posted
So i was on doxy 100 mg twice a day and bactrim ds twice a day for 6 weeks. I went today and got my abx changed to ceftin 500 mg twice a day and fluconozole 200 once a day .. Does an antifungal help lyme at all? I am a bit confused.
I asked if most patients go up to like 400+ mg doxy a day and he said it isn't necessarily needed if you have another abx (like bactrim). I hope he knows what he's doing..
Is he switching too soon? And why did he stop the bactrim for bartonella and/or lyme? He also hasn't added a cyst buster yet... Hm. What do all of you think
Posts: 315 | From Allentown | Registered: May 2014
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surprise
Frequent Contributor (1K+ posts)
Member # 34987
posted
You should ask the actual prescribing Dr. (LLMD?) what their plan is/ theory on the switch.
We can only speculate like you're doing-
-------------------- Lyme positive PCR blood, and positive Bartonella henselae Igenex, 2011. low positive Fry biofilm test, 2012. Update 7/16- After extensive treatments, doing okay! Posts: 2518 | From USA | Registered: Nov 2011
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posted
i said i wasn't really feeling much better, but don't some meds take a long time to start making you feel better? but he still switched me.
Posts: 315 | From Allentown | Registered: May 2014
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TF
Frequent Contributor (5K+ posts)
Member # 14183
posted
Are you still with Dr. N who takes insurance?
If so, you get what you pay for. If you want a lot of lyme expertise, you need to look for a better doctor.
If you want a doctor who follows Burrascano, it looks to me like you are going to have to switch doctors.
Posts: 9931 | From Maryland | Registered: Dec 2007
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posted
i was only on 200 mg doxy and bactrim twice a day.. and it sounds like he thinks bactrim with doxy would be bactericidal, but maybe it isn't?
i am still with him and mostly all his reviews say he's a great doctor for lyme. i went for my second appointment today. maybe i'll consider switching, he isn't an exact llmd but he was trained by one ... so i don't know.
Posts: 315 | From Allentown | Registered: May 2014
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TF
Frequent Contributor (5K+ posts)
Member # 14183
posted
You know your treatment does not line up with the Burrascano Guidelines.
That's why you question it. I would also.
Bactrim treats babs and bart, not lyme. Six weeks is not long enough to treat either of these diseases.
Now you are on just Ceftin for lyme plus a yeast killer.
If you want the Burrascano protocol, you have to ask other patients to find out who has a doctor who follows Burrascano. Compare their treatment to the Guidelines. If it lines up, then that is a doctor who is actually following Burrascano.
Go to that doctor.
Posts: 9931 | From Maryland | Registered: Dec 2007
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posted
I read bactrim can be effective for lyme but only inhibits growth.. Lyme has to be actually killed and not just inhibited right? Isn't it hard for the immune system to kill lyme.
Is 1,000 mg ceftin beneficial for killing lyme? I might look into this other doctor i had in mind.. But i definitely should give him a call and question why he dropped bactrim.
Posts: 315 | From Allentown | Registered: May 2014
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posted
Also i am not sure if i lost my igenex paper results, are they on file at igenex? Or must i ask the doctor.
Posts: 315 | From Allentown | Registered: May 2014
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posted
Also i am not sure if i lost my igenex paper results, are they on file at igenex? Or must i ask the doctor.
Posts: 315 | From Allentown | Registered: May 2014
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WPinVA
Frequent Contributor (1K+ posts)
Member # 33581
posted
Diflucan is a cyst buster.
The top LLMDs today are not going to be following Burrascano exactly. Burrascano was a brilliant pioneer but he hasn't practiced clinically in many years. Do you want the treatment protocol from 10 years ago or do you want the latest developments?
This is not to say that your doctor knows all the latest developments - can't really evaluate that - just that not following Burrascano to the T is hardly disqualifying in this day and age.
Posts: 1737 | From Virginia | Registered: Aug 2011
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TF
Frequent Contributor (5K+ posts)
Member # 14183
posted
Kaseyyy, not only is your doctor not following Burrascano to the T, he isn't following Burrascano AT ALL.
Posts: 9931 | From Maryland | Registered: Dec 2007
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posted
That is interesting as well.. That it can be a cyst buster?! I just feel kind of bummed stopping the doxy and bactrim because i just got a refill on those.
I'm going to call him but am kind of nervous too. Lol
Posts: 315 | From Allentown | Registered: May 2014
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posted
well is ceftin at 1,000 mg enough to kill bacteria? Isn't that following it somewhat?
Posts: 315 | From Allentown | Registered: May 2014
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posted
Why is it some people are only on say one med like ceftin and then others, for example ceftin, doxy, another for a coinfection? Maybe he should have me on all three??
Posts: 315 | From Allentown | Registered: May 2014
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posted
I'm happy he added ceftin because i know that will kill the bacteria and maybe i will really herx on it.
Posts: 315 | From Allentown | Registered: May 2014
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WPinVA
Frequent Contributor (1K+ posts)
Member # 33581
posted
Generally, yes, combos of abx are needed. Much also depends on which coinfections you have. Almost all of us have some coinfections, so you need to ask your doctor about that, and his response will tell you a lot about his qualifications.
That said, sometimes a good doc will start you out slowly then add in the other abx. That gives your body a chance to adjust without overloading it, and also to watch for intolerances.
Posts: 1737 | From Virginia | Registered: Aug 2011
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posted
He did start me off on a low dose of doxy, not high enough to kill, and bactrim mainly for the bartonella.. But i am just so lost as to why he dropped those two. Why not use all three?
I don't want to sound like a know it all asking about all of this to him. But i also want to make sure i am killing whatever i have.
He said i didn't need the high dose of doxy with the extra antibiotic which was bactrim, but i read bactrim only may slow growth of borrelia, and not kill it.
I understand the doxy and bactrim may have helped kill off bartonella, maybe that was his plan. BUT, he dropped the bactrim! the office may be closed tomorrow. I am debating on whether i should start the ceftin and continue what i am on already?
Posts: 315 | From Allentown | Registered: May 2014
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posted
The bartonella, if i have it, wouldnt be treated in 6 weeks i am sure. So that is why i am confused.
Posts: 315 | From Allentown | Registered: May 2014
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the office may be closed tomorrow. I am debating on whether i should start the ceftin and continue what i am on already?
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