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How To Treat Lyme Disease

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Herbal & Prescription Lyme Disease Antibiotics

June 23, 2019: Your Health Matters: New tool to treat lyme disease

In this article, you will learn how to build a Lyme disease herbal or prescription antibiotic treatment. Later, in this guide I provide nine sample herbal and prescription antibiotic treatment plans, including the dosing regimens I find effective.

The focus of this article is on Lyme germ treatment. For information about treating Lyme disease coinfections see

Before I describe these plans, you should be aware that chronic Lyme disease recovery requires more than antibiotics. I cannot emphasize this point strongly enough. Treating Borrelia, the Lyme germ, with antibiotics is complicated because limited research shows which treatment regimens work best. As a result, many Lyme-Literate Medical Doctors , like me, prescribe antibiotics based on theory, in addition to our collective observation, which is that combinations of antimicrobials work better than single agents alone. It is critical that a Lyme disease treatment regimen addresses the first ten steps outlined in my Lyme disease treatment guidelines, The Ross Lyme Support Protocol. These steps are designed to revive health and to boost the immune system. Even a year or more into treatment, when a person is feeling better, these steps are essential to speed recovery by supporting the immune system.

The Numbers On Chronic Lyme

Because Lyme disease is commonly missed or misdiagnosed, statistics vary on how many Lyme patients go on to experience chronic symptoms. The following research nonetheless paints a basic picture of the problem.

  • An estimated 5-20% of patients may have chronic symptoms after getting Lyme disease, according to the Columbia University Irving Medical Center.
  • The treatment failure rate for chronic Lyme disease patients was estimated at 26-50% in 2004, compared to 16-39% for early Lyme patients, according to Lymedisease.org.
  • Up to 15-40% of late-stage Lyme patients develop neurological disorders, which are responsible for many common symptoms of chronic Lyme disease.

Experts dont know for sure why some people experience persistent symptoms, even with treatment. However, some believe the Lyme infection may trigger an auto-immune response that manifests in the chronic symptoms detailed below.

Also Check: When To Test For Lyme Disease

Hunting For Alternative Drug

Frustrated by the lack of treatment options for Lyme disease patients with lingering symptoms, Rajadas and his team began hunting for a better alternative in 2011. In 2016, they published a study in Drug Design, Development and Therapy that listed 20 chemical compounds, from about 4,000, that were most effective at killing the infection in mice. All 20 had been approved by the Food and Drug Administration for various uses. One, for instance, is used to treat alcohol abuse disorder.

Jayakumar Rajadas

In this most recent study, azlocillin, one of the top-20 contenders, was shown to eclipse a total of 7,450 compounds because it is more effective in killing B. burgdorferi and causes fewer side effects. Lyme disease affects more than 300,000 people annually, according to the Centers for Disease Control and Prevention. It can affect various organs, including the brain, skin, heart, joints and nervous system, and cause heart problems and arthritis if untreated. Symptoms include fever, headaches, chills, and muscle and joint pain.

Traditional antibiotics, such as doxycycline, are effective as an early course of treatment for the infection in the majority of patients, but it remains unclear why these drugs fail to treat 10% to 20% of patients, Rajadas said.

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What Are The Risk Factors For Post Treatment Lyme Disease

Risk factors for Post Treatment Lyme Disease include:

  • Delay in diagnosis
  • Increased severity of initial illness
  • Presence of neurologic symptoms

Increased severity of initial illness, the presence of neurologic symptoms, and initial misdiagnosis increase the risk of Post Treatment Lyme Disease. PTLD is especially common in people that have had neurologic involvement. The rates of Post Treatment Lyme Disease after neurologic involvement may be as high as 20% or even higher. Other risk factors being investigated are genetic predispositions and immunologic variables.

In addition to Borrelia burgdorferi, the bacteria that causes Lyme disease, there are several other tick-borne co-infections that may also contribute to more prolonged and complicated illness.

Azlocillin Comes Out On Top

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The drug, which is not on the market, was tested in mouse models of Lyme disease at seven-day, 14-day and 21-day intervals and found to eliminate the infection. For the first time, azlocillin was also shown to be effective in killing drug-tolerant forms of B. burgdorferi in lab dishes, indicating that it may work as a therapy for lingering symptoms of Lyme disease.

