This is topic Iron: Is it ok to take with babs treatment? in forum Medical Questions at LymeNet Flash.

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Posted by robi (Member # 5547) on :
My ferritin is way low. I have been rx'd iron. Is it ok to tke with babs and babs treatment? Any schedule issues with these meds?

Just seeking your experience, not aksing for medical decisions.

Posted by justwondering (Member # 12813) on :
How come no one is helping you??

Hopefully this will bump it up for you:)
Posted by AliG (Member # 9734) on :
justwondering asked:
How come no one is helping you??

Hopefully this will bump it up for you:)

Perhaps not many have been Rxd iron w/Babs Tx, so they don't know the answer. ???
Thanks for bumping it up. I'll see if I can help at all, though I've no experience. [Big Grin]

Hi Robi,

What Babs Tx?

Which meds are you taking for Babs & What's the Iron supplement?

Here's two drug interaction checker's that I use. I usually check both because sometimes one will have something the other one doesn't. I also read the prescribing info that comes with the meds.

Interactions are usually provided there, though there may be newer ones that they weren't aware of at time of printing. [Roll Eyes]

Medscape Drug Interaction Checker

Drug Digest Interaction Checker

I also have all prescriptions filled through the same pharmacy which has a computer system that checks for interactions as well.

I do think I had read something on my bottle of Zith about "No Iron containing foods or supplements". If that's what you're taking, you may want to question the pharmacist for specifics.


[ 11. January 2008, 10:13 PM: Message edited by: AliG ]
Posted by bpeck (Member # 3235) on :
Hi Robi:

Are you still symptomatic?

To answer your question- it depends on what you're taking for a Babs treatment.

Iron is in almost all foods so it' pretty hard to avoid - but you need to know the drug you're taking and it's compatibility with iron to answer your question.

Posted by sixgoofykids (Member # 11141) on :
I took iron with babs treatment. Just take it two hours away from meds. My LLMD knew I was taking the iron as I was taking it prior to diagnosis.

I take Blood Builder. It's a good, all natural, food sourced iron that also has b12, folic acid, and vitamin c. I've had better luck with it than other sources of iron.
Posted by kelmo (Member # 8797) on :
Drink prune juice, and eat Total or Raisin Bran.

prune juice is good all the way around, keeps things moving, and you only need a small amount each night.

However, just to let you know. Babesia cling to the redblood cells, feeding off the iron. Maybe if you just let the medication do it's job for a while, the iron levels will adjust as they die.

Another good thing to take while on babesia treatment is heparin. It keeps the bugs from clinging to the red blood cell.

Run ALL this by your doctor. My opinion only.
Posted by robi (Member # 5547) on :
wondering-- thanks for the bump!

Ali -- babs tx is malarone and biaxin, iron is tandem plus. Tandem plus is iron with b-12, folic acid, vit. c, zinc.

Barb --- see above babs tx. and yes still symptomatic.

Thanks sixgoofy and kelmo I will look in to blood builder and include more natural forms of iron in my diet ..... better than a pill anyway. I will continue the supplement until the ferritin levels come up then hopefully maintain with food.

Posted by CaliforniaLyme (Member # 7136) on :
NO NO NO- I would NOT do it!!! With malaria they have found that iron supplements
Study: Iron Supplements Can Make
Children with Malaria Sicker

13 January 2006

A new study says United Nations health guidelines recommending iron supplements for anemic children could be dangerous in certain circumstances. Researchers from the United States and Zanzibar say that in areas where malaria is intense, iron supplements can increase the risk of severe illness and death.

U.N. data show that about 75 percent of East African children under five suffer anemia caused by iron deficiency. In areas where anemia is common, international guidelines call for iron and folic acid supplements for all children under two.

But a study in the medical journal Lancet shows that in places where anemia and malaria coincide, the iron supplements result in increased hospitalizations and death.

Johns Hopkins University physician Robert Black led the study of more than 24,000 children aged one month to three years in Pemba, Zanzibar, an area of high malaria transmission.

"For a number of years, there has been a concern about giving iron to populations, particularly children, that have malaria, and this seems to have been borne out in this study," said Mr. Black.

Black's team assigned the children to randomly receive various combinations of iron, folic acid, and zinc, or no supplements at all. They stopped the study early for groups getting the iron and folic acid combination because it made some children's malaria worse. Overall, children getting those minerals had a 12 percent higher risk of hospitalization for severe disease or death than those receiving no supplements.

In contrast, a companion study by Black and his colleagues in Nepal, where malaria transmission is low, shows that the supplements did not increase death and sickness among children.

The Johns Hopkins University doctor says the Zanzibar research shows that the problem seems to be with iron, not folic acid, but the biological explanation is unclear.

"It appears that there is an adverse affect of giving iron in this setting, perhaps related to the stimulation of the bone marrow to produce red blood cells that are then more readily infected with the malaria parasite," he said. "Or perhaps there is a direct toxic effect of the iron that has been hypothesized, but the exact mechanism has not been worked out."

The Zanzibar study shows that iron supplements did help some children, but only those who were anemic in the first place. As a result, the researchers recommend revising international guidelines to avoid blanket iron supplementation in places where malaria is endemic.

"One possibility is to provide iron only when there is adequate malaria control or possibly iron and antimalarial drugs simultaneously so that the malaria is controlled when iron is presented to the child," he noted. "A second possibility is that there could be screening for anemia so that only children with iron deficiency anemia would be given iron."

A Lancet commentary accompanying the Zanzibar and Nepal studies calls them a significant advance. But its authors say they represent only the extreme ends of the malaria spectrum and do not yet provide adequate evidence for global policy. The authors, from the Kenya Medical Research Institute in Nairobi, are calling for more large iron supplementation trials in areas of different levels of malaria transmission.
Posted by pamoisondelune (Member # 11846) on :
To prevent feeding iron to the microbes, also take lactoferrin pills. Lactoferrin absorbs the iron and then delivers it specifically to your own cells only.

I took lactoferrin pills for a while, then i realized that they are supposed to be taken on an empty stomach, so i could not longer fit them into my pill schedule.

I'd like more information--- is any lactoferrin absorbed if it's taken with food, even if a small percentage?

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