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What Causes Exhaustion While On Rifampicin And Cefuroxime?
Question: Hi, I am on Rifampicin, Lymecycline and cefuroxime for the last 3 months. Almost a wk into 4ty. I am still very exhausted and only get about 2 days in 10 where I feel good. It doesn't seem to kast. Can I do anything to helo myself? I do take immune support herbs and supplements. XXXXXXX
Brief Answer:
Chronic Lyme disease
Detailed Answer:
Hi,
Thank you for your query. I can understand your concerns.
It seems you are having Chronic Lyme disease(onset 2009). You must have received a course of antibiotic therapy initially. Presently you are again on a combination of Rifampicin,Lymecycline and cefuroxime axetil for 3 months (12 weeks). Usually this combination of antibitics is needed for only 30-60 days.
Approximately 15% of patients experience a Jarisch-Herxheimer-like (herx as mentioned by you) reaction during the first 24 h of therapy.Although an occasional patient requires a second course of antibiotics, there is no indication for multiple, repeated antibiotic courses in the treatment of Lyme disease.
This chronic Lyme disease or post–Lyme syndrome is sometimes a disabling condition that is similar to chronic fatigue syndrome or fibromyalgia.Such
patients are best treated for the relief of symptoms rather than with
prolonged courses of antibiotics (as you are on presently).
You can try Yoga or tai-chi exercise therapy.
Regards
Dr. T.K. Biswas M.D. XXXXXXX
Chronic Lyme disease
Detailed Answer:
Hi,
Thank you for your query. I can understand your concerns.
It seems you are having Chronic Lyme disease(onset 2009). You must have received a course of antibiotic therapy initially. Presently you are again on a combination of Rifampicin,Lymecycline and cefuroxime axetil for 3 months (12 weeks). Usually this combination of antibitics is needed for only 30-60 days.
Approximately 15% of patients experience a Jarisch-Herxheimer-like (herx as mentioned by you) reaction during the first 24 h of therapy.Although an occasional patient requires a second course of antibiotics, there is no indication for multiple, repeated antibiotic courses in the treatment of Lyme disease.
This chronic Lyme disease or post–Lyme syndrome is sometimes a disabling condition that is similar to chronic fatigue syndrome or fibromyalgia.Such
patients are best treated for the relief of symptoms rather than with
prolonged courses of antibiotics (as you are on presently).
You can try Yoga or tai-chi exercise therapy.
Regards
Dr. T.K. Biswas M.D. XXXXXXX
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Answered by
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