This is topic Flagyl in forum Medical Questions at LymeNet Flash.


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Posted by kennl (Member # 20197) on :
 
Doctor started me on Flagyl with rocephin. Am having severe stomach aches. Anybody else experience this?
Thanks
 
Posted by feelfit (Member # 12770) on :
 
Taking it with food?
 
Posted by Lymetoo (Member # 743) on :
 
Be sure to take with food.... how much are you taking?
 
Posted by kennl (Member # 20197) on :
 
No, also have upset stomach, food doesn't feel like a great idea just now
 
Posted by kennl (Member # 20197) on :
 
Rocephin 2 grams every 12 hours iv and flagyl 500 mg 3 times per day
 
Posted by feelfit (Member # 12770) on :
 
Well, if you haven't been taking it with food that is probably your problem. Same with the rocephin.

Even though rocephin bypasses the gut it is still good to have some food in your system before you infuse.

Always food with flagyl. Even a little will help.
 
Posted by kennl (Member # 20197) on :
 
To Feelfit
THANK-YOU, I am the new kid at the treatment, your advice sure helps
 
Posted by feelfit (Member # 12770) on :
 
[Smile]
 
Posted by kennl (Member # 20197) on :
 
On a different subject, Have been on the treatments for about 4 weeks and have gained 20# without changing eating habits. Does everyone deal with weight issues on top of the Lyme?
 
Posted by Lymetoo (Member # 743) on :
 
quote:
Originally posted by kennl:
Rocephin 2 grams every 12 hours iv and flagyl 500 mg 3 times per day

That's a LOT of flagyl to begin with!!!!!!

YIKES!!

Ask your dr if maybe you can start out with a lower dosage???
 
Posted by Lymetoo (Member # 743) on :
 
Weight issues.. Maybe you're not following the no sugar, low carb diet?

Yeast will make you gain weight.
 
Posted by randibear (Member # 11290) on :
 
3 times a day....wow....

i only started at ONE 500 per day and geez, it did a number on me...

are you sure you understood??? i'd go back to doc big time...
 
Posted by migs (Member # 16496) on :
 
I took 500mg three times a day (1500mg/day) for 5 months as prescribed by my LLMD.

It worked incredibly well until it messed up the nerves in my right foot and fingers. A couple more months and I swear, I'd have been symptom free. Great stuff in some ways.
 
Posted by Keebler (Member # 12673) on :
 
-

Some people find tindamax easier to tolerate.

-
 
Posted by bettyg (Member # 6147) on :
 
Welcome; i'm so glad you found us!! You've come to the right place for education and support!


Dr. Burrascano's most recent "Diagnostic Hints and 2008 Treatment Guidelines for Lyme and Other Tick Borne Illnesses" .

PAGES 17-19 discuss ADULT & KIDS MED TREATMENTS!

http://www.ilads.org/lyme_disease/treatment_guidelines.html


Dr. B's Supplement List
http://www.lymepa.org/Nutritional_Supplements.pdf


this link, making the most of your LLMD visit, may help you also.
http://flash.lymenet.org/scripts/ultimatebb.cgi?ubb=get_topic&f=1&t=020605#000005

http://flash.lymenet.org/ubb/ultimatebb.php/topic/1/77378

***************

TREEPATROL'S NEWBIE LEARNING LINKS ... over 1000 links of good info and guidelines galore!! MUST SKIM & READ !!

http://flash.lymenet.org/ubb/ultimatebb.php/topic/1/29917
************************************************************************


Betty's suggested POSTING GUIDELINES . many of us have neuro lyme where we can NOT read long solid block text and be able to comprehend and read it as is.

please edit your post by CLICKING PAPER/PENCIL ICON to right of your name. that opens up BOTH subject line and body text.

now please break up your WORDY SENTENCES into one sentence paragraphs. Then hit ENTER KEY ``TWICE`` after each paragraph; we need that space for comprehension.

then go to left hand corner and mark box to receive ALL REPLIES, and click EDIT SEND

we thank you for helping us; [Wink] otherwise, we will SOB, SCROLL ON BY, since we can't read to help you. If I see posts like this, I SOB them; to hard on me.
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People seeking doctors might be able to get help from their state online information and support group. Nearly 3,400 people belong to state groups. Some of the groups are small but more than 20 of them have 50 or more people and seven have over 100.

To find your state group, go to
http://health.groups.yahoo.com/group/statenamelyme

Type your state name and lyme as one word, like this -
http://health.groups.yahoo.com/group/newyorklyme

South Carolina is the only state that needs a hyphen between the statename
and lyme, e.g. http://health.groups.yahoo.com/group/southcarolina-lyme

The groups are moderated and you have to apply. Most don't allow doctor names, but once on the group, you can ask for doctors in a certain area and ask people to email you privately.
*******************************************

This explains the medical politics around lyme WHY you need an ILADS-educated or ILADS-member LLMD (and there are also some ILADS-member LL NDs (naturopathic doctors):

www.clinicaladvisor.com/Controversy-continues-to-fuel-the-Lyme-War/article/117160/


From the May 2007 issue of Clinical Advisor

CONTROVERSY CONTINUES TO FUEL THE "LYME WAR" -(author's details at link)

As two medical societies battle over its diagnosis and treatment, Lyme disease remains a frequently missed illness. Here is how to spot and treat it.

