Is zithromax safe or not?

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Cheetahjade
Regular Member


Date Joined Jul 2014
Total Posts : 453
   Posted 6/5/2017 2:35 PM (GMT -7)   
Okay so my LLMD just changed my abx for the third time. Since going through my second round of treatment she first started me on ceftin, but i was getting palpations so switched me to Biaxin. Herxed really bad on that and even took a trip to the ER because my heart rate was high. They didn't find anything of course.

Now she switched me to zithromax but I remember reading about issues with that one. That it's strong and will give you heart issues too. But I also read that have to keep your potassium and magnesium up with it. If so, by how much? I'm already taking a calcium magnesium.

Is it okay? Is there anyone who's had success with it? I really want to get through this round of abx and switch to a natural treatment. I am taking some natural supplements to help but I eventually want to go all natural. So is zithromax okay?

Girlie
Forum Moderator


Date Joined May 2014
Total Posts : 27951
   Posted 6/5/2017 3:25 PM (GMT -7)   
Are you referring to the Long QT syndrome that can occur when taking Zithro?

It is also a risk with Biaxin.

But acquired Long QT is rare.

I was on azithromycin - for a short time only...don't know if it made any difference in my case...(probably not on long enough)

I took biaxin for many months with Amoxy and then with Ceftin....later on with Rifampin.
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./15 mino - to biaxi

Cheetahjade
Regular Member


Date Joined Jul 2014
Total Posts : 453
   Posted 6/5/2017 3:51 PM (GMT -7)   
I think so. I did have a fast heart rate while on my biaxin. But I was thinking it was part of a herx. A bad herx that lasted weeks. Is there anyway to test for it or anything to for? Carter I seriously thought the Lyme had reached my heart or I had developed POTS.

goshawk
Veteran Member


Date Joined Sep 2016
Total Posts : 1338
   Posted 6/5/2017 4:13 PM (GMT -7)   
I have been on azithromycin since February with no issues from taking it.

It was started with malarone back in Feb. and now Bactrim was also added in a few weeks ago.

I am also doing Buhner Bart protocol and lyme protocol. So difficult to say how helpful the zith is on its own, but overall I'm making little steps forward in healing.

I wish you well and take care, Jo

Chapelle
Veteran Member


Date Joined Feb 2014
Total Posts : 2598
   Posted 6/5/2017 5:06 PM (GMT -7)   
zithromax is an excellent antibiotic - I took it myself for 6 months during my treatment.

two things to be aware of - yes, it can affect the QT interval with the heart, but ONLY IF you already have a pre-existing heart condition.

Second, if you ever need to take diflucan (antifungal for candida), don't take the two together

otherwise, it was a miracle drug for me!!

Girlie
Forum Moderator


Date Joined May 2014
Total Posts : 27951
   Posted 6/5/2017 5:38 PM (GMT -7)   
There is also Acquired Long QT Syndrome

www.mayoclinic.org/diseases-conditions/long-qt-syndrome/basics/causes/CON-20025388

"Acquired long QT syndrome can be caused by certain medications or medical conditions. More than 75 medications — many of them common — can lengthen the QT interval in otherwise healthy people and cause a form of acquired long QT syndrome known as drug-induced long QT syndrome."



/www.uptodate.com/contents/acquired-long-qt-syndrome

/www.fda.gov/Drugs/DrugSafety/ucm341822.htm

"Patients at particular risk for developing this condition include those with known risk factors such as existing QT interval prolongation, low blood levels of potassium or magnesium, a slower than normal heart rate, or use of certain drugs used to treat abnormal heart rhythms, or arrhythmias. This communication is a result of our review of a study by medical researchers as well as another study by a manufacturer of the drug that assessed the potential for azithromycin to cause abnormal changes in the electrical activity of the heart."
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./15 mino - to biaxi

Post Edited (Girlie) : 6/5/2017 6:54:08 PM (GMT-6)


Chapelle
Veteran Member


Date Joined Feb 2014
Total Posts : 2598
   Posted 6/5/2017 5:42 PM (GMT -7)   
Girlie - I checked with the manufacturer of zithromax - bc I was on it myself and they confirmed that you have to already have a disorder for it to cause any heart issues. I don't trust everything I read on the internet, but in the end it is up to each individual to decide the benefits vs. the risks.

If you have any other links on this, I would appreciate it bc I would like to look into this, thanks! in the meantime, I am going to call the company that makes zithromax again.

