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» LymeNet Flash » Questions and Discussion » Medical Questions » really upset-how long before feel better from malarone?

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Author Topic: really upset-how long before feel better from malarone?
beths
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So frustrated. Not sure if I should be hitting bart or babs.

Symptoms-nausea (gastroparesis), POTS
fatigue, feeling like I'm burning up in the am, occasional mild night sweats, weak arms and legs plus a "weird feeling"
in them. Occasional feeling like I need to breathe harder, occasional waking up with palpitations.

Occasional pain in the bones of my shin-Bart?

On malarone 3 weeks-still feel awful.

Bactrim worked great last time...but I developed an allergy to it, so frustrated. It hits both-now I can do rifampin or malarone. My LLMD isn't sure either

[ 03-22-2011, 08:55 AM: Message edited by: beths ]

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Lymetoo
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Sounds like most of that is from babs. What is your dosage of malarone?

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Opinions, not medical advice!

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Deb133
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Some people are on malarone months before feeling better..my daughter has been on Malarone, zith and rifampin to hit bart and babs.

deb g

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beths
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I take 2 malarone a day plus zith-can only tolerate 300mg/day (i'm a little person-106 lbs) and art 2x/day
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nefferdun
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Usually you don't take rifampin with mepron - they interact - and malarone has mepron in it.

But you could take levaquin with it. That would be a heavy herx though.

Sounds to me more like babesia than bart so I would start treating that first.

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old joke: idiopathic means the patient is pathological and the the doctor is an idiot

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Lymetoo
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I think you have to take more malarone than that. But .. you could be herxing and just not feeling BETTER yet.

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--Lymetutu--
Opinions, not medical advice!

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beths
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I took that combo before and got into remission. I think after I feel better, I will try a heavier dose, and see if I still herx.

Some LLMD's use 2 malarone, but make sure you take ART.

Is the feeling feverish when I when wake up babs?

How about heavy/weak arms legs?

The breathing isn't really air hunger-more like I'm breathing heavier

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Sammi
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To me your symptoms sound like Babs. Treating it can take some time. I don't think it is unusual to feel crummy when treating Babs.

I took Malarone only once, but I think it was four pills daily. You may want to see what is typically prescribed.

Many people herx during week three. It sounds like the meds are helping, but I am sorry you are feeling so bad.

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Deb133
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Neff...I dont believe Rif interacts with Malarone as my daughter has been on this for months...

Where did you get this info?

Also, I know some people who take 4 daily and I know some who take 1 daily like my daughter....our LLMD feels that better to take 1 daily and if that does the trick continue with just 1 and only increase it that dosage doesnt work...

As we know its not one protocol fits all....

Deb

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beths
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Deb133-Rifampin lowers the amount of malarone. If you google drug interactions-and list both meds, you will see. They both are hard on the liver.

I'm on week 3 now actually...maybe it's herx time. I started art 2 weeks before...my LLMD thought it would lesson the herx.

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Deb133
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Well that just SUCKS now doesnt it? Im wondering why my drug store didnt catch the interaction. They have before...hmmmm...also why didnt our LLMD say something...

Thank you....

Deb g

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Deb133
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ok..feeling a little better...just called our local pharmacist who I have dealt with for 20 years and although he will do more research into this tomorrow for right now he said

when you treat a condition like meningitis you would definetely not want to use both drugs together but for treating lyme etc that there would not be a significant weakening of the malarone to make a difference in not using the drug.

Geez..for now I'm breathing a little sigh of relief with that basic explanation and also because she is just getting better on this protocol but I will feel better when I get more info.

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beths
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Dr J also prescribes malarone and rif together-so I don't know. However, he pulses it 3x/wk to give your liver a break.

I usually look up my meds-I'm really concerned about protecting my liver while being on these high dose meds.

Your daughter is doing better...so it works for her!

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Deb133
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haha beths we posted at the same exact time !
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beths
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Wow- a lyme literate pharmacist...I'm impressed! I always wonder what they think of me at my local drug-store LOL
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Deb133
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Haha...truthfully I think our neighborhood pharmacists are only becoming lyme literate because of my daughter [Smile]

I do remember one of them said they only remember one other person who struggled with it like she is...

The owner is who I spoke with so he has been on the block and knows his stuff...I trust him..

Deb

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