Consult Your Healthcare Provider Before Using Natural Remedies
If youre curious about banderol, samento, or other herbal treatments, talk with your healthcare provider about whether to incorporate any of these remedies into your Lyme disease treatment plan. While it may be tempting to want to try it, improper treatment of Lyme disease can lead to serious complications such as joint problems and nervous system disorders, so self-treating with herbs isnt recommended.
Also, it’s important to keep in mind that the side effects and risks of these herbs in regular or high doses aren’t known, nor is their safety in children, pregnant or nursing women, or people with other health conditions. Your healthcare provider can help you weigh the risks with the benefits.
Lyme Disease Doctor Discussion Guide
Get our printable guide for your next healthcare provider’s appointment to help you ask the right questions.
Patient And Public Involvement
Representatives from the Norwegian patient organisation for Lyme borreliosis were invited and participated in the early stages of planning of the BorrSci projects design and gave feedback on the drafts of the application for funding. They were also invited to continue work with the project. Inclusion to the study, implications of the intervention and time required to participate is discussed with each individual patient. Local newspapers and other media have been involved in making the project known to the public in different parts of Norway.
Prevention Of Tick Bites
The best currently available method for preventing infection with B. burgdorferi and other Ixodes-transmitted infections is to avoid tick-infested areas . If exposure to I. scapularis or I. pacificus ticks is unavoidable, a number of measures may help to decrease the risk that ticks will attach and subsequently transmit infection. The use of protective clothing may interfere with attachment by ticks by increasing the time required for ticks to find exposed skin, thus facilitating their recognition and removal. By wearing light-colored clothing , persons in areas of endemicity may also be more likely to see ticks before they have attached.
Daily inspections of the entire body to locate ticks also provide an opportunity to prevent transmission of tick-borne infections . Attached ticks should be removed promptly with fine-toothed forceps, if possible . Tick and insect repellents applied to the skin and clothing provide additional protection .
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Is Lymepak Safe To Use While Pregnant Or Breastfeeding
- Lymepak, like other tetracycline-class antibacterial drugs, may cause discoloration of deciduous teeth and reversible inhibition of bone growth when administered during the second and third trimester of pregnancy.
- Available data from published studies over decades have not shown a difference in major birth defect risk compared to unexposed pregnancies with doxycycline exposure in the first trimester of pregnancy.
- There are no available data on the risk of miscarriage following exposure to doxycycline in pregnancy.
- Based on available published data, doxycycline is present in human milk.
- There are no data that inform the levels of doxycycline in breastmilk, the effects on the breastfed infant, or the effects on milk production.
- Because there are other antibacterial drug options available to treat Lyme disease in lactating women and because of the potential for serious adverse reactions, including tooth discoloration and inhibition of bone growth, advise patients that breastfeeding is not recommended during treatment withLymepak and for 5 days after the last dose.
What Are The Side Effects Of Lymepak
Lymepak may cause serious side effects, including:
- Harm to an unborn baby.
- Harm to infants and children under 8 years of age:
- Permanent teeth discoloration.Lymepak may permanently turn a baby or child’s teeth yellow-gray-brown during tooth development.
- Slow bone growth.Lymepak may slow bone growth in infants and children. Slow bone growth is reversible after stopping treatment with Lymepak.
If you have any of the above serious side effects during treatment with Lymepak, your doctor may stop your treatment.
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Quantity Of Research Available
A total of 211 citations were identified in the literature search. Following screening of titles and abstracts, 152 citations were excluded and 59 potentially relevant reports from the electronic search were retrieved for full-text review. Two potentially relevant publications were retrieved from the grey literature search for full text review. Of these potentially relevant articles, 55 publications were excluded for various reasons, and six publications met the inclusion criteria and were included in this report. These comprised one systematic review, one non-randomized study, and four evidence-based guidelines., presents the PRISMA flowchart of the study selection. Additional references of potential interest are provided in .
Seven Herbal Medicines Can Kill Lyme Disease Bacteria In Test Tube
Researchers have determined that seven herbal medicines are highly active in test tubes against B. burgdorferi, the bacteria that causes Lyme disease, compared to the control antibiotics, doxycycline and cefuroxime.
Published in the journal Frontiers in Medicine, the laboratory study was funded by the Bay Area Lyme Foundation and supported in part by The Steven & Alexandra Cohen Foundation.
Researchers at Johns Hopkins Bloomberg School of Public Health and colleagues at the California Center for Functional Medicine and FOCUS Health Group, Naturopathic collaborated on the study.
Since traditional antibiotic approaches fail to resolve symptoms in up to 25% of patients treated for Lyme disease and many suffer disabling effects of the disease, there is a need for novel treatment proven effective against B. burgdorferi, said the papers co-author Sunjya K. Schweig, MD, CEO and co-director, California Center for Functional Medicine and Scientific Advisory Board Member, Bay Area Lyme Foundation.
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What Causes Lyme Disease
People get Lyme disease when they are bitten by an infected tick. Ticks live in areas with a lot of plant life, such as wooded areas or fields. They sit near the top of grassy plants and low bushes. They wait there for people or animals to brush up against them. Ticks can crawl on your clothes or body for up to several hours or more before attaching to the skin.
