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» LymeNet Flash » Questions and Discussion » Medical Questions » Diflucan Question

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Author Topic: Diflucan Question
daphnesmom
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What is the typical dosage for Lyme Patients taking Diflucan? Thanks, I just don't want to be taking too much.
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Pinelady
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You really don't have to worry about too much.

He is right: Rarely with long term use both are

considered toxic to liver and enzymes should be

checked. This is seen in immunocompromised

patients. Such as aids or Lyme.

I take 500000IU Nystatin 4 a day.

When I first started doc prescribed 4 times

this. At 4 pills 4 times a day, And it did not

hurt me. But long term, sensitive, or allergic or

damaged organs is what to watch.

[ 09-08-2009, 05:22 PM: Message edited by: Pinelady ]

--------------------
Suspected Lyme 07 Test neg One band migrating in IgG region
unable to identify.Igenex Jan.09IFA titer 1:40 IND
IgM neg pos
31 +++ 34 IND 39 IND 41 IND 83-93 +
DX:Neuroborreliosis

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daphnesmom
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So is 100mg a day too much?
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Lymetoo
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quote:
Originally posted by daphnesmom:
So is 100mg a day too much? [/QB]

NO. MANY Lyme patients are on 200mg per day.

Just get your liver panels done every few months if you are on it constantly. My dr says he's never had someone with liver problems from taking Diflucan.

--------------------
--Lymetutu--
Opinions, not medical advice!

Posts: 96223 | From Texas | Registered: Feb 2001  |  IP: Logged | Report this post to a Moderator
bettyg
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Welcome; I'm so glad you found us!! You've come to the right place for education and support!


lyme disease and CO-INFECTION symptoms lists .... check it out..
http://flash.lymenet.org/ubb/ultimatebb.php/topic/1/81386


Dr. Burrascano's most recent "Diagnostic Hints and 2008 Treatment Guidelines for Lyme and Other Tick Borne Illnesses" .
http://www.ilads.org/lyme_disease/treatment_guidelines.html


PAGES 17-19 discuss ADULT & KIDS MED TREATMENTS!
http://flash.lymenet.org/scripts/ultimatebb.cgi/topic/1/80440?#000006

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

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

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; 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.
----------------------------------------------------

I found Turn the Corner Foundation through the website for the Under Our Skin movie. Here is the link for their website. At the bottom of their webpage there is a link to click if you are interested in getting help finding and LLMD.

http://turnthecorner.org/lyme-disease-quick-facts.htm

I emailed them for help and got a response with the names of over 10 LLMDS in two states in less than a days time. What an incredible blessing! Thought I'd pass it on.
By member Aimee, 7.11.09
------------------------------------------------------

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/


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.


UNDER OUR SKIN dvd LYME DISEASE documentary,
www.lymediseasefilm.com
go to this site to view trailer of UNDER OUR SKIN 5 min. Clip! Premiering 2008!! on big screen 09 in 10 LARGE CITIES ONLY!

HERXING REACTIONS ... understanding them!
http://flash.lymenet.org/ubb/ultimatebb.php?ubb=get_topic;f=1;t=041517


please get a western blot igm and igg blood test drawn LOCALLY on a mon. or tues. and sent to the below ok! all details are there.

IGENEX , CALIF. BLOOD TESTINGS ...check current $$!

OCT. 2008 PRICE LIST ... info only!! Showing what tests they do. PRICES HAVE GONE UP ON SOME!

http://flash.lymenet.org/scripts/ultimatebb.cgi/topic/1/78648?#000003


* Please note: What you are about to read below is NOT meant to scare any of you from any lyme testings done; it's meant to be informed PRIOR to going into having various tests done and then be told what the costs will be!
* Mine was sticker $$ shock on various testings done by my 2nd LLMD/new to me in 4=06. Those tests/results are found elsewhere in my links/advise.

