This is topic Treatment question for Bartonella in forum Medical Questions at LymeNet Flash.


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Posted by bearlythere (Member # 31973) on :
 
I was curious to know which combination of meds. works best for Bartonella.

Minocycline with Rifampin or

Azithromycin with Rifampin?

I was on Bactrim and just couldn't tolerate all the side effects.

Thanks again..
 
Posted by Jamers (Member # 28016) on :
 
Exactly the same question I just asked! I hope there's a good answer. For me, Doxycycline was very helpful but I know you can't take that in the summer. I have yet to take Mino. and Zith helped for 2 weeks then seemed to do nothing.
 
Posted by Lemon-Lyme (Member # 19229) on :
 
Levaquin.

Although the possible side effects (tendon ruptures) are a concern.

I'd assume rifampin + zithro would work better than mino + rifampin in attacking Bart, but don't expect there would be a whole lot of difference either way. Minocycline (or I should say doxy, not sure about mino) or zithromax can weaken some Bart strains, but it's not really enough to get rid of it.
 
Posted by canefan17 (Member # 22149) on :
 
Cumanda, Houttuynia, Gamma Rizols, Red Root, Knotweed, Hawthorn
 
Posted by little_olive (Member # 28063) on :
 
Rifampin with Doxy (or Minocycline, since they're practically the same thing) is better than Azithromycin; bartonella takes a LONG time to become resistant to Doxy, whereas it can become resistant to Zithro with just a few lapses in therapy. Both are good, though. I herxed too severely with the Doxy combo and had to switch to Rif/Zith.

You have to avoid sunlight with ALL these antibiotics except Rifampin--Doxy, Mino, and Zith all cause sun sensitivity. I never got that symptom on Doxy but I did on Zith. Just whatever you choose, start small!!!

little olive
 
Posted by Jason21 (Member # 16393) on :
 
I tried all of the abxs listed below, but I really did not get back to 100% until I did 6 months of tindamax (500mg) and cipro (250mg) twice daily with meals. I was lucky to have little to no side effects from this combo, whereas doxy and flagyl really bothered me.

I was fine for a year until I had a bad URI and took a z-pak. Within a few weeks, my bart symptoms started to come back, so I have started on tind/cipro combo again. My bart symptoms started to lessen within days of going back on this combo.
 
Posted by bcb1200 (Member # 25745) on :
 
I have heard Doxy, Zith, AND Rifampin is a good combo.

I have also heard that Levquin is good, Also Factive or Cipro
 
Posted by TF (Member # 14183) on :
 
I got rid of it taking levaquin.

See this website for how to load up on magnesium prior to starting levaquin as a way of avoiding possible tendonititis:

http://www.lymebook.com/antibiotic-treatment-for-babesia-bartonella-ehrlichia-co-infections
 
Posted by ktkdommer (Member # 29020) on :
 
I am doing mino, rifampin and levaquin with tindamax and artemesia. We are targeting Lyme and bart. My babesia is better.

Today is a tindamax and artemesia day with all the other stuff. Not doing too well.
 


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