Ticks can attach to any part of your body. They are usually found in hard-to-see areas, including the armpits, groin, or scalp. An infected tick needs to be attached to your skin for 36 to 48 hours before it passes the bacteria on to you.
People who spend time in outdoor areas where ticks are common are at higher risk of getting tick-borne diseases.
What Do I Do If I Find A Tick On My Skin
Dont panic. Use fine-tipped tweezers to grasp the tick as close to the skins surface as possible. Pull up with steady, even pressure. Be careful not to squeeze or twist the tick body. Sometimes parts of the tick remain in the skin. You can leave them alone or carefully remove them the same way you would a splinter. Do not use heat , petroleum jelly, or other methods to try to make the tick back out on its own. These methods are not effective.
Wash the area where the tick was attached thoroughly with soap and water. Keep an eye on the area for a few weeks and note any changes. Call your doctor if you develop a rash around the area where the tick was attached. Be sure to tell your doctor that you were bitten by a tick and when it happened.
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Can Lyme Disease Be Prevented Or Avoided
The best way to prevent Lyme disease is to avoid being bitten by ticks. When you are outdoors, follow these guidelines:
- Avoid areas that are wooded, brushy, or have tall grass.
- Walk in the center of trails.
- Use an insect repellent with at least 20% DEET. It can be put on clothing or sparingly on the skin. Dont apply it to the face or hands of children.
- Treat clothing, tents, or other gear with repellents containing 0.5% permethrin.
- Wear light-colored clothing. This makes it easier to see and remove ticks from your clothes.
- Wear a long-sleeved shirt and long pants. Tuck your pant legs into your socks or boots for added protection.
After you get home, check everything and everyone for ticks.
- Bathe or shower as soon as you can to wash off any ticks that have not attached to you.
- Check your entire body for ticks. Use a mirror for places you cant see. Check your children and your pets. Common tick locations include the back of the knees, groin area, underarms, ears, scalp, and the back of the neck.
- Check any gear you used, including coats, backpacks, or tents.
Tumble dry clothes or blankets on high heat in the dryer for 10 to 15 minutes. This should kill any ticks. If clothes are dirty, wash them in hot water and dry on high heat for 60 minutes.
Table 2characteristics Of Included Systematic Review And Meta
Nadelman RB, Nowakowski J, Fish D, et al. Tick Bite Study Group. Prophylaxis with single-dose doxycycline for the prevention of Lyme disease after an Ixodes scapularis tick bite. N Engl J Med. 2001 345:7984.
|Removal of ticks within 24 hours of attachment can usually prevent acquisition of Lyme disease.||Not reported.|
|Recommended measures to prevent Lyme disease include avoiding areas with high tick burdens, wearing protective clothing, using tick repellants , performing frequent body checks for ticks and bathing following outdoor activities, and instituting environmental landscape modifications to reduce the tick burden.||C|
= Randomized Controlled Trial, = Confidence Interval
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Treatment For Erythema Migrans
People treated with appropriate antibiotics in the early stages of Lyme disease usually recover rapidly and completely. Early diagnosis and proper antibiotic treatment of Lyme disease can help prevent late Lyme disease.
Treatment regimens listed in the following table are for the erythema migrans rash, the most common manifestation of early Lyme disease. These regimens may need to be adjusted depending on a persons age, medical history, underlying health conditions, pregnancy status, or allergies. Consult an infectious disease specialist regarding individual patient treatment decisions.
|100 mg, twice per day orally||N/A|
|500 mg, three times per day orally||N/A|
|500 mg, twice per day orally||N/A|
|4.4 mg/kg per day orally, divided into 2 doses||100 mg per dose|
|50 mg/kg per day orally, divided into 3 doses||500 mg per dose|
|30 mg/kg per day orally, divided into 2 doses||500 mg per dose|
*When different durations of antibiotics are shown to be effective for the treatment of Lyme disease, the shorter duration is preferred to minimize unnecessary antibiotics that might result in adverse effects, including infectious diarrhea and antimicrobial resistance.
NOTE: For people intolerant of amoxicillin, doxycycline, and cefuroxime, the macrolide azithromycin may be used, although it is less effective. People treated with azithromycin should be closely monitored to ensure that symptoms resolve.
How To Prevent Post
While you may not be able to prevent post-treatment Lyme disease syndrome, you can take precautions to prevent coming into direct contact with infected ticks. The following practices can reduce your likelihood of getting Lyme disease and developing persistent symptoms.
If a tick bites you, contact your doctor. You should be observed for 30 days for signs of Lyme disease. You should also learn the signs of early Lyme disease and seek prompt treatment if you think youre infected. Early antibiotic intervention may reduce your risk of developing chronic symptoms.