* Igenex's charges for these below things cost $905, which I figured up the last 2 days for 2 other folks includes

* The below tests were done for ME; you MAY NOT NEED them all ok! :

* western blot IGM & IGG, this is MANDATORY for you which costs $200 total for 2 tests done; 6.09 same prices still.
*
* *******************************************************
* OPTIONAL ONES ARE:

* co-infection panel for YOUR AREA OF COUNTRY;
* PCR WHOLE BLOOD...this is what my LLMD ordered!

It's PREPAY! unless you are on medicare; IGX will file the
paperwork & it's FREE to you.

go to www.igenex.com and read over their info.
Prices go up twice a year: MAY and NOVEMBER!!

*
* have blood drawn MON. or TUES. only; you don't want your blood sitting in post office over the weekend; will ruin the results!

* Also, call 1-800.832.3200 for CURRENT PRICES!
* They will also send you a ``test kit'' with their required form, all the test vials, & box to ship it in! OUT OF USA will take longer to receive!

* You need to DOWNLOAD IGENEX's required form.******************************************************
*
* MD, DO ,ND, AC, DC are all fine** must sign, date, and show DIAGNOSIS CODE on there why he's ordering the test.

Make sure you show to FAX results and SNAIL MAIL PAPER COPY! My results were lost for 4-5 weeks! Bettyg 
*
* When you get your results, please post them in MEDICAL;
* Post ONLY the POSITIVE & IND ones ....
not the negative ones!

GET COPIES OF ALL YOUR SPECIAL BLOOD TESTS: western blot igm/igg and/or co-infection tests always!!

OVERSEAS INSTRUCTIONS FOR SENDING TO IGENEX/FRY LABORATORY! 2-23-08

http://flash.lymenet.org/ubb/ultimatebb.php?ubb=get_topic;f=1;t=063751


* Also, look for post by LYMETOO/TUTU on DR. C's (Missouri) explanation of the western blot IGM & IGG numbers, below!

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

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daphnesmom
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Hi I have been reading here for a while. Thanks for the welcome>
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AliG
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It can also depend on what else you're taking.

Example Rifampin:
As both are processed through the CYP450, there is an interaction between these two meds.

Rifampin wins the battle & the Diflucan you actually are able to use is lessened.

When taking Rifampin & having a need for Diflucan, it will be likely that a higher dose would need to be Rxd.

What dosage are you taking?
With which other meds?

Are you asking because you are having issues with symptoms that you believe may be attributed to the Diflucan?

--------------------
Note: I'm NOT a medical professional. The information I share is from my own personal research and experience. Please do not construe anything I share as medical advice, which should only be obtained from a licensed medical practitioner.

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jkmom
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I am taking 200 mg 1x weekly.

I also take Ceftin and Levaquin and will be adding Biaxin.

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daphnesmom
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I am taking Levaquin, Malarone and Nystatin...the rest are supps. I just thought that 100 mg/ay sounded a little high, as in the past I was only takeing 50 mg MWF. My LLMD thinks there is some yeast still kicking around so he increased it because I have this itching that comes and goes. Makes sense I guess. Is there a detox pathway war with anything I am taking?
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AliG
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[confused] Diflucan or Nystatin? [confused]

You originally asked about Diflucan.

--------------------
Note: I'm NOT a medical professional. The information I share is from my own personal research and experience. Please do not construe anything I share as medical advice, which should only be obtained from a licensed medical practitioner.

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daphnesmom
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Oh sorry, I am taking 100mg of Diflucan. That's what I originally posted about. I listed Nystatin because someone wanted to know what else I am taking.

[Smile]

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BugBit
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I think you all need to be REALLY CAREFUL about Diflucan (Fluconazol.)

For one thing, it is FLUORIDE - known to dumb you down and is a seriously toxic substance.

It stains your teeth - ask me, I took a lot in a month and my teeth went grey and brown.

It is said to be a Lyme "cyst breaker", it breaks open the Lyme morphed into cyst form, so you can get very sick after a course of it, with... Lyme.

