This is topic Getting iv rocephin ! in forum Medical Questions at LymeNet Flash.


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Posted by Semia (Member # 46837) on :
 
Should be getting my hickman placed anyday now once I hear back from insurance.

My LLMD is starting slow and just on iv rocephin for now

My question is .. Does that only treat lyme or can it treat bartonella as well ?? Thanks
 
Posted by bluelyme (Member # 47170) on :
 
I heard it needs to be paired with azole..also ask for actigall to protect gall bladder. Please keep us updated
 
Posted by Lymetoo (Member # 743) on :
 
Definitely get something like actigall to protect the gall bladder. You could also get milk thistle, but I wouldn't use both.

Rocephin needs to be paired with flagyl or another cyst buster at some point in time....don't wait too long.

I don't think it does anything for bart.

GOOD LUCK!!! [Smile]
 
Posted by Semia (Member # 46837) on :
 
I wonder why my llmd didn't tell me anything about actigaill.

He said I didn't need to worry about a cyst buster right at this time. But ill have to ask him again to make sure. Ok thank you guys!

Lymetoo - So rocephin is just strictly lyme correct?
 
Posted by TF (Member # 14183) on :
 
Page 18 of Burrascano:

"PARENTERAL THERAPY

Ceftriaxone- Risk of biliary sludging (therefore often Actigall is co-administered- one to three tablets daily)."

Rocephin is the brand name; generic name is ceftriaxone.

Page 14:

"Ceftriaxone is administered twice daily (an advantage for home therapy), but has 95% biliary excretion and can crystallize in the biliary tree with resultant colic and possible cholecystitis. GI excretion results in a large impact on gut flora.

Biliary and superinfection problems with ceftriaxone can be lessened if this drug is given in interrupted courses (known commonly as "pulse therapy"- refer to chapter on this on page 20), so the current recommendation is to administer it four days in a row each week."

And, page 16:

"Treatment with ceftriaxone is dosed at 4 grams daily- given either as 2 grams IV twice daily, or 4 grams slowly once a day, four days in a row each week, usually for 14 or more weeks. Such a regimen is not only more effective in the Chronic Lyme patient, but regular interruptions in treatment lessen the potential complications of intensive antibiotic therapy with ceftriaxone, such as biliary sludging and colitis. Hence a more effective, safer regimen that by virtue of the treatment breaks, is less costly and affords the patient a more acceptable lifestyle. IV access with a heparin lock becomes possible (and preferred)."

As you will see in Burrascano, this med is used only for lyme.

Here is another lyme doctor naming the meds for the coinfections:

http://www.lymebook.com/antibiotic-treatment-for-babesia-bartonella-ehrlichia-co-infections
 


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