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» LymeNet Flash » Questions and Discussion » Medical Questions » Reinfected, need advice on meds for dr visit

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Author Topic: Reinfected, need advice on meds for dr visit
Linda09
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Hi everyone,

Well I hate to be back here a second time. I've been reinfected. Yes, I'm sure its reinfection and not a flare up of the original. I had Lyme in 2009 and with advice from this list, recovered completely. It was caught very early.

I was bitten by many ticks over Memorial Day weekend this year, and in early July I started having arthritis symptoms in all the joints of my hands as well as some fatigue.

Since these were some of the same symptoms I had the first time, I saw my doctor right away.

The first time I treated I used Doxy for 3 months and then Ceftin/Biaxin for 2 mons. The big problem is that I was very sun sensitive on Doxy and I currently have a job where I work outdoors and have to wear a short-sleeved uniform. So I just can't do Doxy.

My PCP has put me on Amoxicillin 500mg 3 times a day. That's working ok. But I want to make sure I treat properly and don't end up as chronic Lyme patient.

I'd like your advice on other meds to talk with my doctor about when I go in on Saturday.

I have an appointment with an LLMD in late August so I'm looking for advice on the near-term treatment.

Thanks,

Linda

By the way, my LabCorp Western Blot came back positive. And my 2 dogs both ended up with TBD - one with Lyme, one Erhlichia canis.

Posts: 24 | From New Jersey | Registered: Aug 2009  |  IP: Logged | Report this post to a Moderator
sutherngrl
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Well this is water under the bridge, but good to keep in mind. The next time you get bitten by a tick, start antibiotics ASAP. Don't wait to get symptoms. If you treat right after the bite, you have a much better chance of getting well quickly.

I hate to say it but the med that worked best for me was Doxy. However, it is different for everyone.

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James1979
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I don't like amoxi at 500mg 3 times a day. If you're going to do it like that, at least take probenecid.

I would prefer a higher dose of amoxi.

Some people use minocycline instead of doxy, but I've heard mixed reviews.

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Linda09
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Thank you James. That's exactly the kind of reply I was hoping for.
So I should ask about adding probenecid OR increasing the dosage?

Is there a generally recommended dosage of amoxi for Lyme?

Linda

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TF
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I got rid of lyme taking 1500 mg of amoxi 3 times per day, plus probenecid 3 times per day.

Without the probenecid, the amoxi has a half-life of 1 to 1 1/2 hours--so it leaves your body in no time. I don't think you can get rid of lyme that way.

Then, I added flagyl also. You may or may not need to do that. Flagyl kills the cyst form of lyme. Lyme goes into a cyst form in the presence of amoxi.

From Burrascano:

"Because of its short half-life and need for high levels, amoxicillin is usually administered along with probenecid. An extended release formulation of amoxicillin+clavulanate (�Augmentin XR�) may also be considered if adequate trough levels are difficult to attain." (page 14)

"*Amoxicillin- Adults: 1g q8h plus probenecid 500mg q8h; doses up to 6 grams daily are often needed" (page 18)

http://www.ilads.org/lyme_disease/B_guidelines_12_17_08.pdf

Translating from above: the Burrascano recommended dose is 1 gram (1000 mg) every 8 hours plus probenecid 500 mg every 8 hours; doses up to 6,000 mg per day of amoxi are often needed.

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Linda09
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Thank you, TF !
Posts: 24 | From New Jersey | Registered: Aug 2009  |  IP: Logged | Report this post to a Moderator
   

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