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» LymeNet Flash » Questions and Discussion » Medical Questions » Don't Levaquin and Rifampin Go Hand in Hand? No Rifampin with Levaquin for Bart?

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Author Topic: Don't Levaquin and Rifampin Go Hand in Hand? No Rifampin with Levaquin for Bart?
canbravelyme
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So I was looking at the B. Guidelines, and I notice there was no mention of Plaquenil when treating Bartonella.

It is mentioned as adjunct therapy for treatment of Borrelia.

Can someone explain to me what is going on?

Best wishes, [group hug]

[ 11-15-2009, 06:36 PM: Message edited by: canbravelyme ]

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canbravelyme
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Up

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kitty9309
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Did the guidelines previously mention using Plaquenil for Bartonella?

I have never heard it being used that way, though it doesn't mean it isn't.

I have only seen it reference in treatment of Lyme.

Up for more input.
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canbravelyme
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I thought I'd frequently heard:

Levaquin with Plaquenil?

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kitty9309
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Hmmm... I have only heard Biaxin or Zithromax with Plaquenil.

Are you thinking of Rifampin?
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canbravelyme
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Gosh, it must have been Rifampin! Thanks!

From the Guidelines, "Alternatives to levofloxacin [Levaquin] include rifampin, gentamicin and possibly streptomycin."

So, why is it I have seen frequently? on the board that Rifampin is given with Levaquin, when the Guidelines suggest Rifampin as an alternative to Levaquin?

Best wishes,

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kitty9309
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Rifampin is never given alone. It can quickly build up resistance, so it is rx'd in combo, often with Doxy, Zith or Biaxin.

I can't say why some may have taken levaquin and rifampin together.

I have seen this quoted by a doctor:

"Except for the tetracycline antibiotic group, the fluoroquinolones are not generally used in combination with other antibiotics."

Hope that helps some.
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canbravelyme
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This is all very helpful; Thank you, Kitty!

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