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» LymeNet Flash » Questions and Discussion » Medical Questions » Biaxin/Flagyl for Babesia

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Author Topic: Biaxin/Flagyl for Babesia
tickedntx
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After five months of Mepron and azithromax, my WA-1 test still comes back + . Today I have started Biaxin and Flagyl for Babesia.

I had not heard of this combination being used for Babesia. Has anyone else had experience with this combo for Babs, or have any other info?

TIA,

[ 31. October 2006, 09:47 AM: Message edited by: tickedntx ]

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Suzanne Shaps
STAND UP FOR LYME Texas (www.standupforlyme.org)
(Please email all correspondence related to protecting Texas LLMDs to [email protected] with copy to [email protected])

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Health
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Why arent you on Clindamycin and Quinine?
This has been proven to kill babesia, I have read.

I have been on this and it the herxing has been deadly. I have not had a positive Babesia Microti, have not been tested for WA-1 through IGENEX, and would like to but

was told that you have to be OFF Babesia medications for 3 weeks to get the FISH test done, and other tests, something to this effect, cannot recall exactly,

Trish

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micul
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I haven't heard of anyone getting rid of WA-1 with anything but Riamet, Larium, or a primaquin combo. It's very hard to get rid of. Biaxin will not do anything for it IMO.

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Health
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I have always thought that babesia, all strains of babesia responded to clindamycin/quinine

OR

Mepron/ and a macrolide.

Is this new info about the Raimet and larium?

Never heard of riamet or larium, I am in Canada.

and am on clindamycin and quinine again.

thanks,

Trish

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NP40
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Many doc's use flagyl or tinidazole in babs treatment. Mepron, plaquenil and malarone are used as well.

I'd think biaxin and flagyl would have some efficacy against babesia, especially if combined with artemisinin.

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cactus
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We're in the same boat. After 6 mos on mepron & biaxin (3 mos) or ketek (3 mos), my WA-1 was still pos also.

Currently, I'm on malarone, zith, and artemisinin, and was pulsing flagyl once monthly, now pulsing tinidazole once monthly. (And also omnicef, but that's not targeting babs, to my knowledge)

I understand flagyl kills babs, not sure about biaxin without mepron or malarone. Others will know, I'm sure.

Will you be adding in artemisinin as well? I've noticed significant changes with artemisinin.

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NP40
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Definitely want to add artemisinin to any babs treatment. The biaxin, zith, etc. don't kill babs but prevent the babs from developing resistance to mepron, malarone, art, plaquenil, etc.
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Lymetoo
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quote:
Originally posted by NP40:
Definitely want to add artemisinin to any babs treatment.

I agree that Biaxin and flagyl won't do much for babesia.

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NP40
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quote:
Originally posted by Lymetoo:
quote:
Originally posted by NP40:
Definitely want to add artemisinin to any babs treatment.

I agree that Biaxin and flagyl won't do much for babesia.
Agreed Too, but I'll bet you'll get a heckuva Bb herx ! [Eek!]
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Lymetoo
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OH yeah!! Biaxin worked GREAT for me in the Lyme department! Flagyl too.....but oh what misery on that one!!

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--Lymetutu--
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tickedntx
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To those who are saying that this combination will NOT work on Babesia: what is your basis for saying so?

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DolphinLady
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I've heard sometimes it takes 2-3 rounds of mepron/zith/art to handle the babs. I'm on my second round and am getting even more results than the first time - significant improvement.

Best wishes.

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minimonkey
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I don't know about the flagyl combo -- but flagyl is an antiparasitic, so perhaps that makes sense....

I'm on round two of the mepron tx myself -- first time was mepron/ketek/artemisinin, now doing mepron/zith/art ( I stopped tolerating the ketek at all [Frown] )

I'm having my first-ever babs herx, I think. I didn't herx the first time around.. just felt better. Now, I'm sweating up a storm with this round.... I wonder if the zith is somehow making the mepron/art work better...?

