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» LymeNet Flash » Questions and Discussion » Medical Questions » Treatment question for Bartonella

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Author Topic: Treatment question for Bartonella
bearlythere
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Member # 31973

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I was curious to know which combination of meds. works best for Bartonella.

Minocycline with Rifampin or

Azithromycin with Rifampin?

I was on Bactrim and just couldn't tolerate all the side effects.

Thanks again..

Posts: 131 | From Maryland/USA | Registered: May 2011  |  IP: Logged | Report this post to a Moderator
Jamers
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Exactly the same question I just asked! I hope there's a good answer. For me, Doxycycline was very helpful but I know you can't take that in the summer. I have yet to take Mino. and Zith helped for 2 weeks then seemed to do nothing.

--------------------
Diagnosed Pos. Lyme Nov. 17, 2010, Igx.
Pos. Babesia Duncani March 2011, Igx.
Clinical diagnosis for Bartonella

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Lemon-Lyme
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Levaquin.

Although the possible side effects (tendon ruptures) are a concern.

I'd assume rifampin + zithro would work better than mino + rifampin in attacking Bart, but don't expect there would be a whole lot of difference either way. Minocycline (or I should say doxy, not sure about mino) or zithromax can weaken some Bart strains, but it's not really enough to get rid of it.

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canefan17
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Cumanda, Houttuynia, Gamma Rizols, Red Root, Knotweed, Hawthorn
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little_olive
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Rifampin with Doxy (or Minocycline, since they're practically the same thing) is better than Azithromycin; bartonella takes a LONG time to become resistant to Doxy, whereas it can become resistant to Zithro with just a few lapses in therapy. Both are good, though. I herxed too severely with the Doxy combo and had to switch to Rif/Zith.

You have to avoid sunlight with ALL these antibiotics except Rifampin--Doxy, Mino, and Zith all cause sun sensitivity. I never got that symptom on Doxy but I did on Zith. Just whatever you choose, start small!!!

little olive

--------------------
Myalgic encephalomyelitis, 2002 | Viral onset, following Hep B vaccine
Lyme since '06 | Bartonella since '08 (cured) | Mycoplasma pneumoniae since '08
IGeneX: IgM 31IND 34IND 41+ | IgG 39IND 58+ 41+++
IgG deficiencies and MTHFR 677TT mutations

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Jason21
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I tried all of the abxs listed below, but I really did not get back to 100% until I did 6 months of tindamax (500mg) and cipro (250mg) twice daily with meals. I was lucky to have little to no side effects from this combo, whereas doxy and flagyl really bothered me.

I was fine for a year until I had a bad URI and took a z-pak. Within a few weeks, my bart symptoms started to come back, so I have started on tind/cipro combo again. My bart symptoms started to lessen within days of going back on this combo.

--------------------
Igenex WB IgM 28+, 31IND, 34IND, 41+
WB IgG 30+, 31IND,39 IND, 41++++, 58+, 83-93IND
CD57 = 56
Prob infected since 2000
Doxy, Zith, Biaxin, Flagyl, Levaquin, Tindamax, Cipro
Highly Recommended: Trigger Point Therapy Workbook by Clair Davies

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bcb1200
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I have heard Doxy, Zith, AND Rifampin is a good combo.

I have also heard that Levquin is good, Also Factive or Cipro

--------------------
Bite date ?
2/10 symptoms began
5/10 dx'd, after 3 months numerous test and doctors

IgM Igenex +/CDC +
+ 23/25, 30, 31, 34, 41, 83/93

Currently on:

Currently at around 95% +/- most days.

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TF
Frequent Contributor (5K+ posts)
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I got rid of it taking levaquin.

See this website for how to load up on magnesium prior to starting levaquin as a way of avoiding possible tendonititis:

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

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ktkdommer
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I am doing mino, rifampin and levaquin with tindamax and artemesia. We are targeting Lyme and bart. My babesia is better.

Today is a tindamax and artemesia day with all the other stuff. Not doing too well.

--------------------
Things are never dull. After 3 fighting Lyme, 2 are in remission. Youngest is still sick, age 22. He has new diagnosed Chiari Malformation and Ehlers Danlos Syndrome.

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