Pothineni and Rajadas have patented the compound for the treatment of Lyme disease and are working with a company to develop an oral form of the drug. Researchers plan to conduct a clinical trial.

Rajadas is also a professor of bioengineering and therapeutic sciences at the University of California-San Francisco.

Other Stanford co-authors are Hari-Hara S. K. Potula, PhD, senior research scientist postdoctoral scholars Aditya Ambati, PhD, and Venkata Mallajosyula, PhD senior research scientist Mohammed Inayathullah, PhD and intern Mohamed Sohail Ahmed.

A researcher at Loyola College in India also contributed to the work.

The study was funded by the Bay Area Lyme Foundation and Laurel STEM Fund.

  • Tracie White

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Antibiotics Alone Are Unlikely To Get You Well

This is the second time I am making this point because it is very important. It is essential to your recovery that, at a minimum, your treatment address the steps outlined in my Lyme disease treatment guidelines: The Ross Lyme Support Protocol. Even a year or more into your treatment, these ten steps are essential to resuscitate and support the immune system.

Antimicrobials That Kill Growing Phase Spirochetes

Extracellular

Penicillins

  • Amoxicillin 500 mg 1 to 2 pills 3 times a day. Alternatively as an alternative to IV antibiotics take 3 to 4 pills 3 times a day.
  • Amoxicillin/Clavulanic Acid 875 mg/125 mg 1 pill 2 times a day
  • Bicillin LA 2.4 million units IM 3 times a week with one day between each injection

Cephalosporins

  • Ceftriaxone 2 gm IV 2 times a day for 4 days in a row then off for 3 days of each 7 days
  • Cefotaxime 2 gm IV every 8 hours
  • Cefuroxime 500 mg 1 pill 2 times a day
  • Cefdinir 300 mg 1 pill 2 times a day

Additional IV Antibiotics

Vancomycin, imipenem, and ertapenem are possible alternatives if someone is allergic to Ceftriaxone or Cefotaxime.

Intracellular and Extracellular

  • Clarithromycin 500 mg 2 pills 2 times a day
  • Azithromycin 500 mg 1 time a day or 500 mg IV 1 time a day

Tetracyclines

  • Doxycycline 100 mg 1 or 2 pills 2 times a day or 200 to 400 mg mg IV 1 time a day
  • Minocycline 100 mg 1 pill 2 times a day

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Conventional Lyme Disease Treatment

Healthcare providers often have difficulty diagnosing Lyme disease because many of its symptoms are similar to those of other infectious or autoimmune illnesses, such as the flu, arthritis or lupus. Several tests are now available for diagnosing Lyme disease. The most popular way of making a diagnoses is using a combination of the Western blot and ELISA tests, which measure specific antibodies in the blood. Some experts, however, feel that this testing has flaws and is not always conclusive.

Another test that may be effective in diagnosing Lyme disease is direct microscopy, which is done by fewer laboratories, including Fry Labs in Arizona. In my opinion, this is the preferred method. Its often performed by holistic health practitioners in combination with other physical exams.

Lyme Disease Prevention Tips:

Prevention and early treatment is very important for managing Lyme disease. Steps you can take to to prevent getting Lyme disease include:

How Is Lyme Disease Treated In A Child

Treating Lyme disease symptoms with cannabis

Lyme disease is usually treated with antibiotic medicine. Early stage Lyme disease is more easily cured with antibiotics than late-stage disease. Your childs healthcare provider will discuss the best treatment plan with you based on:

  • Your childs symptoms and test results
  • If your child had a recent tick bite
  • If the tick tests positive for bacteria that cause Lyme
  • If your child lives in an area where the ticks are known to be infected

Talk with your childs healthcare providers about the risks, benefits, and possible side effects of all medicines.

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Lyme Disease Treatment And Prevention Tips

By Leah Zerbe, MS, NASM-CPT, NASM-CES

Lyme disease is a complicated infection that is caused by bacteria thats transmitted from a tick or insect bite. The majority of cases of Lyme are due to a bite from a type of deer tick known as the black-legged tick, which can carry and pass on bacteria known as borrelia burgdorferi.