--------------------
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It's something in between, I guess"

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NP40
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quote:
Originally posted by DolphinLady:
I've heard sometimes it takes 2-3 rounds of mepron/zith/art to handle the babs. I'm on my second round and am getting even more results than the first time - significant improvement.

Best wishes.

The standard minimum is 3 rounds and many times additional rounds are used as well.
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Lymetoo
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quote:
Originally posted by tickedntx:
To those who are saying that this combination will NOT work on Babesia: what is your basis for saying so?

I've never heard of anyone here saying it worked. [been here 6 yrs +] Haven't seen any research on it either...though that may not mean anything.

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JRWagner
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I agree 100% with TuTu...I have been to the top LLMD's/ILADS Doctors and not one has ever used Flagyl or Tinny for Babesia...just for the BB that is usually present as well.

Read Dr. Burrescano's 2005 guidelines or, if you are still not convinced, read the info from Pfizer:

www.pfizer.com/pfizer/download/uspi_flagyl.pdf

As for the other antibiotics mentioned there is no studies using these for Babesia. Why would a Doctor recommend using them?

We all would like to know the basis for such a decision.

Me? Lyme for 12 years...still fighting.

I took 4 months of Mepron and Zithromax for Babs...do I still have it???? Who knows...the testing is still not able to detect all the strains of Babesia (Dr. Burrescano estimates that there are over 20 different strains, and yet we only have tests fot two!)

I have heard Igenex has improved their Babesia testing recently.

Peace, Love and Wellness,
JRW

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tickedntx
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I will ask at my next appt.

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Suzanne Shaps
STAND UP FOR LYME Texas (www.standupforlyme.org)
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Health
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I thought I saw several times a couple years ago on the Internet that there were studies done that

Clindamycin and Quinine were what killed Babesia?

I read this I thought? I was sure several times places on the Internet. Scientific studies done with the CLindamycin and Quinine to treat

babesia.

Are there studes done with Mepron and the Macrolides that these combos kill babesia?

I thought Mepron was a new drug? Is there studies that show this combo to work against babesia? Dr B recommends this combo, so there must be a reason?

studies done that this combo mepron and macrolides kill babesia?

I am on clindmaycin and quinine 7th week and sick as heck still. I want to throw the towel in and

DIE! from all this BS of healing.

JUST A thought to those that had combos not work, could it be because of some supplement you are taking that is making the drug combo INeffective?

I had this happen, olive leaf extract made the antibiotics less effective. Nystatin was fine.


Trish

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micul
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Trish.

Clindy and Quinine does work but it's hard to hardle. A lot of people cannot tolerate it, and there is resistance to it after all the years that it was the mainstay for malaria.

Mepron was developed for aids patients for another protozoal parasite similar to babs (PCP). It turns out that it also works on Babs when a Macrolide is used with it. It is very expensive tho, and Tx can take up to a year to be successfull. At $800 a bottle, that turns out to be big bucks! Clindy + Qiunine can still work if it doesn't kill you first [Smile]

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Health
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thanks,

Why cant the people tolerate it? What are the symptoms that make them stop?

I have ringing in my ears, from it, but thought this would go away when I stopped this combo?

I recently heard that a woman had a DEADLY reaction to it, she was up at Emergency because of the Quinine. I spoke to her on the phone, she had a rare reaction to it, and near died from it.

The DR's though up at Emergency said that Quinine is a common drug and what happened to her was rare.

Did you try this combo? and if you did did you stop it from side effects?

I am on my 7th week of it, and wonder if I am sick from some side effects of it.

thanks,

Trish

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Lymetoo
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According to my dr's in house research [among HIS patients] those on clindamycin/Q did better than those on mepron/zith. It was only a 5% difference.

When you consider the cost also, it makes sense to try the clindy/q. I took it for many many rounds. When I finally took artemisinin and zith, I seemed to have gotten rid of the babs.

