LymeNet Flash: Dosage of zithromax?

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»	LymeNet Flash » Questions and Discussion » Medical Questions » Dosage of zithromax?

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Topic: Dosage of zithromax?

zil
LymeNet Contributor
Member # 12048

posted

I started zithromax 250mg (1 -2 tabs daily) a week ago. Started 1 tab daily for a couple days then 2 tabs(500gm).

A couple of days ago I started having loose stools and a lot of discomfort/tenderness on the right side of my abdomen(colon) so I cut back to 1 tab(250 mg) Is this dose going to do any good?

Initially I was on doxy 400mg/day for a month and had some neuro symptoms decrease. Then went to ceftin and symptoms started coming back. Now, the zith and I can't tolerate the 500mg.

I also take therlac and nystatin tabs plus my other ton of supplements. Liz

Posts: 383 | From Ar | Registered: May 2007 | IP: Logged |

Patrick
LymeNet Contributor
Member # 8108

posted

Zithromax and its cousin Biaxin both increase motility and give almost everyone loose stools, bloating, and abdominal pain of some kind.

I took 1000 mg of Zith a day for two weeks back in January, again in April, and then again in June. It took about a month after each round for my stomach to return to normal and that was with taking tons of probiotics. It was a pain but worth it for me because it really stirred up and killed something. I felt better each time.

As Cave76 said it has a long half life and stays in your system a long time compared to many other abx's. I felt the effects of it for a good week to 10 days afterwards.

Posts: 142 | From Florida | Registered: Oct 2005 | IP: Logged |

jdbark
Junior Member
Member # 13175

posted

Zithromax does have a long half life. The normal course of treatment for say otitis media is 5 days with a double dose the first day followed with four lower dose days. In comparison amoxicillin is given up to four times a day for ten days to accomplish the same treatment.

--------------------
Doug

Posts: 3 | From California | Registered: Sep 2007 | IP: Logged |

zil
LymeNet Contributor
Member # 12048

posted

Thanks you guys. That is a long half-life.

Patrick I don't know how you did the 1000mg a day. Dr. B's guidelines say 500-1000mg/day but my LLD ordered 250-500mg/day. I'm sure he knows what he's doing just looking for re-assurance I guess. Liz

Posts: 383 | From Ar | Registered: May 2007 | IP: Logged |

kitkat32
LymeNet Contributor
Member # 9682

posted

Hi Liz,

I did 250 mg zithro a day several months ago. I feel it really helped me. I also took Flagyl.

Since then I took IV Rocephin...which made me feel great while on it but I crashed afterwards.

The last month I have been on Ceftin but I am having alot of right sided pain and also stomache burning.

I had LLMD appt. today and he switched me back to zith...at 500 mg a day and flagyl.

I hope it works well for you. I feel it helped me alot..even at the 250 mg.

kit

Posts: 655 | From Pennsylvania | Registered: Jul 2006 | IP: Logged |

zil
LymeNet Contributor
Member # 12048

posted

Thanks Kitkat. I'm glad you felt the 250mg did you some good. I start flagyl after the zith. Since 250mg is all I seem to be able to tolerate I'll be on it a couple months. Hope you can tolerate the 500mg zith. Sounds like the ceftin did to you what the zith did to me. Liz

Posts: 383 | From Ar | Registered: May 2007 | IP: Logged |

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