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» LymeNet Flash » Questions and Discussion » Medical Questions » Anyone here on Rifampin with Mepron or Malarone?

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Author Topic: Anyone here on Rifampin with Mepron or Malarone?
Haley
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I am aware of the insert on this medicine which says that the efficacy of Mepron would be decreased if taken with Rifampin.

There are, however, a couple of famous LLMDs that prescribe this.

Anyone here on this combo? I also would be interested in dosage, how long etc.. if you would like to PM me.

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nefferdun
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Mepron is so expensive I can't imagine lowering it's effectiveness taking Rifampin with it. You could use levaquin instead.

--------------------
old joke: idiopathic means the patient is pathological and the the doctor is an idiot

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baileypup
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Haley,

I am supposed to start taking Rifampin with Mepron, although will be taking them at different times; Rifampin on an empty stomach, Mepron with fat later.

My LLMD (may be same as yours) thinks it's a better choice than levaquin.

We'll see how it goes...

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willbeatthis
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Haley: I took both together because I had such unrelenting foot pain that he went ahead and put me on Rifampin (Bart) with the Mepron. I was on it for about 7 months strait two teaspoons a day 2x a day and about the third month, Rif was added. I did not take them separate which I should have as the Rif is much more effective on an empty stomach. I think I have beaten the babs as the night sweats have not come back and I have been off for about a month- actually a month tomorrow. So- for me - it may have decreased efficacy but the benefits were greater than the cost. I trust the experience of my doc and he has not led me wrong yet. I hope it will be as successful for you...
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willbeatthis
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Also Haley- I ate 30 grams of fat with each Mepron meal -- almonds - almond butter, these awesome cashew almond clusters from Costco... whatever it took to get the fat in. I believe that helped with absorption a lot.
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Katrina
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I was also on that combo. At one time I was on Mepron with Rifampin and another time Malarone with Rifampin. It does decrease the effective dose of Mepron/Malarone but I just increased the drugs to compensate and after awhile I decreased the Rifampin.

The drugs really worked well for me.


Katrina

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