I'm not going to hold my breath that either it or the lyme is gone forever.

Trish...read up on side effects here:

www.drugdigest.com

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Health
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Lymetoo,

What I find odd is that by going off and on the clindamycin and quinine, how could it always be effective for you?

I find that the clindamycin and quinine does not seem as effective as before when I took it.

When you stop it and start it several times, I would think? that it would not be so effective as the first time you took it.

I read that your LLMD did 10 days of it for you several times, I have not read this before.

Dr B recommends at least 4 months nonstop if you have chronic babesia.

Does your LLMD follow Dr B's guidelines?

Whatever works that is the main thing, and if you are well then that is great, just that I never heard of having this 10 day babesia treatment several times.

[Smile]

Trish

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Lymetoo
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quote:
Originally posted by Health:

Does your LLMD follow Dr B's guidelines?


Yes, he does follow his guidelines for the most part.

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surg
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My LLMD uses tini and zith(same as flagyl and biaxin combo) for WA-1 and yes it does work. I'm in the same boat and will be starting it too this weekend. I'm not tolerating the mepron well to say the least.
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tickedntx
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surg:

Thank you for your input. I was probably put on the Biaxin/Flagyl combination because I had been on the Zithromax for so long, including for several months prior to starting Mepron.

It is WA-1 for which I have tested +. Perhaps they are finding that these combos are more effective for the WA-1 strain.

Interestingly, at least to me, is that, after testing negative on the Babesia panel at Igenex in 2004, I did four months of Mepron and Zithromax as a precautionary measure, and still tested + for WA-1 two years later. (I was not tested in between those two rounds of testing.)

Given that the earlier round and this current round of Mepron and Zithromax did not eradicate the infection, it makes sense to try something different.

I would like to make a suggestion to those of you who said that Biaxin/Flagyl would not work against Babesia. While I appreciate that you took the time to respond, be cautious in the future about making absolute assertions when you really don't know.

TBD treatment is constantly evolving. Unless you had read something that stated that this combination would not work, it would have been best to reply, as some did, that you've just never heard of this rather than asserting that it would not be effective.

While I've been around long to enough to be at least a little skeptical of all patient input, many new members may not be. Please be careful.

Thank you all again for your input.

--------------------
Suzanne Shaps
STAND UP FOR LYME Texas (www.standupforlyme.org)
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treepatrol
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This weird I just had a LLMD appt and I am starting biaxin & mepron He took me off the combo omnicef biaxinxl left me on biaxin xl and is adding in mepron 21 days on 14 off mepron then 2 days mepron, Then probaly take out biaxinxl add in zith. He dosent like to switch two abx's out at the same time apparently its to much for the body to adjust to??

Anyway he wasnt happy because I am setback in one way he said we missed coinfection first time around now going after parisitic babs he wanted me to test but I said because of all the bites I have had lets just treat for everything again, because tests dont always show possitives.{But he did want Igenex} Any way he did mention that certain antibiotics do effect babs and other infections of that type but its slower and and at long uninterupted doses??

So apparently abx can effect some parisitic infections I didnt get into how though.


my 2 cents

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micul
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Suzann says:

I would like to make a suggestion to those of you who said that Biaxin/Flagyl would not work against Babesia. While I appreciate that you took the time to respond, be cautious in the future about making absolute assertions when you really don't know.

And I would like to caution you that some Dr's try different combinations that have proven not to be effective, and also that one person chiming in that his Dr does believe that it works is no proof that it does. I have used 1000 mg bid of Tini and Flagyl along with Mep and Zith for 6 months at a time, and it did not work.

The absolute assertions that we make are based on our own experience, as well as spending years in therapy and on Lymenet, and not seeing any successes with Biaxin Flagyl against WA-1. It's up to you what you believe.

Tini and Flagyl are antiparasitic and antiprotozoal, and they are effective against babs to a degree, but resistance does develope against them rather quickly.