If you can avoid it, DO.

I am using MMS - Miracle Mineral Solution/Supplement now, to great results. Kills off pathogens of all kinds including the fungus and yeasts most of you may be taking the Fluconazole for. Start at one drop a day and work up.

As for dosing, hard to say, but at one point I was taking 200-300mg a day and my then-Lyme nurse also Rx'd once a week forever. NOW I take it, like NEVER. Go for MMS, just my experience.

BTW I am Lyme Free after taking Enliv'n and MMS, have been Lyme free for a couple years now.

I am maintaining with MMS which kills everything.
It was NOT an easy road and it is still very confusing.

What is confusing is LEARNING to discern what is infecting you when and what to do about it. I could write a lot on what I have learned over the years as I was born with Lyme. It destroyed my life and now at 53, I am getting my life back.

Good luck,
*BugBit*

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AnnaL
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I'm currently taking 200 mg Diflucan once per day. I weight approx. 145 lbs.

I am also taking Nystatin.

I was taking Flagyl as a cyst-buster until a few weeks ago when yeast issues cropped up again. So I'm on a 45-day run of Diflucan to help with the yeast and to act as my temporary cyst-buster.

-AnnaL

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daphnesmom
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Can someone please explain to me how Diflucan busts cysts?

Thanks

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AliG
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Interaction Checker turned up this for the meds, which you may or may not be aware of: (you can repeat it with your supplements added if you want)

Patient Regimen

LEVAQUIN ORAL
MALARONE ORAL
NYSTATIN ORAL
DIFLUCAN ORAL


Interactions

Moderate Interaction

LEVOFLOXACIN/QT PROLONGING AGENTS

Levaquin Oral and Diflucan Oral may interact based on the potential interaction between LEVOFLOXACIN and QT PROLONGING AGENTS.


Levofloxacin/QT Prolonging Agents

This information is generalized and not intended as specific medical advice. Consult your healthcare professional before taking or discontinuing any drug or commencing any course of treatment.

MONOGRAPH TITLE: Levofloxacin/QT Prolonging Agents

SEVERITY LEVEL: 3-Moderate Interaction: Assess the risk to the patient and take action as needed.

MECHANISM OF ACTION: Concurrent use of levofloxacin and agents known to prolong the QT interval may result in additive or synergistic effects on the QTc Interval.(1)

CLINICAL EFFECTS: Concurrent administration may result in prolongation of the QTc interval and life-threatening cardiac arrhythmias, including torsades de pointes.

PREDISPOSING FACTORS: The risk of QT prolongation may be increased by cardiovascular disease, hypokalemia, hypomagnesemia, bradycardia, age, female gender, and/or use of multiple medications.

PATIENT MANAGEMENT: The U.S. manufacturer of levofloxacin states that levofloxacin should be used with caution when given with other agents known to prolong the QT interval.(1)

DISCUSSION: Agents that are linked to this monograph may have varying degrees of potential to prolong the QTc interval. Agents linked to this monograph have been shown to prolong the QTc interval either through their mechanism of action, through studies on their effects on the QTc interval, or through reports of QTc prolongation and/or torsades de pointes in clinical trials and/or postmarketing reports.(2)

REFERENCES:

1.Levaquin (levofloxacin) US prescribing information. Ortho-McNeil Pharmaceutical, Inc. September, 2008.

2.The University of Arizona Center for Education and Research of Therapeutics. Drugs with Risk of Torsades de Pointes and Drugs with Possible Risk of Torsades de Pointes. Available at: http://www.torsades.org. Updated Dec 17, 2002.

--------------------
Note: I'm NOT a medical professional. The information I share is from my own personal research and experience. Please do not construe anything I share as medical advice, which should only be obtained from a licensed medical practitioner.

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WildCondor
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Diflucan is definitely absorbed by the body!
It's Nystatin that stays only in the gut.

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