Excerpts:

Meet the players

The opponents in the battle over the diagnosis and treatment of Lyme disease are the Infectious Diseases Society of America (IDSA), the largest national organization of general infectious disease specialists, (and)

and the International Lyme and Associated Diseases Society (ILADS), an organization made up of physicians from many specialties. ( www.ilads.org )


IDSA maintains that Lyme disease is relatively rare, overdiagnosed, difficult to contract, easy to diagnose through blood testing, and straightforward to treat ( www.journals.uchicago.edu/CID/journal/issues/v43n9/40897/40897.html - Accessed April 6, 2007).


ILADS, by contrast, asserts that the illness is much more common than reported, underdiagnosed, easier to contract than previously believed, difficult to diagnose through commercial blood tests, and difficult to treat, (especially)

especially when treatment is delayed because of commonly encountered diagnostic difficulties ( http://www.ilads.org/guidelines.html - Accessed April 6, 2007).
. . .

" . . .To treat Lyme disease for a comparable number of life cycles, treatment would need to last 30 weeks. . . ."


`` . . .Patients with Lyme disease almost always have negative results on standard blood screening tests and have no remarkable findings on physical exam, so they are frequently referred to mental-health professionals for evaluation.


"...If all cases were detected and treated in the early stages of Lyme disease, the debate over the diagnosis and treatment of late-stage disease would not be an issue, and devastating rheumatologic, neurologic, and cardiac complications could be avoided..."


. . . * Clinicians do not realize that the CDC has gone on record as saying the commercial Lyme tests are designed for epidemiologic rather than diagnostic purposes, and a diagnosis should be based on clinical presentation rather than serologic results.

- Full article at link above, containing MUCH more detailed information.
-===

Co-infections (other tick-borne infections or TBD - tick-borne disease) are not discussed in the Savely article due to space limits. Still, any LLMD you would see would know how to assess/treat if others are present.
==========================

TESTING

You should also be evaluated for coinfections. Not all tests are great in that regard, either, but a good LLMD can evaluate you and then guide you in testing. One of the top labs is:

www.igenex.com IGENEX

-----
There are a couple other good labs for certain tests: Fry; Clognen; Focus. Your LLMD will know.
========================

VERY important to read - even BEFORE testing:

Dr C's Western Blot explanation is discussed here:

http://flash.lymenet.org/ubb/ultimatebb.php?ubb=get_topic;f=1;t=042077

"With most infections, your immune system first forms IgM antibodies, then in about 2 to 4 weeks, you see IgG antibodies. In some infections, IgG antibodies may be detectable for years.

Because Borrelia burgdorferi is a chronic persistent infection that may last for decades, you would think patients with chronic symptoms would have positive IgG Western blots.

But actually, more IgM blots are positive in chronic borreliosis than IgG. Every time Borrelia burgdorferi reproduces itself, it may stimulate the immune system to form new IgM antibodies.

Some patients have both IgG and IgM blots positive. But if either the IgG or IgM blot is positive, overall it is a positive result.

Response to antibiotics is the same if either is positive, or both. Some antibodies against the borrelia are given more significance if they are IgG versus IgM, or vice versa.

Since this is a chronic persistent infection, this does not make a lot of sense to me. A newly formed Borrelia burgdorferi should have the same antigen parts as the previous bacteria that produced it.

But anyway, from my clinical experience, these borrelia associated bands usually predict a clinical change in symptoms with antibiotics, regardless of whether they are IgG or IgM."
===========

TREATMENT *** www.ilads.org

ILADS
The International Lyme and Associated Diseases Society (ILADS) provides a forum for health science professionals to share their wealth of knowledge regarding the management of Lyme and associated diseases.
===========
i'm going to try to post a link here with info on SUCCESSFUL LAWSUITS WON ON LYME DISEASE from www.lymenet.org site!
look on LEFT side :legal resources" !! all WINNERS!
 
Posted by dsiebenh (Member # 5353) on :
 
I's on Flagyl and couldn't tolerate more than 3 days at 250mg before the herx was unbearable.

Just as an experiment I tried Sam-e and it allowed me to take 250mg Flagyl per day 7 days a week. Supposedly , one of the 3 sam-e benefits is detox assistance. I was extremely surprised this worked.
 
Posted by WildCondor (Member # 434) on :
 
That is a normal dose of Flagyl, just be sure to take it with food, eat a meal, then take it. The Rocephin may be bothering your gallbladder and you should be on Actigall. Ask your LLMD.
 
Posted by CherylSue (Member # 13077) on :
 
Dsiebenh,

How much Same-E were you taking with the Flgayl? When did you take it? With the flagyl? A few hours from the Flagyl?

I worked up to 1/4 Flagyl every other day because of the herxing.

Where do you get the Same-E?


Thanks for your input.

CherylSue
 
Posted by dsiebenh (Member # 5353) on :
 
200mg of Sam-e 3x per day empty stomach. 250mg flagyl once per day with breakfast. I got a free sample for $5.99 shipping at www.bestsame.com. You can also buy at Walmart or Sams.
 


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