Has anyone seen Dr. L at Robinhood Clinic in Winston Salem, North Carolina

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xlyzd
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Date Joined Mar 2018
Total Posts : 11
   Posted 4/21/2018 1:46 PM (GMT -6)   
Does anyone here have experience with the Robinhood Integrative Health Clinic

Post Edited (xlyzd) : 4/21/2018 5:43:12 PM (GMT-6)


Girlie
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Date Joined May 2014
Total Posts : 33821
   Posted 4/21/2018 4:11 PM (GMT -6)   
The standard dosage for doxy is 200 mg twice daily

The standard dosage for minocycline is 100 mg twice daily.

This is what most LLMD's prescribe.

FYI you wouldn't take 600 mg of mino per day.
Doxy? maybe.
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

xlyzd
New Member


Date Joined Mar 2018
Total Posts : 11
   Posted 4/21/2018 4:45 PM (GMT -6)   
Thank you, Girlie!
The ILADS Guidelines are NOT clear about this:
"ANTIBIOTICS
There are four types of antibiotics in general use for Bb treatment. The TETRACYCLINES, including doxycycline and minocycline, are bacteriostatic unless given in high doses. If high blood levels are not attained, treatment failures in early and late disease are common. However, these high doses can be difficult to tolerate.
For example, doxycycline can be very effective but only if adequate blood levels are achieved either by high oral doses (300 to 600 mg daily) or by parenteral administration. Kill kinetics indicate that a large spike in blood and tissue levels is more effective than sustained levels, which is why with doxycycline, oral doses of 200 mg bid is more effective than 100 mg qid. Likewise, this is why IV doses of 400 mg once a day is more effective than any oral regimen.
PENICILLINS"
Link: http://www.ilads.org/lyme/B_guidelines_12_17_08.pdf

Why don't you contact them, Girlie, and tell them what the standard dosage is for minocycline so that they can add it to their recommendation.

Post Edited (xlyzd) : 4/21/2018 5:53:53 PM (GMT-6)


Girlie
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Date Joined May 2014
Total Posts : 33821
   Posted 4/21/2018 5:01 PM (GMT -6)   
"You would think that someone would have contacted them, but I guess that doctors already know to halve the dosage and they are not expecting that anyone without a medical background will be reading. "



Halve the dose of what?
"For example, doxycycline can be very effective but only if adequate blood levels are achieved either by high oral doses (300 to 600 mg daily) "

It doesn't say to take that high dose for minocycline.
Tetracycline itself is even higher than the doxy.

Go to page 18 in the guidelines for dosages of the antibiotics. They don't have minocycline listed in their choices.

Minocycline is 100 mg twice daily.

Your first post quoting the guidelines skipped a piece...it doesn't say minocycline 300-600 mg...

Unless I've missed something???
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) : 4/21/2018 4:10:01 PM (GMT-6)


xlyzd
New Member


Date Joined Mar 2018
Total Posts : 11
   Posted 4/21/2018 6:37 PM (GMT -6)   
Girlie,

What is your point?

I think I was being clear by editing the original post containing the partial quote and directing readers to the entire quote "to clarify Girlie's post"

This is NOT about what I am saying.
YOU are the one that stated unequivocally that:

"The standard dosage for doxy is 200 mg twice daily

The standard dosage for minocycline is 100 mg twice daily."

So, I believe you and conclude that since 100 is half of 200, then the standard dosage of minocycline would be ½ the NUMBER of milligrams of the NUMBER of milligrams for the standard dosage of doxycycline.

Since the Guidelines do not state a recommended dosage for doxycycline, my only concern is that their professional recommendation may differ from yours which would thereby mislead others, such as myself. I think that if the committee in charge of the guidelines had any idea that two non-professionals would debate the correct number of mg that any given Lyme patient should take and how often, they would have either clarified it or made the entire guidelines inaccessible to the non-professional public. This is ridiculous.

Again, what is your point?

Girlie
Forum Moderator


Date Joined May 2014
Total Posts : 33821
   Posted 4/21/2018 6:50 PM (GMT -6)   
xlyzd said...
Girlie,

What is your point?

I think I was being clear by editing the original post containing the partial quote and directing readers to the entire quote "to clarify Girlie's post"

This is NOT about what I am saying.
YOU are the one that stated unequivocally that:

"The standard dosage for doxy is 200 mg twice daily

The standard dosage for minocycline is 100 mg twice daily."

So, I believe you and conclude that since 100 is half of 200, then the standard dosage of minocycline would be ½ the NUMBER of milligrams of the NUMBER of milligrams for the standard dosage of doxycycline.

Since the Guidelines do not state a recommended dosage for doxycycline, my only concern is that their professional recommendation may differ from yours which would thereby mislead others, such as myself. I think that if the committee in charge of the guidelines had any idea that two non-professionals would debate the correct number of mg that any given Lyme patient should take and how often, they would have either clarified it or made the entire guidelines inaccessible to the non-professional public. This is ridiculous.

Again, what is your point?


I wasn't sure what you were trying to say...that's all.

The guidelines do state the dose is 200 mg twice daily; doses of up to 600 mg are often needed.
I'm not sure what clarification is needed.

That is for doxy. The guidelines don't list mino dose.

When i said the standard was 200 mg twice daily...this is the 'norm' - what most LLMD's do prescribe.

Regarding minocycline - same thing - 100 mg twice daily is the standard dose that LLMD's prescribe.

I'm not really trying to make any point...

EDIT TO ADD: The guidelines are from 2008 and certainly could use a revision. And, it's just that - a guide.
I would think that LLMD's would educate themselves on the standard doses of the antibiotics.

I don't know why minocycline dosage isn't in the guidelines...maybe in 2008 it wasn't prescribed much for treating lyme?
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) : 4/21/2018 6:25:28 PM (GMT-6)

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