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» LymeNet Flash » Questions and Discussion » Medical Questions » Tick bite treatment guidelines; clarification please

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Author Topic: Tick bite treatment guidelines; clarification please
unsure445
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Member # 15962

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Hi Everyone,

I get asked all the time about what to do for a tick bite and em rash so just hoping for the latest guidelines/clarification.

Tick bite: 3 weeks antibiotics
EM rash: 6 weeks

Is this correct? The 2 doxy caps as a single dose seems to be prevailing these days for tick bites. You have to think it must be doing something, otherwise everyone would have tick borne infections!

Anyway, can't locate the ILADs latest on this and want to make sure I am not giving people incorrect advice.

Thank you!

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unsure445

Posts: 823 | From northeast | Registered: Jun 2008  |  IP: Logged | Report this post to a Moderator
steve1906
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ILADS
A short summary of ILADS’ recommendations includes:

Treatment for symptomatic presentations
Treatment should not be withheld based on laboratory testing:

Early use of antibiotics
Longer courses of antibiotics treatment
Repeat antibiotics for recurrence


http://www.ilads.org/lyme/treatment-guideline.php

Steve

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Everything I say is just my opinion!

Posts: 3529 | From Massachusetts Boston Area | Registered: Jul 2008  |  IP: Logged | Report this post to a Moderator
unsure445
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Thanks Steve. This wouldn't open earlier on my computer.

A friend just emailed me that had a tick bite last week and took the 2 doxy caps as a single dose.

Last night she had aches, severe chills, and profound fatigue. So much for the prophylactic dose being potentially effective!

The ticks have been horrendous this spring!

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unsure445

Posts: 823 | From northeast | Registered: Jun 2008  |  IP: Logged | Report this post to a Moderator
desertwind
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My LLMD treats me with 400mg.s' Doxy /day for 4 weeks plus cyst buster. This is for any and all new tick bites.
Posts: 1671 | From Tick Infested New Jersey | Registered: Apr 2010  |  IP: Logged | Report this post to a Moderator
unsure445
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Desertwind, I know who your llmd is from the no messing around treatment protocol! That is great.

I deeply wish PCP's would wake up!

Thank you!

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unsure445

Posts: 823 | From northeast | Registered: Jun 2008  |  IP: Logged | Report this post to a Moderator
'Kete-tracker
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Ah have No IDEA how they came up with the Single dose theory (of a 'cycline family abx like "doxy") to kill off all the newly arrived Lyme spirochetes... as the 'ketes have no problem "hibernating"/ laying low/ changing form when hit with a "bacteriostatic" blood level of doxycycline.

There's No Way you get up to what's known as a bacteriocidal ("lysing") level of 12 or 14 ug/ml of doxycycline [blood serum level in "micrograms per milliliter"] with One freagin' 200mg dose! Maybe for a small dog... Maybe! idiots...

Posts: 1233 | From Dover, NH | Registered: Sep 2008  |  IP: Logged | Report this post to a Moderator
desertwind
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Yes, I would rather treat aggressively early on then sit and wait for it all to hit the fan later on!

Best to you,,,

Posts: 1671 | From Tick Infested New Jersey | Registered: Apr 2010  |  IP: Logged | Report this post to a Moderator
   

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