For me I knew it was a herx because it would happen anytime of the day and often last for days. Detoxing would help, but not alleviate it completely (for me ). Also, I would often back off on my meds and symptoms would go. If my symptoms were flaring instead of herxing, they usually flared around the same time each day.
That was then, this is now. Lately I have been having trouble distinguishing - I think because I stopped treatment for two months and since restarting, I am herxing often. Since mid July I have started Mino, upped the Mino dose, started rifampin, doubled rifampin, and doubled rifampin again. So a lot of med adjustments in 2 1/2 months.
I have also gotten lax with my detoxing....
Moderator, Lyme Forum
Symptoms started April/13; Buhner's protocol May 15/14 to July24/14
Igenex pos. July 3/14 Doxy: July 4-Aug.24/14;Zithro July26-Aug24/14
Amox 1000mg x3 + Probencid Aug. 29/14; added biaxin 500X2 Sept. 26/14
Disc. amox and added Ceftin Nov. 20th. Jan/15 pulsing Tindamax ; disc biaxin
Buhners bart herbs added Dec/14; ABX/Buhner herb break Apr/2015