LymeNet Flash: Antibiotics - When is it time to switch?

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»	LymeNet Flash » Questions and Discussion » Medical Questions » Antibiotics - When is it time to switch?

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Author

Topic: Antibiotics - When is it time to switch?

LymeinNJ
Member
Member # 7805

posted

I have been treated with Ketek (400mg per day) for almost 2 months. The Lyme was diagnosed in the early dissemination phase. While I made some initial progress the last week and a half have been a step backwards in symptom intensity. I was wondering if anyone had recommendations on when to push your doctor for new antibiotic and getting more aggressive in treatment (e.g. IV vs. oral).

Thanks for your help!

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Posts: 44 | From NJ | Registered: Aug 2005 | IP: Logged |

Mathias
Frequent Contributor (1K+ posts)
Member # 5298

posted

Talk to your doctor about the change in symptoms and see what he/she thinks. It could be a herx, it could be a setback.

Are you seeing an LLMD, 400 mg/d of Ketek is a low dosage, not even the recommended dosage (800 mg/d) by the mfrg.

Posts: 1242 | From New Jersey | Registered: Feb 2004 | IP: Logged |

Monica
Frequent Contributor (1K+ posts)
Member # 224

posted

Yes, your dosage is half that recommended. Also I would think you should be taking another antibiotic in conjunction with the Ketek. I take Cedax (800mg daily) and Plaquenil.

Because of where you're located I suspect you might be seeing Dr. G in Basking Ridge? I am not a fan of hers.

Posts: 1757 | From Somerset County, NJ | Registered: Oct 2000 | IP: Logged |

lymeinhell
Frequent Contributor (1K+ posts)
Member # 4622

posted

My guess would be you are herxing. Or getting yeasty (symptoms from yeast are very similar, especially joint pain and brain fog, gi issues). Since you are on a lower dose, it may have taken a while to have enough impact on the keets to finally make you toxic.

It's way too early to be 'pushing' for anything. If you feel better than you did, you're on the right track.

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Julie G.
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lymeinhell

Posts: 2258 | From a better place than I was 11 yrs ago | Registered: Sep 2003 | IP: Logged |

Lymetoo
Moderator
Member # 743

posted

Just in case it's yeast: [I was thinking the same thing.]

Candida elimination: http://flash.lymenet.org/ubb/Forum1/HTML/021412.html
Lyme symptoms list compared with yeast symptoms http://flash.lymenet.org/ubb/Forum1/HTML/021202.html

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Do not take anything I say as medical advice. I am not a doctor, but I DID stay at a Holiday Inn Express!
oops!
Lymetutu

Posts: 96222 | From Texas | Registered: Feb 2001 | IP: Logged |

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