robi
Frequent Contributor (1K+ posts)
Member # 5547
posted
Teen ager weighing about 120 lbs went to doc and got 100mg x 2 per day for a tick bite. I know I had 200mg x 2 per day but I weigh 155lbs ........... so is this enough since this child is 30 lbs lighter?
I know we are not docs but I know someone out there knows as a result of their own kiddo getting appropriate dose from an LLMD. It will be a while before she can get to an LLMD and we do not want the window for a complete cure to pass.
Thanks so much, robi
-------------------- Now, since I put reality on the back burner, my days are jam-packed and fun-filled. ..........lily tomlin as 'trudy' Posts: 2503 | From here | Registered: Apr 2004
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posted
I thought the non-LLMDs always give 200mg per day total to everyone even though they should give more. Probably automatically doing the same for a teenager.
Posts: 526 | From NJ | Registered: May 2007
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posted
My LLMD started me off with 100mg 2x a day. Some believe to build up slowly because of the Herx/die-off reaction.
Posts: 515 | From In His Loving Care | Registered: Apr 2009
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Geneal
Frequent Contributor (5K+ posts)
Member # 10375
posted
I took 100mg 3 x a day when I started.
One pill in the morning and two at night.
I weighed about 125lb when I began treatment.
Hugs,
Geneal
Posts: 6250 | From Louisiana | Registered: Oct 2006
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btmb03
Unregistered
posted
I'm not sure but I don't think doxy is weight-dependent - and 120 lbs can easily accommodate 200 mg bid...if the stomach can tolerate it!!
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lpkayak
Honored Contributor (10K+ posts)
Member # 5230
posted
my 22 pound dog gets 100 mg a day
-------------------- Lyme? Its complicated. Educate yourself. Posts: 13712 | From new england | Registered: Feb 2004
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robi
Frequent Contributor (1K+ posts)
Member # 5547
posted
Thanks for these replies. I appreciate the input .......... still looking for more input.
Thanks
-------------------- Now, since I put reality on the back burner, my days are jam-packed and fun-filled. ..........lily tomlin as 'trudy' Posts: 2503 | From here | Registered: Apr 2004
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bettyg
Unregistered
posted
robi,
go to top of medical and read the post from me of my posting dr. burrascano's 08 lyme treatment med pages only for kids/adults ...
hope it will answer your question ... from our no. 1 llmd
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robi
Frequent Contributor (1K+ posts)
Member # 5547
posted
Great idea Betty! I have a copy of those guidelines as my first resource. Unfortunately, he addresses the amoxicillin dosage in kids, not the doxy dose. He says doxy should not be given to kids. She is in that in between stage. That, along with the fact that this is a non-LLMD, prescribing the meds makes for an awkward situation.
Good idea to check Burrasscano ........... I always do that first. Here I am asking for input based on this specific info from folks that may have a kid in a similar age/weight range to share there knowledge.
-------------------- Now, since I put reality on the back burner, my days are jam-packed and fun-filled. ..........lily tomlin as 'trudy' Posts: 2503 | From here | Registered: Apr 2004
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Melanie Reber
Frequent Contributor (5K+ posts)
Member # 3707
posted
OK...this is going on memory only... so keep that in your mind!
From what I recall, the 'standard' dose is 50mg per day for each 25 lbs. in divided doses.
So, say you have a 100 lb. person, the 'standard' dose would be 200mg per day in divided doses. (100mg BID)
Now...as mentioned already... some physicians whether LL or not, will start out slow and low. This is actually a wise thing to do based on the individual patient... and the 'newness' of the bite.
If this is a brand new bite, the patient is otherwise healthy, no allergies to meds, then it is wise to start low for a very limited time, and then increase accordingly.
If however, the patient is not certain how long they have been ill, is not so healthy, may possibly be harboring other co-infections, it is VERY wise to start low and slow, or you will knock his/her socks off!
This is NOT necessary! The poor patient is already suffering, and it will not take much to cause a huge herx. Possibly doing much more unnecessary damage, and/or causing the patient to give up before things have actually done any good.
So, first, lets try for 'static'- hold things at bay, while possibly doing some killing. Then go for 'cidal' ONLY when the patient can handle it.
How will we know if the patient can handle it... start slow and low. And see how it goes.
BTW... this is only my opinion supported by many others in concurrence...and supported by personal experience.
And I am paraphrasing here... 'Why bring out the Cannons when a BB gun will do the trick?'
Posts: 7052 | From Colorado | Registered: Mar 2003
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Melanie Reber
Frequent Contributor (5K+ posts)
Member # 3707
posted
So, this pretty much validates the above 'standard'. The ratio seems to be 2:1 ( 2 mg to 1 lb )
.................
Usual Dosage and Administration
THE USUAL DOSAGE AND FREQUENCY OF ADMINISTRATION OF DOXYCYCLINE DIFFERS FROM THAT OF THE OTHER TETRACYCLINES. EXCEEDING THE RECOMMENDED DOSAGE MAY RESULT IN AN INCREASED INCIDENCE OF SIDE EFFECTS.
Adults: The usual dose of oral doxycycline is 200 mg on the first day of treatment (administered 100 mg every 12 hours) followed by a maintenance dose of 100 mg/day. The maintenance dose may be administered as a single dose or as 50 mg every 12 hours. In the management of more severe infections (particularly chronic infections of the urinary tract), 100 mg every 12 hours is recommended.
For children above eight years of age: The recommended dosage schedule for children weighing 45 kg (100 lb) or less is 4.4 mg/kg (2 mg/lb) of body weight divided into two doses on the first day of treatment, followed by 1 mg/lb of body weight given as a single daily dose or divided into two doses on subsequent days. For more severe infections up to 4.4 mg/kg (2 mg/lb) of body weight may be used. For children over 45 kg (100 lb), the usual adult dose should be used.
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