Initially it is difficult to tell the difference between between a herx, periodic symptom flare, or worsening of the infection(s). A herx is just a sudden release of toxins resulting from the ABX killing the bacteria. This does occur naturally as the bacteria goes thru its normal life cycle, but is more gradual. I have been in treatment now for close to 5 years, and have experienced lots of improvements, setbacks, and adverse reactions to new treatment protocols. Sometimes you just don't know what is working or if you are just getting worse. The brain fog is the worse, especially trying to hold on to a job, but it will get better.
If you can tolerate the ABX start the azith/rifampin/plquenil combo, just add only one new item per week and see how you react. The triple regimen is appropriate for the level of infection(s) we have. After two months or so try adding in Sida Acuta, or the CSA blend from woodland essence, just start slowly with a few drops per day and increase to 1/4 tsp 3x/day. Cat's Claw and Japanese Knotweed, and Cordyceps are also worth consideration.
Nystatin stays localized in the gut, while Diflucan is stronger and gets into the blood system to treat systemic candida overgrowth. I have been using Nystatin pretty much continuously as a preventive measure. I do take a break from ABX every so often and take only Diflucan for 30 days to help clean my system. Some say Diflucan also hits Lyme and acts as a cyst buster. Also a candida infection has similar symptoms to Lyme and co's (especially brain fog) so it's tough to really know the cause. Candida tests are also poor indicators, but I do test often anyway.
Hope this helps and keep us posted on your progress.
Post Edited (tickbite666) : 12/3/2014 5:19:47 AM (GMT-7)