This is topic ABX question please in forum Medical Questions at LymeNet Flash.


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Posted by pattiecake (Member # 6424) on :
 
sorry i hit send too soon! anyway I am trying to figure out what to take in combination with my 500mg Zyth for bartonella. My doctor does not know enough about bartonella and Im trying to figure out what would work best for me.

I might be allergic to sulfa based drugs because I was put on something called Dapsone by the dermatologist when he was trying to get rid of my rash thinking it was possibly Drematitis herpetiformis (skin version of celiac) and within 3 days I had nasty itchy raised patches of bumps all over my body and thought I was going to die. Im not entirely sure if it is a sulfa based drug or not but maybe someone can help tell me.

If it is... what is safe for me to take? Is minocycline ok or rifampin instead of bactrim? I really appreciate all the help, I want to go into the dr. Office with suggestions for him as he is very open to me having a say and input into my treatment.
Thanks,
Pattiecake
 


Posted by zipzip (Member # 6226) on :
 
rifampin is probably the best choice, in my limited knowledge, for bartonella.

i know i've heard many doc use quinoline abx for bart such as levaquin or cipro.

doxy is used as well, though mino is more lipid soluable (gets deeper into tissues).

so you have a lot of choices!

hopefully someone with more more bart experience will solicit a more determinate answer.

good luck...

zip
 


Posted by treepatrol (Member # 4117) on :
 
In the co-infected Lyme patient, eradication may be difficult. Many antibiotic agents have been reported to be effective, including cephalosporins, fluoroquinolones, erythromycins, gentamicin, rifampin and streptomycin. In practice, these patients seem to do best with a combination regimen that utilizes agents that can penetrate cells. Typical combinations include an erythromycin, plus a fluoroquinolone or rifampin. Treatment progress is most commonly assessed by PCR post treatment and serial titers.
 


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