During Rocephin IV (120 grams spread over 3 months instead of 2 -- ramped up from 250 mg slowly and did 2 grams daily for 6 days a week at the end) -- hubby had no gallbladder problems.

He used then and still continues to use Ox Bile supplements (he uses Allergy Research/Nutricology brand). Takes 2 or 3 capsules with lunch and supper.
http://www.vitacost.com is a good source for supplements

Hubby also takes milk thistle and dandelion for liver support also.

On occassion we do castor oil packs over the liver area.

Olive oil and lemon juice can be used for daily support as well -- up to 2 tablespoons of olive oil mixed with juice from 1/2 lemon. You can do this nightly. Don't worry about doing the full gallbladder flush you may have read about -- slow and consistent is better anyway.

Phosphatidylcholine is another supplement which is specific for liver detox, but this can be expensive. Could always be added in to mix if problems arise.

I wouldn't let the concern over a potential side effect from Rocephin stop me from using this med if your LLMD suggests it.

Just try to stay aware of any new symptoms such as nausea from eating fatty foods or pain in the liver area or change is stool color (light tan color due to insufficient bile) or elevated liver enzymes.

Bea Seibert

I was on Rocephin, 2g daily for about 5 months and didn't experience any GB troubles. I was also on Actiguall.

I don't know if it made any difference, but I infused at a much slower rate using a greater dilution. I also infused 1 gram of rocephin twice daily, took probiotics and drank lots of water during my infusions and throughout the day. I also tried to not tax my body by eating fatty foods and a lot of meat. Even my doctor was surprised that I went so long on the rocephin without any gallbladder problems.

I believe it has to do with whether your gallbladder is flushing the sludge out efficiently or not...so a supplement would probably be a good thing........zman

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I thought i'd share my story with ya about rocephin...hehe.

I started treatment on June 20th...i was off of it within 16 days of treamtent because of gallbladder sludging/small stones.. they gave me a week break from it then put me onto 1.5 grams instead of 2...

Not even 24 hours after my 1.5 infusion i had a gallbladder attack again, went off it once again... then we tried the 1.5 grams mixed with 250 cc's of saline...again had a sludge... was complete hell if you ask me..

I had my gallbladder removed on Aug. 1st...on Aug. 2nd i started back up on the rocephin and i haven't been having anymore problems...I was not on actigall at all. I fell that if your on rocephin, say goodbye to your gallbladder.

But you want to know what? I feel it was worth it for me to get my gallbladder removed because rocephin helps me so much, i have neuro lyme for about 3 years now... a year and a half undiagnosed..

I don't think the pulsing does anything at all to prevent it, but thats only my opinion.. cause its going to build up into your gallbladder anyway no matter if your on it every day or 5 days on 2 days off.

I wish you good luck with your treatment, ive only been on rocephin for almost 2 weeks now and i am improving so much ... hope i helped somehow..

I did not eat fatty/fried foods. I took Milk Thistle and DGL Licorice.

Bc

I had some gallbladder issues before-hand and am the only person in my family that still has one. Go figure!