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» LymeNet Flash » Questions and Discussion » Medical Questions » Second Question: Treating the different forms of Lyme?

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Author Topic: Second Question: Treating the different forms of Lyme?
xoxoxox
LymeNet Contributor
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I've read about the three different forms the Lyme bacteria can take - Spirochete, L-Wall Deficient and Cyst form.

My LLMD is about to start me on IV Ceftriaxone and I wanted to find out for combination therapy which meds treat Cyst forms, which ones treat Spirochete and which treat the L-Wall Deficient form.

What forms do the IV abx treat?

Which meds would be a good combination with my IV Treatment to be sure that all three forms are knocked out?

Thanks!

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Danni

Posts: 311 | From Glen Mills, PA | Registered: Jan 2009  |  IP: Logged | Report this post to a Moderator
seekhelp
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I constantly hear Flagyl or Tini (short) for Cysts. An oral combination may be Ceftin, Biaxin, and Flagyl. There are many others. I've never treated with all three at once. I don't know how I'd do. My docs don't do more than 2 drugs at once at any time. They said no one can handle the herx.

I haven't had IV so I can't comment there. Others will I'm sure. Good luck.

Posts: 7545 | From The 5th Dimension - The Twilight Zone | Registered: Mar 2008  |  IP: Logged | Report this post to a Moderator
xoxoxox
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Thanks seekhelp

Anyone else know what forms of Lyme IV abx treat?

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Danni

Posts: 311 | From Glen Mills, PA | Registered: Jan 2009  |  IP: Logged | Report this post to a Moderator
TF
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It is my understanding that any antibiotic can be put into a liquid form and taken as an IV. So, don't concentrate on the IV aspect, concentrate on what medication you are taking.

It seems to me that ceftriaxone treats the typical form of lyme (spirochete) and so you would want to add a cyst buster such as metronidazole (flagyl) or tinidazol. That should take care of your concern.

However, I hope you have looked into what Burrascano says about the use of ceftriaxone. Here is a quote from his Guidelines:

"When choosing a third generation cephalosporin, there are several points to remember: Ceftriaxone is administered twice daily (an advantage for home therapy), but has 95% biliary excretion and can crystallize in the biliary tree with resultant colic and possible cholecystitis. GI excretion results in a large impact on gut flora. Biliary and superinfection problems with ceftriaxone can be lessened if this drug is given in interrupted courses (known commonly as ``pulse therapy''- refer to chapter on this on page 20), so the current recommendation is to administer it four days in a row each week. Cefotaxime, which must be given at least every eight hours or as a continuous infusion, is less convenient, but as it has only 5% biliary excretion, it never causes biliary concretions, and may have less impact on gut flora." (p.14)

Cholecystitis is inflammation of the gallbladder. In other words, if you get the IV every day, you will probably end up having to have gallbladder surgery to remove your gallbladder.

Others who have used this med have posted about a med or product you should take along with the ceftriaxone to help prevent the gallbladder surgery.

Anyway, the pulsing seems to be very important, per Burrascano, to avoid this surgery. Many have experienced it, so it is not rare.

Why not start a new post asking for info on IV ceftriaxone. I think you would get a lot of helpful information that way.

Burrascano Guidelines are here:

http://www.ilads.org/lyme_disease/B_guidelines_12_17_08.pdf

Posts: 9931 | From Maryland | Registered: Dec 2007  |  IP: Logged | Report this post to a Moderator
   

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