posted
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
Posts: 123 | From New jersey | Registered: Oct 2015
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bluelyme
Frequent Contributor (1K+ posts)
Member # 47170
posted
I heard it needs to be paired with azole..also ask for actigall to protect gall bladder. Please keep us updated
-------------------- Blue Posts: 1539 | From southwest | Registered: Dec 2015
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posted
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?
Posts: 123 | From New jersey | Registered: Oct 2015
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TF
Frequent Contributor (5K+ posts)
Member # 14183
posted
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:
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