david1097
Frequent Contributor (1K+ posts)
Member # 3662
posted
The previous post was pretty concise but I'll add a comment about what is sometimes perplexing regarding the two types of antibiotics...
Why would anyone want to use a bacteristatic drug rather than a bacteriacidal one if it does not kill the bacteria?
Many infections are very fast growing. They grow so fast as to not even allow the immune system to catch up. The drugs that stop the bacteria from replicating can allow the immune system to catch up and overtake the infection.
Also, bacteristatic drugs may be the only ones available for a particular type of bacteria. In addition, bacteriostatic in combination with bactericidal drugs can minimize the the bacteria developing a resistance to the bacteriacidal drug.
This is not an answer to the original question but I am pretty sure it will be one of the next questions asked.
Posts: 1184 | From north america | Registered: Feb 2003
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posted
Dr. B's guidelines say doxy may be bactericidal in higher doses (300-600mg/day). Also, studies suggest taking plaquenil with doxy can make doxy more bactericidal.
There's debate as to whether true herxes are caused by toxins from dead bacteria or immune system activation (cytokines like TNF-alpha), or both. I might be wrong about this, but my understanding is that those cytokines may be elevated even with a bacteriostatic drug, so you can get a classic flulike herx with something like doxy. I know I did.
Pound MW, May DB. Proposed mechanisms and preventative options of Jarisch-Herxheimer reactions. J Clin Pharm Ther. 2005 Jun;30(3):291-5.
"...JHR often occurs with the treatment of spirochete infections. However, the mechanism by which the reaction takes place is not clearly defined.
CONCLUSION: Studies suggest with conflicting evidence that the JHR is caused by release of endotoxin-like material from the spirochete as well as cytokine elevation in the body. It appears the type of drug and the rate of spirochete clearance from the body have little effect on the incidence of the reaction. Many pretreatment options have been explored with limited efficacy with the exception of anti-tumour necrosis factor antibodies."
PMID: 15896248 [PubMed - indexed for MEDLINE]
Posts: 621 | From US | Registered: Jun 2006
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posted
Thanks Idfighter! I'm planning to ask this of my LLMD next visit. But this makes sense. All I really know is I had severe neurological symptoms on a 3 wk trial of doxy before confirmed dx of LD.
-------------------- "Courage is the mastery of fear-not the absence of it."-Mark Twain
Still trying hard to be brave...Deb Posts: 82 | From Upstate NY | Registered: Oct 2003
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