Leading Lyme Physicians in Lyme Disease Conversations – Dr. Daniel Cameron speaking with Dr. Joseph Burrascano. Dr. Burrascano- Treatment Recommendations Dr. Joseph Burrascano, Jr. DIAGNOSTIC HINTS AND TREATMENT GUIDELINES FOR LYME AND OTHER . These guidelines for diagnosis and management of borreliosis (Lyme in turn to our mentors and teachers, principally ILADS and the Burrascano guidelines.

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The goal of guidekines therapy is to prepare the patient for the required, gym-based exercise program. Therefore follow the above protocol for intestinal overgrowth, and use topical preparations such as Monistat concurrently for up to two weeks.

When present alone or co-infecting with B.

IV may have to be resumed if oral or IM therapy fails. By having the yogurt or acidophilus then, a more normal oral flora will result guidelinss thrush will be better controlled. Chloramphenicol Not recommended as not proven and potentially toxic.

In late stage disease, many negative effects to the body are occurring: Many antibiotic agents have been reported to be effective, including cephalosporins, fluoroquinolones, erythromycins, gentamicin, rifampin and streptomycin.

Systemic antifungal medications may be needed. Therefore, if EM is present, treatment must begin immediately, and one should not wait for results of Borrelia tests. burrascank

Lyme Disease Treatment Guidelines

Only by addressing all these smaller issues and engineering treatments and solutions for all of them will we be able to restore full health to our patients. If treatment can be continued long term, then a remarkable degree of recovery is possible. As mentioned earlier, leucopenia may be a sign of persistent Ehrlichiosis, so be sure to look into this.


Therapy is based on blood volume expansion increased sodium and fluid brurascano and possibly Florinef plus potassium. Persons bitten in an area highly endemic for Lyme Borreliosis by an unidentified tick or tick capable of transmitting B.

COURSE DURING THERAPY As the spirochete has a very long generation time 12 to 24 hours in vitro and possibly much longer in living systems and may have periods of dormancy, during which time antibiotics will not kill the organism, treatment has to be continued for a long period of time to eradicate all the active symptoms and prevent a relapse, especially in late infections.

Because there is laboratory evidence that tetracyclines may inhibit the effect of metronidazole, this class of medication may not be as useful as others in these two- and three-drug regimens.

Apparently, Bb can shift among the three forms during the course of the infection and cause the varying serologic responses seen over time, including seronegativity. The efficacy of this regimen is based on the fact that it takes 48 to 72 hours of continuous bactericidal antibiotic levels to kill the spirochete, yet it will take longer than the four to five days between pulses for the spirochetes to recover. In general, IV therapy is given until there is a clear positive response, then treatment is changed to IM or po until free of signs of active infection for 4 to 8 weeks.

IV then oral therapy as above.

Therefore no other oral medications or supplements should be taken from one hour before, to three hours after a dose of one of these fiber agents. The main side effects are bloating and constipation, best handled with increased fluid intake and gentle laxatives. As in localized disease, but duration as above.


Advise them to take a break when or ideally before the inevitable mid afternoon fatigue guifelines in.

If burrsacano sufficient, beta blockade may be added based on response to the Isuprel challenge. You need to see at least the 41KD and one of the specific bands. Oral azithromycin is not as effective as clarithromycin.


This means when the body of the tick is squeezed upon removal, irritated with toxic chemicals in an effort to get it to back out, or disrupted in such a way that its contents were allowed to contact the bite wound. Products meant for widespread application such as permethrin and its derivatives are preferred.

Do not take daily on a long-term basis, as the benefit may wear off. If necessary, begin with classic physical therapy, then progress when appropriate to a whole body conditioning program. All patients respond differently and therapy must be individualized. High-risk bites are treated as follows remember the possibility of co-infection!

The regimen may have to be modified to optimize the dose, and again at any time major changes in the treatment regimen occur. Burrascnao, initial clinical results were disappointing, especially with oral azithromycin. Because of this, the doses listed below nurrascano have to be raised.