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» LymeNet Flash » Questions and Discussion » Medical Questions » What Orals should i do after Rocephin?

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Author Topic: What Orals should i do after Rocephin?
Nicole2011
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I have to be my own LLMD because my current one isnt that educated about the disease yet.. I have to tell him what to do.. Im wondering what should i take after my IV treatment is done for my neuro lyme?

*im not sure if i have any coinfections either because they were negative (as usual).. But possibly Bart... I was thinking i might have bart but then someone told me i may only have neuro lyme

[ 04-27-2011, 10:11 AM: Message edited by: Nicole2011 ]

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Neuro-Lyme (possible bart)
Symptoms started Jan 2011::Diagnosed Feb 11th,2011::
*Anything is possible thru God who strengthens me*

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lululymemom
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If youre taking rocephin and having improvement, you should stay with the cephalosporins.

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IGM 41 IND, 83-93+ IGG 31 IND,34 IND, 41++, 58+, 83-93 IND

31 Epitope test neg.

Bartonella henselae 1:100

Posts: 2027 | From British Columbia | Registered: Jun 2010  |  IP: Logged | Report this post to a Moderator
Nicole2011
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What is cephalosporins?

--------------------
Neuro-Lyme (possible bart)
Symptoms started Jan 2011::Diagnosed Feb 11th,2011::
*Anything is possible thru God who strengthens me*

Posts: 775 | From Pennsylvania | Registered: Feb 2011  |  IP: Logged | Report this post to a Moderator
glm1111
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Antiparasitic herbs and salt/c were my choice after abx. Visit lymestrategies for more integrative approaches as well.

Gael

--------------------
PARASITES/WORMS ARE NOW
RECOGNIZED AS THE NUMBER 1 CO-INFECTION IN LYME DISEASE BY ILADS*

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lululymemom
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rocephin (aka ceftriaxone) is known as a third generation cephalosporin. There are other abx in this group.

Third generation
Third generation cephalosporins have a broad spectrum of activity and further increased activity against gram-negative organisms. Some members of this group (particularly those available in an oral formulation) have decreased activity against gram-positive organisms.

The parenteral (IV) third generation cephalosporins (ceftriaxone and cefotaxime) have excellent activity against most strains of Streptococcus pneumoniae, including the vast majority of those with intermediate and high level resistance to penicillin. These agents also have activity against N. gonorrhoeae. Ceftazidime has useful antipseudomonal activity.

The third generation cephalosporins are:

Cefdinir
Cefixime
Cefpodoxime
Ceftibuten
Ceftriaxone
Cefotaxime

Many do well on drugs like Ceftin (cefuroxime) which is a 2nd generation cephalosporin

Second generation
The second generation cephalosporins have a greater gram-negative spectrum while retaining some activity against gram-positive bacteria. They are also more resistant to beta-lactamase. They are useful agents for treating upper and lower respiratory tract infections, sinusitis and otitis media.

These agents are also active against E. coli, Klebsiella and Proteus, which makes them potential alternatives for treating urinary tract infections caused by these organisms. Cefoxitin is a second generation cephalosporin with anaerobic activity, and although seldom used as a therapeutic agent, it may be useful for prophylaxis in gastrointestinal surgery.

The second generation cephalosporins are:

Cefaclor
Cefoxitin
Cefprozil
Cefuroxime

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IGM 41 IND, 83-93+ IGG 31 IND,34 IND, 41++, 58+, 83-93 IND

31 Epitope test neg.

Bartonella henselae 1:100

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Nicole2011
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up

--------------------
Neuro-Lyme (possible bart)
Symptoms started Jan 2011::Diagnosed Feb 11th,2011::
*Anything is possible thru God who strengthens me*

Posts: 775 | From Pennsylvania | Registered: Feb 2011  |  IP: Logged | Report this post to a Moderator
lpkayak
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this is too complicated to tx yourself. you really need an llmd. or give your doc dr b's guidelines and let him make decidions from there

but if the doc is really prescribing what you say from info you get here...you are looking for trouble

its way too complicated

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Lyme? Its complicated. Educate yourself.

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lululymemom
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If you have a good LLMD that you can trust to perscribe the appropriate tx, that's great. However, many of us have to be proactive with our own healthcare. We had to advise our doctor which medications we were wanting to use because he simply did not have the background knowledge required to treat this.

In any case, it always prudent to do your own research on the drugs you are about to take even if you have the best doctor in the country. Don't just take a drug because your doctor tells you too.. We have to take some responsibility for ourselves after all.

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IGM 41 IND, 83-93+ IGG 31 IND,34 IND, 41++, 58+, 83-93 IND

31 Epitope test neg.

Bartonella henselae 1:100

Posts: 2027 | From British Columbia | Registered: Jun 2010  |  IP: Logged | Report this post to a Moderator
annier1071
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Nicole

I am 5 months now on omnicef (cednfir) third generation cephalosporin for neuro lyme (many head issues, brain shocks) and it has been working really good.

I seem to have problems when they add a second abx to my protocol like zithro and rifampin. They have had to stop each one of these due to very severe herx and breathing problems.

I have been on just omnicef 600 again for a few weeks and feeling better than I have in a long time. My brain shocks have stopped and I am clear headed most times. Actually talked to the construction guys workign on my house today without feeling like I was zoned or going to pass out.

I dont know if this is a good thing or temporary but I will take it for now. I was told the omnicef does get through the BBB and I sure it did.

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Diagnosed with chronic neuro lyme 12/10 after 30 years of vertigo.2 tick bites in 3 yrs from upstate NY. Was on omincef for nine mths..zith and rifampin stopped.Remission~ All the pain and symptoms are back and I am not treating now with biaxin.

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Dawn in VA
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Consider a triple-threat ABX combo that includes a third generation cephlasporin, a macrolide (typically Zythromycin or Biaxin), and a cyst-buster (typically Flagyl or Tindamax). IMO, you should be on the latter WHILE you're on IV Rocephin as well as following. I relapsed after going off Rochephin and I often wonder if I knew then when I know now about Bb morph forms...

You may also want to address the biofilm component.

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(The ole disclaimer: I'm not a doctor.)

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Abxnomore
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I agree with Dawn in all regards. You should have been on orals while on IV ABX. Her recommendations are good.
Posts: 5191 | From Lyme Zone | Registered: Jan 2009  |  IP: Logged | Report this post to a Moderator
   

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