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» LymeNet Flash » Questions and Discussion » Medical Questions » So diflucan sucks.

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Author Topic: So diflucan sucks.
Jordana
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Fine shaking, brain fog, exhaustion, pressure in bladder and bowel.

Plus in the bath today my whole body smelled like yeast. What a fun surprise.

Bleagh. How long is a candida herx?

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Lymetoo
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Sure works, though.

Candida herxes can take quite awhile.

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

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SickSam
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Are you sure it's not Lyme growing? You stopped abx right?
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Jordana
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Just yesterday Sam. I think it's too early for a rebloom.
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SickSam
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Probably so. By day 2 or 3 though I crash bad. I've never had a bad Candida herx like other people talk about and I take gobs of diflucan. Guess we're all different though!
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Jordana
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If you're crashing after three days it's probably not Lyme you're dealing with -- at least according to Burrascano. They don't replicate very fast. when they're metabolically active, that's when they replicate and whatever is working in your immune system responds.

A three day crash is more likely Bart. Bactrim could be controlling it.

I'm nervous about being off Bactrim, that stuff is my jam. [Smile]

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SickSam
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Yeah I agree with you. I say Lyme but I really mean "the undetermined infection". Amoxil kills whatever it is so maybe not Bart.

I started taking bactrim again too. Not sure if I'll stay on it or switch it to mino.

Did you know Bactrim is a glutathione precursor? Built-in detox! I love bactrim.

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TNT
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I'm normally not up like this anymore, but tonight I can't sleep.

SickSam, do you have references for that? I didn't know Bactrim is a glutathione precursor. I'm glad it helps you.

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Jordana
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No I did not know that! So confusing -- I thought it blocked folate, which is also a glutathione precursor?

We need a Lyme University.

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SickSam
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Ugh, can't find the reference at the moment, sorry! I'll look more tomorrow.

At one point I had speculated that the sulfa was assisting with detox and potentially healing, so I started researching and found that trimethoprim metabolites are actually glutathione precursors. I was really surprised.

Hopefully I can find it for you all tomorrow.

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SickSam
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Oh... I might be very wrong.

This is where I originally found it:
http://www.rxlist.com/script/main/mobileart-rx.asp?drug=bactrim&monotype=rx-cp&monopage=10

Search the page for "glutathione".

When it says the trimethoprim metabolites are glutathione adducts, I think it's saying trimethoprim combined with glutathione to create the metabolites. I originally read it as if the metabolites were precursors to glutathione.

Read it and see if my new understanding is right. I think my Lyme brain made a mistake. Sorry about that. ):

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Jordana
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Oh well [Smile] . It's still my favorite drug.
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Phoiph
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FYI...in some cases, the positive "results" some may feel from antibiotics may result from their anti-inflammatory and/or immune modulating properties, not necessarily because of pathogen destruction:

http://www.chronicprostatitis.com/antibiotics-are-anti-inflammatory-agents/

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TNT
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No, I think you are right, SickSam. The wording definitely gives that impression. At least the way my small brain is reading it.

Your Rxlist.com article says:

"Trimethoprim is metabolized in vitro to 11 different metabolites, of which, five are glutathione adducts and six are oxidative metabolites, including the major metabolites, 1- and 3-oxides and the 3- and 4-hydroxy derivatives."

http://www.rxlist.com/bactrim-drug/clinical-pharmacology.htm

An adduct is a chemical compound that forms from the addition of two or more substances.

http://www.thefreedictionary.com/adduct

So, basically a product. It looks like at least the Trimethoprim part of Bactrim metabolizes to at least 5 different glutathione products and 6 oxidative ones.

Intriguing.

It does block the folate pathway, and that is why it has antimicrobial properties since some microbes need to synthesize folate to reproduce. That is also why humans need to supplement with folate when taking Bactrim. But, since we get our folate from our diet and don't synthesize it, the antifolates don't affect us AS MUCH.

http://www.pharmacorama.com/en/Sections/DNA-RNA-biosynthesis-4.php

https://en.wikipedia.org/wiki/Antifolate

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SickSam
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I'm not sure TNT...

When it says "five [metabolites] are glutathione adducts", breaking down the sentence structure to its core, it says "[metabolites] are adducts".

If the metabolites are adducts, that means the metabolites are the end products of a process/reaction. The modifier "glutathione" may mean that glutathione is used in the creation of the adduct.

So maybe:
trimethoprim + glutathione = adduct

I could be wrong. I understood it just like you are saying the first time I read it. When I looked at it closer though, this is what I got.

Whatever the case, Bactrim has helped me feel better at times. (:

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TNT
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Yeah, you're probably right. It sounds too good to be true that an antibiotic could actually increase glutathione. Especially if it's inhibiting a cofactor's pathway.
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bluelyme
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Diflucan has fluoride in it ...and block cp450 ...maybe your liver likes it (not) ..can you get glutiothione ?

--------------------
Blue

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Jordana
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I don't do well on G. But I don't think the fluoride is a problem, I never touch anything else that's fluoridated.

Unless I'm revisiting a floxing? Which would be extremely unfortunate but it would also be really weird.

I think my liver is just attempting to process lots of fungus.

I hope that's all it is, crikey.

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Badtick
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I was concerned about the fluoride in Diflucan, however, the fluoride is molecularly bound and a very large majority of the drug is excreted unchanged in the urine.
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Jordana
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Thanks for that, Badtick. I did a quick check on floxing websites and it seems like floxies are tolerating it. And they barely tolerate anything especially at first.
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