From what I have read the Fluoroquinolone class of abx are most effective...but I personally don't want to risk tendon rupture. I have also read that another risk is permanent peripheral neuropathy.
I think Rifampin paired with another antibiotic is the second choice. My LLND usually prescribes this - especially with long standing Bart infections.
He sometimes treats with a macrolide (eg. Zithromax) paired with a tetracycline (eg. doxycycline) - but usually when the patient hasn't had the infection for long. It is more difficult to treat if not caught early.
I don't know where Bactrim paired with a second antibiotic fits in with effectiveness - compared to the other protocols.
They should be taken until symptom free. I think a minimum 4-6 months. It often takes longer. In fact it's not unheard of for treatment to last a year or more.
For me...it will be difficult to know when I am symptom free as I have nerve issues...not easy to tell when infection is gone and I have just damaged nerves that need to heal.
Rifampin comes in a capsule.
Taken daily? Well, I have read that bartonella can become resistant to antibiotics...and should be taken daily without a break.
But, I did that for about
5 - 6 months and felt like I was plateaued...so I took a break to see where my symptoms stood...and now I am back on them, but I am pulsing them
I decided to pulse them after reading that a well known experienced LLMD's protocols are all pulsed...even for bartonella.
So now I take them on M/W/F (Rifampin and minocycline) as well as Ceftin on Th/F.
After I've been doing that for several weeks, I will start taking a week off after two weeks on.
***Note - I am not recommending anyone follow what I am doing - I am doing this fully aware of it being contradictory to how many LLMD's treat Bartonella. *****
Moderator, Lyme Forum
Symp started April/2013; Buhner's Lyme May 15-July24/14; Igenex pos. July 3/14
Doxy: July 4-Aug.24/14;Zithro July26-Aug24/14; Amox + Proben. Aug. 29/14; added biaxin Sept. 26/14 Disc. amox,added Ceftin Nov. 20th.; Disc. biaxin added Buhner bart herbs Dec/14;Jan/15 pulsing Tinda (w/ Ceftin); Abx/herb break Apr-July/15; July-mino; Aug. added Rif; Nov. switched mino to biaxin.
Post Edited (Girlie) : 3/27/2016 5:12:01 PM (GMT-6)