This is topic herx or relapse? how do you tell? in forum Medical Questions at LymeNet Flash.

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Posted by csperanza (Member # 9613) on :
I've been on biaxin for 3 months, and about a month ago, noticed tremendous improvement -- my symptoms were almost gone. Now they are coming back - fatigue, stiff joints, headaches. How do you know if it's a herx, a last die-off, or if the spirochetes have become resistant to the abx? It's very discouraging, but I'm sure I don't have to tell you guys that.
Posted by treepatrol (Member # 4117) on :
Time and right down when they happen.
Posted by Vermont_Lymie (Member # 9780) on :
This is a question that i have been wondering also. It seems that we have to endure treatment over the long-term (I am only 3 months into treatment).

If you write down the timing of these herx/relapses, then it could be very valuable for your treatment (IMHO) if you see a pattern over time. And valuable for answering this question.

I have heard that herxes have a 28-day cycle (do the bb emerge or replicate every 28-days?), and if you have a pattern of good-days and bad-days emerging over time, perhaps it will coincide with herxes.

IMH and non-doctor opinion! It has been important for me to try to view these setbacks optimistically...and so far experience has supported that attitude!

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