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treepatrol
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Oh I forgot I told him I have been weezing some and he said that some parasitic infection cause a increase in histamines which can cause the weezing.

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treepatrol
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quote:
Originally posted by micul:
Suzann says:


The absolute assertions that we make are based on our own experience, as well as spending years in therapy and on Lymenet, and not seeing any successes with Biaxin Flagyl against WA-1. It's up to you what you believe.

Tini and Flagyl are antiparasitic and antiprotozoal, and they are effective against babs to a degree, but resistance does develope against them rather quickly.

I made no absolute assertion just comments.

you said

Tini and Flagyl are antiparasitic and antiprotozoal, and they are effective against babs to a degree,

I have been on flagyl or its generic but never tini.

and i have been treated with metrodiazadole sp? generic flagyl probaly since 2001 around a years worth if not more over the years the last time I was on it we were trying pennicilin vk and flagyl and it was the only time i had re occurring stomach aches like every day which we switched to flagyl and ketek which the stomach aches continued so out went the flagyl and they stopped.

no absolutes just trying to figure.

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treepatrol
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*insomnia
*loss of appetite
*mild diarrhea
*nausea
*stomach pain or upset

What should I watch for while taking mefloquine? (Back to top)
If you get a fever during or after you start taking mefloquine, do not treat yourself. Contact your healthcare provider immediately.

If you are taking mefloquine or have taken mefloquine in the past 3 weeks, you should not take halofantrine (another malarial drug). Dangerous heart side effects may occur. Talk to your health care provider.

Tell your prescriber or health care professional if your symptoms do not improve in a few days. If you are taking mefloquine for a long time, visit your prescriber or health care professional for regular checks. If you notice any changes in your vision see your ophthalmologist for an eye exam.

You may get drowsy. Do not drive, use machinery, or do anything that needs mental alertness until you know how mefloquine affects you.

While in areas where malaria is common, certain steps can be taken to prevent being bit by mosquitos. They include:
1) Stay in air-conditioned or well-screened rooms to reduce human-mosquito contact.
2) Sleep under mosquito netting, preferably one with pyrethrum-containing insecticide.
3) Wear long-sleeved shirts or blouses and long trousers to protect arms and legs.
4) Apply mosquito repellents containing DEET to uncovered areas of skin.
5) Use a pyrethrum-containing flying insect spray to kill mosquitos.

Where can I keep my medicine? (Back to top)
Keep out of the reach of children in a container that small children cannot open. It is important to keep mefloquine out of reach of children; overdose is very dangerous.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused medicine after the expiration date.


::::::::::::::::


::::::::::::::;


Riamet


How does it work?

This medicine contains two active ingredients, artemether and lumefantrine, both of which are antimalarial medicines. Malaria is caused by a protozoal parasite called Plasmodium, which is carried by mosquitoes. During a bite from an infected mosquito, the parasite passes into the body. Once inside, it lives and reproduces, resulting in the disease known as malaria. The malaria parasites have various stages in their lifecycle within the body. After entering the bloodstream during a bite from an infected mosquito they are carried to the liver, where they reproduce. They are then released back into the bloodstream where they infect red blood cells. In the red blood cells, the malaria parasites digest haemoglobin, the red protein within red blood cells that is responsible for carrying oxygen. When this happens, the haemoglobin is divided into two parts; haem and globin. Haem is toxic to the malaria parasites, and they protect themselves from it by producing a substance that converts the toxic haem into a compound called haemozoin, which is not toxic to the parasites. Artemether and lumefantrine work by interfering with the ability of the malaria parasites to convert haem into haemozoin. This causes the levels of the toxic haem to rise, which kills the blood stages of the malaria parasites and stops the infection from continuing. This medicine is given as a three-day course of treatment, which minimises the length of time that the parasites are exposed to the active ingredients. This reduces the chances of the parasites becoming resistant to the medicine - something that is an increasing problem with antimalarial drugs.
What is it used for?


