroxychloroquine (HCQ) as prophylaxis and prescribing to their patients off label specifically clinicians that are self employed operating their own practice or in secret under fear of termination from their tenure or job, retaliation from their medical or pharmacology boards.
What has also come to our attention is that doctors and clinicians at least in Hawaii are well within their legal authority to prescribe medications such as Hydroxychloroquine and Ivermectin for use in off label non indicated conditions with the patients informed consent. In these cases it appears the doctor having knowledge of the treatment paths available and perhaps the patient having done their due diligence will weigh the safety, side effect profiles, drug interactions, any current health conditions against the benefits of the medication. The doctor and patient will decide together within the confines and privacy of the doctor patient relationship.
