LymeNet Flash: What dosage of Zithromax do you use with Rifampin

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»	LymeNet Flash » Questions and Discussion » Medical Questions » What dosage of Zithromax do you use with Rifampin

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Topic: What dosage of Zithromax do you use with Rifampin

Myco
LymeNet Contributor
Member # 9536

posted

About to add Rifampin (300mg 2x daily) to my daily 250mg of Zithromax. Curious what dosage of Zithromax all of you Rifampin users use. 500-600?

Also, do you take your Rifampin together with your Zith?

Thanks!

Posts: 770 | From USA | Registered: Jul 2006 | IP: Logged |

Tif
LymeNet Contributor
Member # 12701

posted

Start the rifampin SLOW............I would NOT start with 600 mg/day........I do not take zith with mine, so I can't help there.

I have been taking rifampin a few months and am not even taking 300 a day because of the herxing.......

--------------------
TL

Posts: 365 | From OK | Registered: Jul 2007 | IP: Logged |

seibertneurolyme
Frequent Contributor (5K+ posts)
Member # 6416

posted

I would agree with Tif. At one time hubby had rifampin compounded in 50 mg capsules. The last time he tried taking it I split his 150 mg capsules into 2 capsules.

It took him 6 months or so to work up to 600 mg. And then he only lasted for a month at that dose. Tried restarting the med again at 300 mg 2 or 3 times but just couldn't seem to tolerate that med.

His WBC also went low when he got to the 600 mg dose, but it did bounce back some on its own within a couple of weeks.

He was taking 500 mg of Zithromax 3 times per week and remains on that dose of Zith.

Many docs suggest taking the Rifampin all in one dose, but please consult your LLMD regarding this.

This is not medical advice, just info based on hubby's experiences.

Bea Seibert

Posts: 7306 | From Martinsville,VA,USA | Registered: Oct 2004 | IP: Logged |

Myco
LymeNet Contributor
Member # 9536

posted

Yes, I was advised to start at 300mg once a day and build up to 600mg daily.

The question is how much Zithromax is needed?

Posts: 770 | From USA | Registered: Jul 2006 | IP: Logged |

Deb133
LymeNet Contributor
Member # 18544

posted

My daughter takes 300 mg Rifampin and 500 mg Zith daily. She used to take 600 mg Rifampin but is doing well with the Bartonella so he cut her down.

She tolerated it fine on the higher dose too.

Good luck!

Posts: 499 | From Malta, NY | Registered: Dec 2008 | IP: Logged |

Stacyb
LymeNet Contributor
Member # 13084

posted

Both me and my 12 year old son
take 300 mg Rifampin 2 x day
and 250 mg Zithro 2 x day.

We tollerated it fine but
I did get some bad herxes from the
Rifampin the first 3 months.
I started with just 300 mg day for
the first 2 weeks.

My son started with 300 mg day of Rifampin
for almost a month then up to the max dose.

The Zithro we started at max dose.

Posts: 476 | From Columbus, Ohio | Registered: Aug 2007 | IP: Logged |

Bobidor
LymeNet Contributor
Member # 14453

posted

I used to take 600mg Rifampin with 500mg zithro (+ Plaquenil).

Now I'm taking 600mg Rifampin with 1000mg Biaxin and 200mg minocycline (and I also take 1000mg tinidazole during the 7 days/month that I'm not on Rifampin).

Posts: 209 | From Montreal, QC, CAN | Registered: Jan 2008 | IP: Logged |

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