This is topic IV Doxy - burning in my chest in forum Medical Questions at LymeNet Flash.


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Posted by jaykay (Member # 8448) on :
 
I did IV Doxy yesterday -- it burned a little in my chest area (picc line side) when going in. It burned throughout the night.
Has anyone else had this?

I wonder if diluting the doxy more would help?
(It's only in 100 ml of saline)

I'm generally a little sore in the chest area since the picc was installed, but I guess the IV doxy made it worse. ?
 
Posted by fatigued15 (Member # 6437) on :
 
you need to mix 100 cc of saline for every 100mg. Each 100mg is given over one hour. Example. My daughter gets 200mg. It is has to be mixed in at least 200cc of saline and she gets it over 2 hours. We mix 200mg Doxy in 250 saline.

She has never had burning.
 
Posted by amkdiaries (Member # 7035) on :
 
IV Doxy is too caustic to be in such a small amount of saline. Ask the Home infusion company for a bigger bag. I did 400 mg. in 500 ml of saline.

The other concern is the type and location of the line you are using. Do you have a PICC and is it in a large vein like the subclavian?
 
Posted by jaykay (Member # 8448) on :
 
i only infused once.
100mg in 100ml saline.
i have a picc going into large vein - i think superior vena cava...
maybe i need a lot more saline?
i think the area/vein was already a bit irritated since i had the picc installed. ??
 
Posted by jaykay (Member # 8448) on :
 
and i was told to infuse the 100 mg over 2 hours!
 
Posted by lou (Member # 81) on :
 
Doxy is known to do this and I think either more saline or more time might help.
 
Posted by Tincup (Member # 5829) on :
 
Ouch on that.

Yes... the SLOWER the drip.. the less pain normally.

I don't know if one med is more caustic to the veins than another... as I have had a variety of them. What did matter was the drip rate.

In hospitals, the "busy" staff will often set the drip rate at a faster than comfortable rate because they would try to rush through their work.

It took me a long time to figure out why "nurse nasty" ...on the night shift ... would set me up and every time SHE started my IV bag dripping, I would hurt in burning pain.

Too fast of a drip was the reason... and her normal meanness didn't make life so happy then.

At one time I had a pump that automatically delivered the meds every four hours.

The timing was too quick- I didn't know about the slower the better back then... and the meds burned my veins so badly that they had to put lidocaine in the IV bags to numb my veins so I could continue treatment.

That was NOT cool. It is scary to feel your chest going numb.. your arm and other areas.

So do address it before you have burn damage.

Feel better soon.

[Big Grin]
 
Posted by jaykay (Member # 8448) on :
 
My chest is still sore -- I only infused once, and that was 5 days ago.
I think my doctor wants to dilute the doxy more, but I'm scared since I still have pain in the chest near the picc line (heart area)...
How could one dose cause lingering pain???
 
Posted by lymecaregiverNY (Member # 13287) on :
 
My poor wife infused 400mG I.V. Doxcycline everyday for roughly 30 days last October. The medication was already premixed in an I.V. bag. Each daily infusion was done slowly over a 4 hour period.

She ended up with severe burning in the chest area that sent her to the Emergency Room via ambulance more than once. When the paramedics came to the house they thought that she was having a heart attack and they worked very hard to try to stabilize her.

Later on, ultrasound scanning showed significant inflamation and damage to her veins, but only the veins near where the doxcycline was flowing into her body!

The LLMD refused to admitt that it was the I.V. Doxcycline that burned her veins from the inside.

She ended up forming a serous blood clot that forced her to stop therapy at 30 days. She ended up having to take a blood thinning medication called cumadin for a newly formed blood clot!

For several week thereafter we lived in fear that the blood clot would break free and cause her to die. Slowly, the clot dissolved and cleared.

The I.V. therapy suppressed the Lyme for a while but it came back just the same.

Watch what you are doing.
Be careful!

Godspeed.
 
Posted by jaykay (Member # 8448) on :
 
to lymecaregiverNY -- did your wife have a picc line that goes all the way to the heart?
also, did her vein damage reverse itself?

thanks
 


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