i'm taking biaxin/plaq/minocyclene and have had my ALT a bit above normal level recently and i've asked my LLMD if i can do periodic blood work (say once a month) to check my blood levels and he thinks it's not necessary as oral abx rarely result in -ve impact on liver, organs, etc.
I seem to disagree as i've never had an ALT above normal range until i started taking heavy oral abx. anyone have any thoughts? do you monitor or have you had elevated Liver enzymes on just oral abx?
thanks
Posted by bsm (Member # 8951) on :
You should definitely get liver functions done. Mine skyrocketed to eight times the normal level from oral abx. I was on doxy, neurontin (for neuropathy) and nizerole (for yeast). Then I added Flagyl and they kept going up. Then I dropped the Flagyl and added Biaxin and they kept going up. Then I dropped the doxy, added Mino and Plaquenil (now I'm on your combo of three).
Recently, my liver functions started to go down a lot, but that was ONLY after I added milk thistle (a MUST to keep your liver healthy w/ all these abx), cysteplus and glyceine, all for liver support.
Moral: Definitely have your MD do blood monitoring. And I would add in those supplements for liver support to try to head off any liver toxicity. I have my liver functions done every 2-4 weeks.
Good luck!
Posted by SForsgren (Member # 7686) on :
Mine does not monitor the ABX levels which I which was being done. The only doc I have heard talk a lot about that is Dr. B.
Of course, liver, etc. panels are done monthly.
Posted by davidx (Member # 8326) on :
I think it's not only perfectly reasonable but also much safer to have a basic blood work up done periodically as you take antibiotics. I think most LLMDs would do this when someone is taking antibiotics for an extended period of time.
Even if your doctor is right and there is a low probability, what;s the harm in checking every 4 weeks or so to make sure things are ok?
Posted by dmc (Member # 5102) on :
my llmd does alot of monitoring. I get monthly CBC panels for him.
Posted by Squeegee (Member # 7219) on :
My primary care physician wrote a standing order for monthly liver function tests and CBC after my LLMD put me on the Minocycline/Biaxin/Plaquenil combo.