The signs of early Lyme disease can occur from 3 to 30 days after a bite from an infected tick. Look for:
- a red, expanding bulls-eye rash at the site of the tick bite
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Study Design And Interventions
The study is a randomised, double-blinded, placebo-controlled, multicentre trial with a non-inferiority design. We plan to recruit 120 patients diagnosed with definite or probable LNB according to EFNS guidelines at six different hospitals in the southern part of Norway as shown in . The study is coordinated from Sørlandet Hospital in Kristiansand, Agder County by neurologists connected to the large BorrSci study . The inclusion and exclusion criteria are shown in . Inclusion started in 2015 and will continue through December 2019 or until the necessary sample size is obtained. Eligibility before inclusion is assessed by, or discussed with, a physician connected to the study and accustomed to evaluating patients with neurological symptoms. The patients are randomised into two treatment arms: doxycycline 200mg daily for 2 weeks, followed by 4weeks of placebo doxycycline 200mg daily for 6weeks .
Neurological symptoms suggestive of Lyme neuroborreliosis without other obvious reasons, and one or both of
CSF pleocytosis .
Intrathecal Borrelia burgdorferi antibody production.
Signed informed consent.
Age < 18years.
Treatment with cephalosporin, penicillin or tetracycline macrolide during the last 14days before start of doxycycline treatment.
Pregnancy, breast feeding and/or women of childbearing potential not using adequate contraception.
Adverse reaction to tetracyclines.
Serious liver or kidney disease that contraindicates use of doxycyline.
Chronic Lyme Disease Or Postlyme Disease Syndrome
Following an episode of Lyme disease that is treated appropriately, some persons have a variety of subjective complaints . Some of these patients have been classified as having chronic Lyme disease or postLyme disease syndrome, which are poorly defined entities. These patients appear to be a heterogeneous group. Although European patients rarely have been reported to have residual infection with B. burgdorferi , this has yet to be substantiated either in a large series of appropriately treated European patients or in a study of North American patients. Residual subjective symptoms that last weeks or months also may persist after other medical diseases . It has also been recognized that the prevalence of fatigue and/or arthralgias in the general population is > 10% .
In areas of endemicity, coinfection with B. microti or the Ehrlichia species that causes HGE may explain persistent symptoms for a small number of these patients . Randomized controlled studies of treatment of patients who remain unwell after standard courses of antibiotic therapy for Lyme disease are in progress. To date, there are no convincing published data showing that repeated or prolonged courses of oral or iv antimicrobial therapy are effective for such patients. The consensus of the IDSA expert-panel members is that there is insufficient evidence to regard chronic Lyme disease as a separate diagnostic entity.
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Doxycycline Dosage For Dogs
The recommended Doxycycline dose for dogs is between 2.2 and 4.5 mg per pound of body weight . The exact dose and length of treatment depend on the underlying condition.
For example, for dogs with gum disease and infection, Doxycycline use is limited to 5 to 7 days. However, the treatment may last for 30 or 45 days in dogs with respiratory infections or tick-borne diseases.
In case you forget dosing your dog, you have two options give the missed dose as soon as you remember or skip it entirely and give the next dose as scheduled.
Doxycycline is a fast-acting medication that starts working in as little as 1 to 2 hours in dogs. However, it usually takes a couple of days before any visible improvements. It is available in the form of tablets, capsules, and liquids. There is also injectable Doxycycline, but it stings a lot and is not suited for long-term use.
When dosing your dog with Doxycycline, you can reduce the risk of GI side effects and upset stomach by mixing it with food .
If using tablets without food, make sure your dog drinks at least 6 ml of water immediately after swallowing the drug. This is because Doxycycline tablets can easily get lodged in the esophagus and cause ulcers.
Finally, a word to two on proper storage. Always keep the Doxycycline in an air-tight container, at room temperature, away from light, and out of your dogs reach. Oral suspensions must be discarded 14 days after the bottle is opened.
Guidelines With Unclear Methodology
- CHEO. Prophylaxis of Lyme disease in pediatric patients. 2018.
- MukkadaS, BuckinghamSC. Recognition of and prompt treatment for tick-borne infections in children. Infect Dis Clin North Am. 2015 29:539555.
- OnyettH. Lyme disease in Canada: focus on children. Paediatr Child Health. 2014 19:379388.
- SmithGN, GemmillI, MooreKM. Management of tick bites and lyme disease during pregnancy. J Obstet Gynaecol Can. 2012 34:10871091.
- SzulzykT, FlisiakR. Lyme borreliosis. Ann Parasitol. 2012 58:6369.
- LopezSMC, CampfieldBT, NowalkAJ. Oral management for pediatric Lyme meningitis. J Pediatric Infect Dis Soc. 2018.
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How Is Doxycycline Given To Dogs
Doxycycline is available on the market in the form of a capsule, tablet, and oral suspension. It is advised to give doxycycline with food to avoid stomach upset, diarrhea, and vomiting. Never give another dose of doxycycline if your dog vomits in the next hour after getting the antibiotic.
The capsule and the tablet can be mixed with food. Never open the capsule to pour the powder onto the food. Removing the capsule will make the drug ineffective. If your dog does not want to eat the capsule or the tablet with the food, put it in a little piece of butter and put it directly in the throat behind the tongue. This way, the dog wont be able to spit the antibiotic, and the butter will help ease the way down the throat to the stomach.