Topic: Bart treatment - alternatives to levaquin and rifampin?
cactus
Frequent Contributor (1K+ posts)
Member # 7347
posted
What are the alternatives to levaquin and rifampin for bart?
Levaquin gave me serious tendon issues (twice), and my liver is unable to detox Rifampin - so both of those are out.
I have had good results with Bactrim and Biaxin - but not sure if those are simply suppressing symptoms.
Any suggestions would be appreciated.
Thanks.
-------------------- �Did you ever stop to think, and forget to start again?� - A.A. Milne Posts: 1987 | From No. VA | Registered: May 2005
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Geneal
Frequent Contributor (5K+ posts)
Member # 10375
posted
I've take cipro for bartonella, but it gave me muscle tightness.
I (think) a pre-cursor to tendon issues.
Hugs,
Geneal
Posts: 6250 | From Louisiana | Registered: Oct 2006
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cactus
Frequent Contributor (1K+ posts)
Member # 7347
posted
Thank you both for responding.
I haven't taken Cipro, but did see huge improvements on Bactrim, after a huge herx. Maybe a longer course of Bactrim would be helpful.
Still open to any and all suggestions...
-------------------- �Did you ever stop to think, and forget to start again?� - A.A. Milne Posts: 1987 | From No. VA | Registered: May 2005
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lymielauren28
Frequent Contributor (1K+ posts)
Member # 13742
posted
I've been on Zithromax for several months now - 600mg a day - and it has reduced my Bart symptoms by about 80%. I plan on adding HH caps soon to see if I can't knock out the remaining 20.
Lauren
-------------------- "The only way out is through" Posts: 1434 | From mississippi | Registered: Nov 2007
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Rianna
Frequent Contributor (1K+ posts)
Member # 11038
posted
From a LLMD's presentation:
Bartonella Moxifloxacin 400mg qd-bid or Levofloxacin 500-750 mg qd x 4-12 weeks. May add Trimethoprim-Sulfamethoxazole DS bid. May use Rifampin 600 mg qd with doxycycline or azithromycin. Azithromycin and Doxycycline sometimes effective in combo. Linezolid and Tygacil show promise
If co-infections have already been treated with standard orals, can rotate IV levofloxacin, moxifloxacin, clindamycin or IV rifampin.
Posts: 1172 | From UK | Registered: Jan 2007
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Hoosiers51
Frequent Contributor (1K+ posts)
Member # 15759
posted
I was taking Zithromax, and when I added Plaquenil, I experienced what I interpreted as a Bart herx, though I only stayed on this combo for 6 weeks because the Plaquenil seemed toxic to my body.
So you could consider the Zithro/Plaquenil combo....they say Plaquenil helps Zithro penetrate better.
Good luck!!!!
I think even Minocycline can have an action against Bart....so maybe Mino and Bactrim? or Mino and Zithro? Just a guess.
Posts: 4590 | From Midwest | Registered: Jun 2008
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mojo
Frequent Contributor (1K+ posts)
Member # 9309
posted
This is an excellent question. I just discovered that I can't do Rifampin (my Liver enzymes are sky high) and I'm not sure about Levaquon. My Dr. said there is discussion of Cipro being taken off the market!
Thanks for the post. I hope to see even more responses.
Posts: 1761 | From USA | Registered: May 2006
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