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» LymeNet Flash » Questions and Discussion » Medical Questions » Can't take atovaquone or Lariam, what else is a good babesia treatment? ++

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Author Topic: Can't take atovaquone or Lariam, what else is a good babesia treatment? ++
ralphi
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Mepron and Malarone helped my babesia symptoms a lot, but they also tore up my entire GI tract.

Took 1/4 pill of Larium (mefloquine) on Wed. and have been jittery/out of it for the past 3 days.

Called my doc, who said we'll try something else.

What are my other options?

I'm presently taking 500mg Zithromax, 300mg Omnicef, and artemisinin (along with various herbs for inflammation, antifungal, probiotics, etc.)

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lymeladyinNY
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Please, this is only a guess and should be discussed with your doctor, but I think a drug called pyromethanine helps with babesia. After I post here I will look it up, okay?

--------------------
I want to be free

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lymeladyinNY
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I looked it up - it's called pyrimethamine and is used with folic acid. It has been used in third world countries for malaria treatment to the extent that it has some resistance. Still, it's worth a question to your doctor. Good luck!

--------------------
I want to be free

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ralphi
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Thanks! I will look into it :-)
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Lymetoo
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artemisinin and zith (or biaxin)

clindamycin/quinine

--------------------
--Lymetutu--
Opinions, not medical advice!

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ralphi
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Thanks tutu!

I'm already taking artemisinin and zith; I guess my doc wants to add an antimalarial specifically for extra "oomph" :-)

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Marnie
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Consider artemisinin and berberine.

(Berberine Chloride is likely the best form.)

Malaria:

"These results indicate that berberine is more effective in clearing the parasite than both tetracycline and cotrimoxazole, and that

the combination of pyrimethamine and berberine gives the best results for chloroquine resistant malaria."

PMID: 9337003

I keep trying hard to tell you all...berberine chloride is AMAZING and has MANY MANY benefits!

Go here and see mention of that combo(artemisinin-berberine herbal mixture after meals):

http://www.crohns.net/Miva/education/articles/powerhealing_leogalland.shtml

Berberine source:

http://www.amazon.com/GlycoX-250-Berberine-250mg-Capsules/dp/B007CMOLV8/ref=pd_sim_hpc_3

More links:

http://www.usphytotherapy.com/for-physicians-and-reseachers/

http://examine.com/supplements/Berberine/#main_summary_full

http://www.optimalhealthsystems.com/shownews.asp?id=199

And I have lots of other links as well as to its remarkable MULTIPLE modes of action.

The presence of 20 carbons in berberine chloride looks to be very very very important.

Berberine chloride is this: C20H18NO4.Cl.

The diterpenes, which are C20 terpenes, include retinal (the essential light-absorbing pigment in rhodopsin, the photoreceptor protein of the eye), phytol (a constituent of chlorophyll), and the gibberellins (potent plant hormones).

http://web.virginia.edu/Heidi/chapter8/chp8.htm

I'm telling you...Bb is a photosynthetic bacteria!!!!!!!

Bb has 2 lipoproteins:

phosphatidylglycerol and phosphatidylcholine.

http://www.ncbi.nlm.nih.gov/pubmed/8157583

The first one:

Phosphatidylglycerol is often the main component of some bacterial membranes.

It has important functions in lung surfactant, where its physical properties are significant, and in plant chloroplasts,

where it appears to have an essential role in

photosynthesis.

Also, it is the biosynthetic precursor of cardiolipin.

In some bacterial species, the 3'-hydroxyl of the phosphatidylglycerol moiety is linked to an amino acid (lysine, ornithine or alanine) to form an O-aminoacylphosphatidylglycerol or complex 'lipoamino acid'.

http://lipidlibrary.aocs.org/lipids/whatlip/index.htm

Cardiolipin is a unique phospholipid with in essence a dimeric structure, having four acyl groups and potentially carrying two negative charges (and is thus an acidic lipid).

***It is an important constituent of mitochondrial lipids especially,***

so heart muscle is a rich source. Amongst other functions, it plays a key role in modifying the activities of the enzymes concerned with oxidative phosphorylation.

So if Bb is "stealing" the precursor to OUR cardiolipin = mitochondrial dysfunction (because it is a constituent of mitochondrial lipids)?

Berberine is cardiac protective and it is capable of mitochondria biogenesis (the creation of more mitochondria).

Restore the balance...help out the mitochondria in the Bb infected defense cells so they can finish their job!

[ 06-16-2012, 05:36 PM: Message edited by: Marnie ]

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Maryland Mom
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Then clindamycin might be a good choice. With quinine, as Tutu said. Can be taken orally, or IV for that extra "oomph!"
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'Kete-tracker
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The standard treatment... before they came up with that $$$ "yellow paint" (Mepron) that one choked down & took with those pretty red caplets? ("Zith") was: clindamycin (e.g: "Cleocin") plus quinine (e.g: "Qualaquin").

Not quite as effective, BUT cheaper [relatively], and is the 2nd choice as recommended by the IDSA for treatment of "babs".

The main issue with this older combo is the possible intolerance to quinine. Some folks are sensitive to it (it has a bitter taste) & *might* experience systemic problems, possibly serious.

From a legal website:
"Quinine has been shown to cause cardiac arrhythmias, thrombocytopenia (a decrease in blood platelets that can cause hemorrhage or clotting problems) and severe hypersensitivity reactions."

SO, you should go over this with your doctor's office so they can monitor you for any allergic reaction to quinine, & also review the other drugs you are on as it can inter-react with some.

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ralphi
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Thanks for the info, everyone! My doc is very IDSA, so she will probably prescribe the clindamycin and quinine.

I seem to have a lot of trouble tolerating meds (MTHFR A1298C heterozygous and generally sensitive stomach).

Once I finally get on something I can stay on, I'll be headed toward "normal"!

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nefferdun
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http://www.itg.be/itg/distancelearning/lecturenotesvandenendene/02_Malariap12.htm

Coartem was very helpful for me.

Chloroquine and primaquine has helped some.

--------------------
old joke: idiopathic means the patient is pathological and the the doctor is an idiot

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jwall
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Just took coartem. It seemed to really help, moreso than all the others I have taken: clindamycin/zith/mepron, malarone, daraprim, artemisinin.
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Sammi
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Just be aware that Quinine can have some nasty side effects. My doctor does not prescribe it because of this.
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lymenotlite
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Hope you are taking lots of probiotics for your gut.
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ralphi
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Thanks very much everyone!

Is Coartem usually taken with other drugs, or by itself?

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joysie
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Usually by itself, with meds break 3-4 days before and after. I have seen others post some continue some meds but be sure to check ALL other medications as you can take nothing else (e.g., zith, bactrim) that may prolong the Q-T interval.
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ralphi
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Thanks joysie :-)
That's good to know.

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ralphi
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Just read that Bactrim DS is combined with azithromycin for babesia? Is this combo effective?

I took Bactrim DS for years for acne and had no problems with it back then...

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