posted
i'm taking biaxin/plaq/minocyclene and have had my ALT a bit above normal level recently and i've asked my LLMD if i can do periodic blood work (say once a month) to check my blood levels and he thinks it's not necessary as oral abx rarely result in -ve impact on liver, organs, etc.
I seem to disagree as i've never had an ALT above normal range until i started taking heavy oral abx. anyone have any thoughts? do you monitor or have you had elevated Liver enzymes on just oral abx?
thanks
Posts: 31 | From CT | Registered: Mar 2006
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posted
You should definitely get liver functions done. Mine skyrocketed to eight times the normal level from oral abx. I was on doxy, neurontin (for neuropathy) and nizerole (for yeast). Then I added Flagyl and they kept going up. Then I dropped the Flagyl and added Biaxin and they kept going up. Then I dropped the doxy, added Mino and Plaquenil (now I'm on your combo of three).
Recently, my liver functions started to go down a lot, but that was ONLY after I added milk thistle (a MUST to keep your liver healthy w/ all these abx), cysteplus and glyceine, all for liver support.
Moral: Definitely have your MD do blood monitoring. And I would add in those supplements for liver support to try to head off any liver toxicity. I have my liver functions done every 2-4 weeks.
Good luck!
Posts: 20 | From Chicago, IL | Registered: Mar 2006
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SForsgren
Frequent Contributor (1K+ posts)
Member # 7686
posted
Mine does not monitor the ABX levels which I which was being done. The only doc I have heard talk a lot about that is Dr. B.
Of course, liver, etc. panels are done monthly.
-------------------- Be well, Scott Posts: 4617 | From San Jose, CA | Registered: Jul 2005
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posted
I think it's not only perfectly reasonable but also much safer to have a basic blood work up done periodically as you take antibiotics. I think most LLMDs would do this when someone is taking antibiotics for an extended period of time.
Even if your doctor is right and there is a low probability, what;s the harm in checking every 4 weeks or so to make sure things are ok?
-------------------- Same nightmare, different day! Posts: 401 | From East Coast | Registered: Nov 2005
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dmc
Frequent Contributor (1K+ posts)
Member # 5102
posted
my llmd does alot of monitoring. I get monthly CBC panels for him.
Posts: 2675 | From ct, usa | Registered: Jan 2004
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posted
My primary care physician wrote a standing order for monthly liver function tests and CBC after my LLMD put me on the Minocycline/Biaxin/Plaquenil combo.
Posts: 105 | From CA | Registered: Apr 2005
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