My daughter had been on IM Rocephin, 800mg Ketek and Mepron. Had horrible head pressure
eye pressure and ear pain so Dr. H had an MRI done. He took her off the Rocephin and Mepron last week.
He called last night hadn't seen the MRI yet, but took her off the Ketek now for 4 days then wants her back on it but only 400mg until a week from Tuesday.
Any ideas as to why he did that? I am SOOOOO confused.
Sorry you and your daughter are going thru this. Did doc tell you the reasoning behind doing this? Just a guess, but it may be to back her off the meds because perhaps a herx (dieoff) reaction is too much and is causing the severe symptoms and inflammation.
Think of it as riding a wave: you have to be exactly on top of it or you'll get pounded by it. its a lot of backing up and starting slowly again....there is a real balance that is attempted.
Someone here told me once that slow and steady wins the race and that the meds should kill the lyme etc without killing you. So sometimes its good to back off and allow the body to recover.
You may want to have your doc explain things better or tape record the phone visit so you can remember everything that was said. It gets overwhelming and its easy to forget important things later.
Hope this help....sorry I can't do more... Hang in there!
-pip
[This message has been edited by pippy (edited 17 July 2005).]
Posts: 446 | From California | Registered: Jul 2004
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Posts: 468 | From Las Vegas NV | Registered: Jun 2005
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valymemom
Frequent Contributor (1K+ posts)
Member # 7076
posted
ICEiam,
A good friend who has a 22 year old daughter with lyme advised me or my husband to be in the room when seeing the llmd.
We let our 22 year old go three months himself to his appointments and that caused miscommunication. He played down his herxing/symptoms and forgot things to ask/tell.
My friend said to explain that it is best to have an advocate and someone to take notes.......
I think he understands this reasoning.
Posts: 1240 | From Centreville,VA | Registered: Mar 2005
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valymemom
Frequent Contributor (1K+ posts)
Member # 7076
posted
I know it must be frustrating for our young adults to be so dependent.
Hope things get better for you all when you see him.
Posts: 1240 | From Centreville,VA | Registered: Mar 2005
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Tincup
Honored Contributor (10K+ posts)
Member # 5829
posted
He probably took her off the meds cause she wasn't doing well on them. He wants to get the MRI back to help see if it is the herx or to be sure it isn't anything else.
We see this fairly often.
If it helps....
I would have done the same.
But I am NOT a doctor... just been there in her shoes and have seen others who have.
posted
I recently relapsed from CNS lyme after 6 years. I had it under control, or so I thought. I was taking doxy since that seems ed to be the only drug that really hepled me until when I learned I had babesia as well and why I was not responding so well. Unfortunaletly I did not take the high levels of doxy required to keep the bug under control and for a couple fyears, I would miss doses and just take 200mg etc. I never visited my doctor for Lyme.
I went back to my LLMD since I felt I had no choice. I was ok one month - then the next on deaths door. My LLMD gave me Ketek, Sulphur, Mepron, and Plaquenol. I herxed so bad for 16 days that I wound up in the hospital emergency room thinking I was poisoned and had sepsis. I was further rushed to the emergency room 1 other time because I had stiffness in my neck and chest muscles, ribs, etc. and I felt like I couldnt breathe. The doctors said I was getting ari concentration.
We stated pulsing the meds including the Ketek, and herx started again, and I became suicidal. I pulsed again, and stated with just sulphur and then added Ketek ( no Mepron yet or plaquenil) and herxed again. My whole body started twiching, felt like I couldnt breathe again, ( I also have it in my throat box and ridge of my nose) not to mention my face as well.
Ketek is a VERY strong drug, and not everyone can tolerate it. You amy be able to tolerate it later as sprirchete level is lowered, but it may not be the best drug to start early in treatment with. I have had Lyme for 16 years and was high functioning for 6 years, but screwed myself up by not going to the doctro earlier- and not taking enough doxy to keep my disease under control.
People can yell at me- but my worse fear of relapsing happened, and it hit me like a tanker. I did not feel any of the symptoms that I came out when I herxed. I had some problems during the year, insomnia, waking up gagging sometimes, but thought it was normal stress related items.
I would not take Ketek for your daughter right now. I am currently trying biaxin with Mepron, and plaquenil. LLMD says that it will take longer to work, but I cant live on a Ketek herx because I thought it would kill me.
Posts: 38 | From New York | Registered: Jul 2005
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posted
I agree with Pippy, slow and steady is currently working for me. I have had some very good days and some very bad.
I know that I couldn't deal with those doses and work fulltime and take care of my family.
My activity level and energy level is slowly increasing bit-by-bit, every month since last Nov.
With a 20-something yr old child,I would want to sit in on the consultation, but would just listen. I would want to be aware of the treatment process and the llmd's theory/progress on my childs illness. (but, my daughter's not even 7 yet).
Sounds like she had a lot of meds to work with and the herxes are very disturbing and frightening. The doc is doing the right thing.
Michelle M
Frequent Contributor (1K+ posts)
Member # 7200
posted
Icey, the brain inflammation thing is hard to handle! Sounds like the Diamox did not do much for your daughter. It didn't work for me either. My doc took me off it after a week trial.
I'm glad your daughter's doc is taking a look at her MRI shortly and giving her a little break in meds till he knows what's what. The "exploding head" thing can be pretty hard to bear.
If she doesn't mind you coming along to ask questions/take notes, I'd be stowin' away on her next appointment fer sure!
Let us know how she does, please!
Michelle M
Posts: 3193 | From Northern California | Registered: Apr 2005
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arg82
Frequent Contributor (1K+ posts)
Member # 161
posted
quote:Originally posted by valymemom: A good friend who has a 22 year old daughter with lyme advised me or my husband to be in the room when seeing the llmd.
We let our 22 year old go three months himself to his appointments and that caused miscommunication. He played down his herxing/symptoms and forgot things to ask/tell.
My friend said to explain that it is best to have an advocate and someone to take notes.......
I definitely know how important this is. I have been to very few doctors appointments on my own and always feel more comfortable having someone else there to listen and absorb the information I can't grasp.
However, I can say that I much prefer whichever parent who is with me to not talk much during the appointment. I prefer for them to be more of a silent observer. They don't know nearly as much about Lyme as I do and they can't tell how I've really been feeling so I prefer for them to leave that up to me. My dad's great with that and I prefer having him take me to my appointments, my mom has a little harder time not bringing things up that I don't need to talk to the doctor about.
It is rough being a young adult, technically supposed to be independent and in charge of our own care, but still having to rely on parents for so much. But I guess it's just the way things are and I'm thankful I have parents who are understanding and supportive.
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