According to the Michigan Lyme Disease Association, more recently its also been found that other insects can also spread Lyme disease or cause similar infections including other types of ticks, mosquitoes, and possibly spiders or fleas.

Overall, up to 300,000 Americans are diagnosed with Lyme disease every year, according to new research from the Centers of Disease Control , and many seek Lyme disease treatment. Lyme disease cases are largely concentrated in the Northeast and upper Midwest, with 14 states accounting for over 96 percent of cases reported to CDC.

Lyme disease symptoms can start with flulike symptoms, headaches, muscle and joint pain. Over time, the symptoms can continue to worsen and turn into a long-lived inflammatory response that is similar to an autoimmune illness.

How To Remove A Tick

Removing a tick is the same for humans and animals. Its important you do not crush or damage the tick because it could cause Lyme bacteria to pass from the tick into your bloodstream.

  • Use fine-tipped tweezers and grasp the tick as close to your skin as possible.
  • Do not use a lit match or cigarette, nail polish or nail polish remover, petroleum jelly , liquid soap or kerosene to remove the tick.
  • Pull the tick straight out, gently but firmly.
  • Do not jerk or twist the tweezers while pulling the tick out.
  • Do not squeeze the tick you might crush it.
  • How to remove a tick.

  • Once you have removed a tick, wash your skin with soap and water and then disinfect your skin and your hands with rubbing alcohol or an iodine swab.
  • Before disposing of the tick, call or check the website of your local public health unit to get advice on how to identify the tick. You can also submit a photo of the tick to etick.ca for identification.
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    What Is Late Lyme Disease

    Lyme disease, also known as Lyme borreliosis, is caused by an infection with the bacteria Borrelia burgdorferi. This bacteria is disseminated through tick bites. Infected ticks usually bite small mammals, who do not develop any kind of infection from the bacteria. When humans are exposed to B. Burgdorferi from a tick bite, however, they can develop Lyme disease.

    People who work outside or spend time in woodland areas, where there is greater potential for exposure to tick bites, are most at risk of infection.

    Lyme disease is a condition which progresses in stages:

  • A person will initially develop early localized lyme disease, in which the bacteria have not yet spread through the body. At this stage, which generally has its onset days or weeks after the tick bite, a personâs symptoms will usually include a fever, fatigue, and a rash, called the Erythema Migrans rash, which has a distinctive bullsâ eye shape and affects around two thirds of people who develop Lyme disease. See this resource for more information on symptoms and treatment of early localized Lyme disease.
  • If Lyme disease is not diagnosed in either of these early stages, and is not treated effectively with antibiotics, the bacteria that cause LD can spread throughout the body from the site of the tick bite, resulting in late disseminated Lyme disease, or late lyme disease. The onset of symptoms and complications of late disseminated Lyme disease is usually around 6-36 months after the original infection.
  • Quinine Derivatives To Boost Intracellular Antibiotics

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    Intracellular

    Inside of cells, Lyme may live in cave-like structures called vacuoles. In these vacuoles, Lyme germs create a hostile acidic environment that can limit the effectiveness of various antibiotics. Quinine derivatives, like hydroxychloroquine , can make the inside of cells more basic which can help the tetracyclines and macrolides mentioned above work better.

    • Hydroxychloroquine 200 mg 1 pill 2 times a day

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    Monitoring Lyme Disease Provides Data To Support Prevention

    Surveillance for Lyme disease includes monitoring the distribution and spread of ticks, and tracking human cases of the disease across the country. Surveillance data informs analyses of national and provincial trends, supports the development of education material and evidence-based prevention programs and increases regionally-based awareness and education messaging for Canadians. It is essential to understanding the risks posed to Canadians and serves as the foundation of the public health approach.

    Since the establishment of the Framework, Public Health Agency of Canada has enhanced its surveillance activities, including developing new interactive risk maps, which allow Canadians to identify if they live in a risk area and guidance on steps they can take to protect themselves. Innovative surveillance projects aimed to improve data quality and sources, produced information for action, and new Lyme disease surveillance reports, including companion infographics. Work is also ongoing to expand the Canadian Tick-borne Disease Surveillance System to include three additional emerging tick-borne diseases .

