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» LymeNet Flash » Questions and Discussion » Medical Questions » LLneuropsych first then LLMD?

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Author Topic: LLneuropsych first then LLMD?
lotus26
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Member # 26556

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I'm working with a LL Neuropsychiatrist, Dr.B we're treating some psych symptoms before i go on antibiotics again.

first for the mood swings/rage episodes/racing thoughts he put me on lamictal. i will be on this and zoloft for a month until i see him again.

then we'll work on restoring my sleep, and the cognitive issues. then antibiotics.

what do you think about this approach for what seems to be chronic (1998ish)lyme/ he thinks babesia and who knows what else?

this month i've been marking on my calendar when i have these episodes. 4 days apart exactly. is this a fast cycling bug?

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Clinical Diagnosis of Chronic Lyme, Babesia, and bartonella
9/20/10 HHV-6 IGG +
9/20/10 ANA IGG +
9/20/10 EBV IGG +

Posts: 62 | From Perth Amboy NJ | Registered: Jun 2010  |  IP: Logged | Report this post to a Moderator
Keebler
Honored Contributor (25K+ posts)
Member # 12673

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I don't understand your question.

Are you saying that you want to treat with psych drugs and not antibiotics for now?

In my experience, it did not work. Unless the infection is being addressed all the psych tx in the world did not work. In fact, they made it worse.

However, along with anti-infective treatment, it is good to address support methods. But some of that may be achieved by nutritional support. So many psych meds are hard on the liver and on the ears.

But, whichever path you choose for symptom relief, if infection is the cause, no support will be enough without addressing infection directly.

� What is your current liver support?

� your current adrenal support?

� current dose of magnesium, fish oil?

Deficiencies in any one of those areas will cause psych episodes.

=========================

www.thehumansideoflyme.net

Deliberations of a psychiatrist who evaluates and possibly diagnoses Lyme and other tick-borne diseases of the mind, sharing case histories . . .

THE HUMAN SIDE OF LYME

=====================================

Psych episodes can be caused by excess porphyrins. More detail here. See the "Secondary Porphyria" post first:
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http://flash.lymenet.org/scripts/ultimatebb.cgi/topic/1/91842?

PORPHYRIA

Liver support links are included.

=============================

As many sleep and pain meds are toxic and hard on the liver and kidneys (and cause psych episodes), here are some suggestions for sleep support that can safely nourish & calm the body:
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http://flash.lymenet.org/ubb/ultimatebb.php/topic/1/89790

Topic: NATURAL SLEEP - Links to articles & supplements

ADRENAL Support links are included.

==============================

Other methods to help support the body detailed in links here.
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http://flash.lymenet.org/scripts/ultimatebb.cgi/topic/2/13964?

Topic: How to find a LL ND (naturopathic doctor), acupuncturist, etc.

Includes how to find an ILADS-educated LL ND, an Acupuncturist, a doctor of Oriental Medicine (O.M.D.), or a doctor of Ayurvedic Medicine (D.Ay.), certified herbalists or nutritionists, etc.

Includes many articles and books on complementary / integrative methods - & RIFE links.

BODY WORK links are also included.
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Posts: 48021 | From Tree House | Registered: Jul 2007  |  IP: Logged | Report this post to a Moderator
sutherngrl
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Treat both at the same time.

I started out on antibiotics; then lyme caused me to develop a mood disorder and I was forced to treat with Lamictal(which I had a reaction to), then I switched to Risperdal. I did not stop treating LD though. No reason not to do both together.

I can say that once I started treatment with anti-psychotics, I really began to feel better.

Posts: 4035 | From Mississippi | Registered: Jul 2008  |  IP: Logged | Report this post to a Moderator
MichaelTampa
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Those neuropsych drugs can have unexpected results when you have lyme, so, regardless of order and so on, be aware you playing a bit of roulette with symptoms with those drugs. They may help, they may not, they may be worse.

The abx and detoxers can help heal and then the symptoms should go away, so, I think that would be first priority, and then you add the neuropsych drugs if you are not healing fast enough, and your symptoms are that bad, and you just want help in the meantime.

Some of the supplements and herbs and all that can also help with symptoms. I know they are not always enough, I've been plenty bad enough, before lyme diagnosis, that I played that roulette wheel some.

Posts: 1927 | From se usa | Registered: Mar 2010  |  IP: Logged | Report this post to a Moderator
lotus26
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roulette with my symptoms seems to explain how i feel on the lamictal. i was on 25mg for 2 weeks and then i had episodes every 4days. week 3 i upped it to 50mg and the first 3 days doing that my moods have gotten worse.

by reactions to lamictal do you mean physical or mental?

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Clinical Diagnosis of Chronic Lyme, Babesia, and bartonella
9/20/10 HHV-6 IGG +
9/20/10 ANA IGG +
9/20/10 EBV IGG +

Posts: 62 | From Perth Amboy NJ | Registered: Jun 2010  |  IP: Logged | Report this post to a Moderator
   

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