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» LymeNet Flash » Questions and Discussion » Medical Questions » Ehrlichiosis - how treated?

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Author Topic: Ehrlichiosis - how treated?
KP
LymeNet Contributor
Member # 9488

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My dear friend was just diagnosed at the ER with Ehrlichiosis and was given 2 weeks of Doxycycline. Obviously that's not enough...what should she be getting? And can someone forward me the list of LLMDs in South Jersey/Philadelphia area? The one I saw for my Lyme Disease is no longer practicing. I'd be glad to hear any other advice to help her. She was a huge support to my during my Lyme and subsequent problems.

TIA,
Karen

Posts: 154 | From Medford, NJ | Registered: Jun 2006  |  IP: Logged | Report this post to a Moderator
Lymetoo
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Two weeks MAY be enough for ehrlichiosis...but it would be best for her to follow up with an LLMD. As you know, she'd be awfully lucky to have "only" ehrlichiosis.

You're a good friend!! [Smile]

I'll PM you!

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

Posts: 95250 | From Texas | Registered: Feb 2001  |  IP: Logged | Report this post to a Moderator
Keebler
Honored Contributor (25K+ posts)
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-


It may be up to 2 months at 600 mg. of doxy a day. that is what I did for ehrlichia about 8 years ago - according to the ILADS guidelines at that time. I never got better though and, even with babesia and neuro-lyme as well, that was all the treatment I could get. I hope she fares better.


you can see the current ILADS guidelines at www.ilads.org


-

This book, by an ILADS member LLMD, holds many answers:


http://tinyurl.com/6lq3pb (through Amazon)

THE LYME DISEASE SOLUTION

- by Kenneth B. Singleton , MD; James A. Duke. Ph.D. (Foreword)

You can read more about it and see customer reviews.


===

p. 258 of Singleton's book: suggests treating for at least 28 days . . . with doxy (100-200 mg twice a day) or rifampin (600 mg once a day). For difficult cases: combination of the two drugs for best success.


p. 78: . . . ehrlichia can be life-threatening - treatment should be started immediately even before testing . . . p. 79: two months' treatment with doxy resolved ehrlichia symptoms . . .


He explains more about all the tick-borne infections in the book but, of course, it's just for background. I hope a good LLMD can guide treatment here.

And, of course, as LymeToo mentioned, other TBD should be considered.

Good luck in finding a LLMD.

--

Posts: 48021 | From Tree House | Registered: Jul 2007  |  IP: Logged | Report this post to a Moderator
Clarissa
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I was under the impressin that Rifampin hits Ehrlichia.

http://flash.lymenet.org/scripts/ultimatebb.cgi?ubb=get_topic;f=1;t=061946

--------------------
Clarissa

Because I knew you:
I have been changed for good.

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KP
LymeNet Contributor
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LymeToo, thanks for the PM...you listed one of the docs I was looking for but couldn't remember his name. I believe it's the one you highly recommended. I will give her the phone numbers. She had LD many years ago and knows firsthand the severity of this disease. I'm so glad they've caught it early!!

Karen

Posts: 154 | From Medford, NJ | Registered: Jun 2006  |  IP: Logged | Report this post to a Moderator
njlymemom
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2 weeks of Doxy was given to my daughter and seemed to take care of the erlichiosis.

However, we did not know how inaccurate the WB was and her lyme went untreated and undx for over a year.

I don't know of anyone that just had erlich without lyme or other coinfections.

--------------------
This is NOT medical advice - and should NOT be used to replace your MD's advice. Info is only the opinion of those who publish the site.


The shortest way to do many things is to do only one thing at a time.

cb

Posts: 669 | From somewherebetweentherocks | Registered: Mar 2008  |  IP: Logged | Report this post to a Moderator
hiker53
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I did a month of minocycline and that seemed to take care of the ehrlichiosis. I only had mild titer and no symptoms. Hiker53

--------------------
Hiker53

"God is light. In Him there is no
darkness." 1John 1:5

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Tracy9
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Hiker, what was your titer? I was just diagnosed with Erlichiosis, but I've had Lyme for four years. Could I have had Erlich all this time, and maybe no one tested for it?

They said my titer wasn't high. I am wondering if this explains all those symptoms I thought were Babesia.

--------------------
NO PM; CONTACT: [email protected]

13 years Lyme & Co.; Small Fiber Neuropathy; Myasthenia Gravis, Adrenal Insufficiency. On chemo for 2 1/2 years as experimental treatment for MG.

Posts: 4480 | From Northeastern Connecticut | Registered: Jun 2005  |  IP: Logged | Report this post to a Moderator
hcconn22
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Doxy is used as the ABX of choice. Many feel that 2-4 weeks can kill this. Not all infectious agents are as complex as Lyme

Would get tested for other co-infections and Lyme.

--------------------
Positive 10 bands WB IGG & IGM
+ Babesia + Bartonolla and NOW RMSF 3/5/09 all at Quest

And still positive ELISA and WB two years after IV treatment
http://www.lymefriends.org/profile/blake

Posts: 607 | From Tick Town, Connecticut | Registered: Feb 2004  |  IP: Logged | Report this post to a Moderator
   

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