    Has Niaid Looked At The Potential Benefits Of Long

    Yes. NIAID has funded three placebo-controlled clinical trials on the efficacy of prolonged antibiotic therapy for treating PTLDS. The published results were subjected to rigorous statistical, editorial, and scientific peer review.

    These trials were designed to ensure that several key parameters were addressed:

    • The susceptibility of B.burgdorferi to the antibiotics used
    • The ability of the antibiotics to both cross the blood-brain barrier and access the central nervous system and to persist at effective levels throughout the course of therapy
    • The ability of the antibiotics to kill bacteria living both outside and inside mammalian cells
    • The safety and welfare of patients enrolled in the trials

    The first clinical trial, which included two multicenter studies, provided no evidence that extended antibiotic treatment is beneficial. In those studies, physicians examined long-term antibiotic therapy in patients with a well-documented history of previous Lyme disease but who reported persistent pain, fatigue, impaired cognitive function, or unexplained numbness. Those symptoms are common among people reporting PTLDS. Patients were treated with 30 days of an intravenous antibiotic followed by 60 days of an oral antibiotic.

    In 2016, a clinical trial conducted in the Netherlands also concluded that in patients with persistent symptoms attributed to Lyme disease, longer term treatment with antibiotics did not provide additional benefits compared with shorter term regimens.

    Recommended Reading: Lyme Research And Healing Center

    Stage : Early Disseminated Lyme Disease

    Early disseminated Lyme disease occurs several weeks to months after the tick bite.

    Youll have a general feeling of being unwell, and a rash may appear in areas other than the tick bite.

    This stage of the disease is primarily characterized by evidence of systemic infection, which means infection has spread throughout the body, including to other organs.

    Symptoms can include:

    • disturbances in heart rhythm, which can be caused by Lyme carditis
    • neurologic conditions, such as numbness, tingling, facial and cranial nerve palsies, and meningitis

    The symptoms of stages 1 and 2 can overlap.

    So What Stresses Cells

    How to Heal Lyme Disease Naturally | FREE Lyme Health Summit

    The factors that stress or threaten cells are intimately tied to the fact that we must interact with the surrounding environment to survive. The nutrients, water, and oxygen that cells need to thrive must come from outside the body. This mandatory interaction with the outside environment poses a variety of different risks to cells of the body.

    All totaled, there are five categories of factors that can stress cells of the body and lead to chronic illness.

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    Early Lyme Disease Treatment

    ILADS doctors are likely to recommend more aggressive and longer antibiotic treatment for patients. They may, for instance, treat high risk tick bites where the tick came from an endemic area, was attached a long time, and was removed improperly. They may treat a Lyme rash for a longer period of time than the IDSA recommends, to ensure that the disease does not progress. They are unlikely to withhold treatment pending laboratory test results.

    What Are The Symptoms Of Lyme Disease

    Symptoms can start anywhere from 3 to 30 days after the bite. They may look different depending on the stage of your infection. In some cases, you wonât notice any symptoms until months after the bite.

    Early symptoms include:

    All of those symptoms are also common in the flu. In most Lyme infections, one of the first symptoms youâll notice is a rash.

    Without treatment, symptoms can get worse. They might include:

    • Severe headache or neck stiffness
    • Rashes on other areas of your body
    • Arthritis with joint pain and swelling, particularly in your knees
    • âDroopingâ on one or both sides of your face
    • Inflammation in your brain and spinal cord
    • Shooting pains, numbness, or tingling in your hands or feet

    What does the rash look like?

    Some Lyme rashes look like a bull’s-eye with circles around the middle. But most are round, red, and at least 2 inches across.

    The rash slowly gets bigger over several days. It can grow to about 12 inches across. It may feel warm to the touch, but itâs usually not itchy or painful. It can show up on any part of your body.

    How small are ticks?

    Ticks come in three sizes, depending on their life stage. They can be the size of a grain of sand, a poppy seed, or an apple seed.

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