Treatment of uncomplicated Plasmodium falciparum malaria
Warning!


Unless your doctor or pharmacist tells you otherwise, you should avoid drinking grapefruit juice while taking this medicine, as it may affect the level of this medicine in your blood.
Take this medicine with or after food.
This medicine may cause fatigue and dizziness. You should take care when performing potentially hazardous activites, such as driving or operating machinery, until you know how this medicine affects you and are sure you can perform such activities safely.
If you are sick within one hour of taking a dose of this medicine you should consult your doctor or pharmacist, as you may need to take another dose.
It is very important that you complete the prescribed course of this medicine, unless otherwise directed by your doctor, as the medicine may not be fully effective if you don't.
This medicine is not recommended for children under 12 years of age and/or weighing less than 35kg.
If you have kidney, liver or heart problems you should have regular tests while you are taking this medicine, to monitor the level of potassium in your blood (blood test), and your heart function (ECG).
Use with caution in


Abnormal heart rhythm seen on the heart monitoring trace (ECG) as a 'prolonged QT interval'
Heart failure
History of symptomatic irregular heart beats (symptomatic arrhythmias)
Imbalance of the salts in the blood, particularly low blood potassium levels (hypokalaemia) or low blood magnesium levels (hypomagnesemia)
Severely decreased kidney function
Severely decreased liver function
Slow heart rate (bradycardia)
Not to be used in


Breastfeeding
Complicated cases of malaria
Family history of abnormal heart rhythm, present at birth, seen on the heart monitoring trace (ECG) as a 'prolonged QT interval'
Family history of sudden death
Heart disease
People with diseases or conditions that can cause an abnormal heart rhythm, seen on the heart monitoring trace (ECG) as a 'prolonged QT interval', or people taking medicines that can cause this. (Your doctor will know.)
This medicine should not be used if you are allergic to one or any of its ingredients. Please inform your doctor or pharmacist if you have previously experienced such an allergy. If you feel you have experienced an allergic reaction, stop using this medicine and inform your doctor or pharmacist immediately.

Pregnancy and Breastfeeding

Certain medicines should not be used during pregnancy or breastfeeding. However, other medicines may be safely used in pregnancy or breastfeeding providing the benefits to the mother outweigh the risks to the unborn baby. Always inform your doctor if you are pregnant or planning a pregnancy, before using any medicine.


The safety of this medicine in pregnancy has not been established. It should therefore be used with caution during pregnancy, and only if the benefits to the mother outweigh any risks to the foetus. Seek medical advice from your doctor.
It is not known whether this medicine passes into breast milk. Women who need to take this medicine should not breastfeed during treatment, and for at least a week following the last dose. Seek further medical advice from your doctor.
Label warnings


Take this medication with or after food.

--------------------
Do unto others as you would have them do unto you.
Remember Iam not a Doctor Just someone struggling like you with Tick Borne Diseases.

Newbie Links

Posts: 10564 | From PA Where the Creeks are Red | Registered: Jun 2003  |  IP: Logged | Report this post to a Moderator
DeniseS
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Hi Ticked,

I did Mepron/Zith for about 6 months for Babs microti and still tested positive. Then I did Ketek/Flagyl and my Babs test turned negative. I think I also did some Diflucan in there for a couple or a few weeks but the main regimen was K/F.

So count one person with success getting rid of Babs with Flagyl.

Good luck,
Denise

Posts: 261 | From San Mateo, CA | Registered: May 2005  |  IP: Logged | Report this post to a Moderator
charlie
Frequent Contributor (1K+ posts)
Member # 25

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Bactrim+biaxin+artemisinin did it for me. Mepron is just a newer substitute for those who can't tolerate the sulfa in bactrim.

I honestly can't figure out why the macrolide...the explanations don't make that much sense. It's just like it's sort of a given you're supposed to accept. Who knows... I just play around till I find something that works, which after all is all the medical professionals are doing.

