I started on Doxy for two months, and have been on Ceftin (750mg 3x/day) and Levaquin (250mg/day) for 3 months. At the 90 day mark (today), I am supposed to discontinue the Levaquin and add Biaxin to Ceftin.
Has anyone been on this combo? Anything I should expect? Is the Biaxin for the cyst form? Is the Levaquin supposed to have gotten the Bart? Will the Ceftin and Biaxin still get the Bart if it's not gone yet?
Thanks for any input!
Posted by SForsgren (Member # 7686) on :
These are questions that you should really be discussing with your doctor to ensure you understand his/her intentions.
Levaquin is for Bartonella. Ceftin and Biaxin to my knowledge have no impact on Bartonella. I have done Omnicel (similar to Ceftin) and Biaxin. It is generally considered a good option.
Ceftin is to target extracellular Lyme infection. Biaxin is to target the L-form of the bacteria and intracellular infection. A combination of both an intracellular and extracellular agent is needed.
Posted by SBandit (Member # 8881) on :
i took biaxin and ceftin and while i was taking it in the begining, my stomach girgled so loud you could hear it across the room. watch out for really running black diarrea. this is not good. i had to take biaxin injection later on to kill off the bartonella, it was not found out i had that co infection for years after i was being treated for lyme disease.
Posted by LZOChicago (Member # 8641) on :
Great - I will look out for the diarrhea. Fun! Wait - so does Biaxin target the Bartonella as well? I hope so, b/c not sure my low-dose of LEvaquin 250 mg kicked it out.
Posted by treepatrol (Member # 4117) on :
yep ah you should increase your acidophilis and yogurt intake ceftin is a real yeast increaser.
Posted by LZOChicago (Member # 8641) on :
Thanks - I will increase probotics, yogurt and kefir intake.
So was that "yep" to Biaxin and Ceftin will target the Bart too? Sorry if I"m slow, just trying to figure out if I was on Levaquin long enough. Thanks!
Posted by JeffM (Member # 8919) on :
No I don't think biaxin and ceftin will treat the bart. Read S. Forsgreen's comments. Also, look at the ILADS guidelines posted in the newbies section in medical.
Posted by treepatrol (Member # 4117) on :
So was that "yep" to Biaxin and Ceftin will target the Bart too?
Yes This winter maybe you can get LLMD to give a couple coarses doxy ?
Treatment of cat-scratch disease.
Conrad DA.
University of Texas Health Science Center at San Antonio, Department of Pediatrics, 78229-3900, USA. [email protected]
Cat-scratch disease is an infection caused by Bartonella henselae, a fastidious gram-negative bacillus acquired from exposure to an infected kitten or cat. The most common manifestation of human disease is lymphadenitis.
Atypical forms of infection include Parinaud oculoglandular syndrome, stellate neuroretinitis, persistent fever without localizing signs, hepatosplenic infection, encephalopathy, osteomyelitis, and endocarditis.
Immunocompromised individuals with B. hensalae infection may develop bacillary angiomatosis, bacillary peliosis, and relapsing bacteremia with fever syndrome. The bacillus is susceptible to several antibacterial agents in vitro, including penicillins, cephalosporins, aminoglycosides, tetracyclines, macrolides, quinolones, trimethoprim and sulfamethoxazole, and rifampin.
Greatest clinical efficacy has been observed following treatment with rifampin, ciprofloxacin, gentamicin, trimethoprim and sulfamethoxazole, clarithromycin, and azithromycin. In one placebo-controlled study, azithromycin therapy was associated with more rapid diminution in size of infected lymph nodes. The majority of cases of cat-scratch disease occurring in normal hosts do not require anti-infective therapy for resolution of infection.
Publication Types: Review
PMID: 11176245 PubMed - indexed for MEDLINE
Posted by LZOChicago (Member # 8641) on :
Thanks treepatrol!! That is really helpful.
Unfort my doctor (Dr. B) is retiring - last appt in October. I started tx with 2 months of Doxy, 3 months of Ceftin/Levaquin, and now Ceftin/Biaxin. Do you think I need more courses of Doxy? I just hope I'm getting the Bart at least.
Posted by LZOChicago (Member # 8641) on :
One more thing - does Bart every go away completely? Thanks!
Posted by treepatrol (Member # 4117) on :
quote:Originally posted by LZOChicago: Thanks treepatrol!! That is really helpful.
Unfort my doctor (Dr. B) is retiring - last appt in October. I started tx with 2 months of Doxy, 3 months of Ceftin/Levaquin, and now Ceftin/Biaxin. Do you think I need more courses of Doxy? I just hope I'm getting the Bart at least.
Its a kinda thing you keep treating with at least one of the afore mentioned abx's that way your working lyme and coinfection. Good Luck
Posted by lnc2000 (Member # 18440) on :
SBandit
What do you mean by " watch out for really running
black diarrea. this is not good." I started
Biaxin/Plaquinel/Omnicef for 2 days and on the 2nd