Post Edited (Chapelle) : 6/5/2017 6:58:37 PM (GMT-6)


tickbite666
Veteran Member


Date Joined Mar 2014
Total Posts : 1414
   Posted 6/6/2017 4:41 AM (GMT -7)   
Zith is a very popular ABX early in treatment as you ramp up to the hardcore Rx. It pairs well with Lyme, Babs and Bart protocols. I think I was on Zith for close to two years straight:


3/8/13 to 3/30/13: IV Doxycycline, Bactrim DS, Tindamax
2/5/13 to 3/7/13: Zithromax, IV Doxycycline, Mepron x2, Bactrim DS, Tindamax
1/21/13 to 2/5/13: Zithromax, IV Doxycycline, Actigall, Mepron x2, Bactrim DS, Tindamax
10/29/12 to 1/20/13: Zithromax, IV Rocephin (2x/4 days/wk), Actigall, Mepron x2, Bactrim DS, Tindamax
9/12/12 to 10/29/12: Zithromax, IV Rocephin (2x/4 days/wk), Actigall, Mepron x2, Bactrim DS
8/25/12 to 9/11/12: Zithromax, IV Rocephin (2x/4 days/wk), Actigall, Mepron x2
6/30/12 to 8/24/12: Zithromax, IV Rocephin (2x/4 days/wk), Actigall, Mepron x2, Diflucan
6/22/12 to 6/29/12: Zithromax, IV Rocephin (2x/4 days/wk), Actigall, Mepron x2
4/19/12 to 6/21/12: Zithromax, IV Rocephin (2x/4 days/wk), Actigall, Mepron, Bactrim DS
2/27/12 to 4/19/12: Zithromax, IV Rocephin (2x/4 days/wk), Actigall, Mepron
2/21/12 to 2/26/12: Zithromax, IV Rocephin (2x/4 days/wk, 3 days off pulse), Actigall, Rifampin
1/17/12 to 2/20/12: Zithromax, IV Rocephin (1x/day), Actigall, Rifampin
12/19/11 to 1/16/12: Zithromax, IV Rocephin (1x/day), Actigall
10/11/11 to 12/9/11: Zithromax, Doxycycline, Rifampin (STOPPED all due to elevated ALT/AST)
9/18/11 to 10/11/11: Zithromax, Augmentin, Rifampin
8/24/11 to 9/17/11: Zithromax, Augmentin, Mepron
6/29/11 to 8/23/11: Zithromax, Suprax, Mepron
5/10/11 to 6/28/11: Zithromax, Omnicef, Mepron
3/31/11 to 5/9/11: Zithromax, Omnicef
3/18/11 to 3/24/11: Biaxin, Plaquenil, Diflucan
3/8/11 to 3/30/11: Biaxin, Plaquenil
11/4/10 to 3/7/11: Tetracycline
3/11/10 to 11/3/10: Biaxin, Plaquenil

Traveler
Forum Moderator


Date Joined May 2007
Total Posts : 35859
   Posted 6/6/2017 5:48 AM (GMT -7)   
I'm not on any of those things, but I did want to wish you luck, Cheetah!
Herb only treatment for Lyme & Bart ended 12/11 - no active symptoms for 2 yrs -Herb only treatment for Babesia ended 12/12
www.healingwell.com/community/default.aspx?f=30&m=2977364
Had Lyme, Bart, Babs, RMSF, Ehrlichia, Myco, Anaplasmosis, EBV
New Lyme case 8/2014 - Healed 1/31/15 - unknowingly had Asymptomatic Babs and Asymptomatic Bart, being treated now though (2/2016)

Loutucky
Regular Member


Date Joined Nov 2014
Total Posts : 380
   Posted 6/6/2017 6:07 AM (GMT -7)   
I was on azithromycin for a year constantly and took a year break. I've been on it for 5 months this time. I haven't had any heart issues with it but I don't have a preexisting heart condition.

I always take it with food because it irritates my stomach. I think biaxin is probably a better drug but I could not tolerate the metallic taste in my mouth from it.

Girlie
Forum Moderator


Date Joined May 2014
Total Posts : 27951
   Posted 6/6/2017 10:33 AM (GMT -7)   
I just want to repeat that the Acquired Long QT syndrome is RARE.

i had a discussion with my LLND about it (after I had been on it prior to seeing him) and he confirmed that it is rare.
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./15 mino - to biaxi
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