Charlie no doctor he

Posts: 2804 | From Texas | Registered: Oct 2000  |  IP: Logged | Report this post to a Moderator
Lymetoo
Moderator
Member # 743

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quote:
Originally posted by DeniseS:
Hi Ticked,

I did Mepron/Zith for about 6 months for Babs microti and still tested positive. Then I did Ketek/Flagyl and my Babs test turned negative. I think I also did some Diflucan in there for a couple or a few weeks but the main regimen was K/F.

So count one person with success getting rid of Babs with Flagyl.

Good luck,
Denise

From what I've heard/read, Ketek works on babs. So I would first believe it was the effective one, not flagyl.

But that's just ME and my silly opinion!

--------------------
--Lymetutu--
Opinions, not medical advice!

Posts: 96239 | From Texas | Registered: Feb 2001  |  IP: Logged | Report this post to a Moderator
Health
Frequent Contributor (1K+ posts)
Member # 6034

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Denise,

It could be possible that without the 6 months of the Mepron combo you may have not responded well to the Ketek/Flagyl.

Had you done the Ketek/Flagyl, ONLY, with no mepron combo, would the babesia test of yours still have come back negative?

Do you know?

I have spoken to many online that were doing alternative therapies the SWORE by them, that was the reason they were getting well from lyme,

BUT what they failed to mention was that they had previously been on many years of antibiotics, some 3 years, others 2 years, others 5 years.

Get what I am saying? Maybe the mepron combo did help you in some way, or somewhat, maybe not, just getting people thinking to ALL that they do, could very well come into the picture with each of us, in getting us well.


Trish

Posts: 1250 | From Canada | Registered: Aug 2004  |  IP: Logged | Report this post to a Moderator
micul
LymeNet Contributor
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Here's another great thread that has some alternative Tx's in it from Dr H. He used high dose Bactrim along with with Mep/Zith and got a 89% cure rate in a short time.

http://flash.lymenet.org/scripts/ultimatebb.cgi?ubb=get_topic;f=1;t=039282#000010

--------------------
You're only a failure when you stop trying.

Posts: 945 | From U.S | Registered: Oct 2004  |  IP: Logged | Report this post to a Moderator
tickedntx
LymeNet Contributor
Member # 5660

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Denise said: >> So count one person with success getting rid of Babs with Flagyl.

Thank you for feedback. I was on Ketek with Bicillin and Artemisinin for a few months last year and part of this, and still the WA-1 was +, so (in response to someone who said they thought it was the Ketek), my experience would lead me to believe that it was the Flagyl.

Or maybe I just was not on the Ketek long enough.

--------------------
Suzanne Shaps
STAND UP FOR LYME Texas (www.standupforlyme.org)
(Please email all correspondence related to protecting Texas LLMDs to [email protected] with copy to [email protected])

Posts: 977 | From Austin, TX, USA | Registered: May 2004  |  IP: Logged | Report this post to a Moderator
Health
Frequent Contributor (1K+ posts)
Member # 6034

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What are the drugs of choice for babesia?

What do the Infectious Disease Dr's use for...

WA-1 Babesia strain?

Babesia Microti?

I have read that the Babesia can sometimes be lifethreatening, what is used then for these
people that are infected with Babesia

and are treated in the Hospital?

We should be using this should we not?

I am studying this, have been for 3 years, and
to read here that 6 MONTHS of the VERY expensive mepron has failed treating babesia,

well, I can see why the insurance companies are
upset, I am not up on all of this, trying to be but am sick and wanting to get better and read as much

as I can. Read DR B's guidelines as well, so why then does he recommend Mepron and Azithro or another Macrolide and it fails for some here?

that is a bundle of money for the insurance agents.

What do the ID Dr's use to treat these Strains of Babesia?
This is absurd I am finding as I read here.


Anyone know?

Trish

Posts: 1250 | From Canada | Registered: Aug 2004  |  IP: Logged | Report this post to a Moderator
   

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