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Suggest The Antibiotics For Neurologic Lyme Disease

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Posted on Mon, 25 Nov 2013
Question: Im going to see a doctor in new york for treatment for lyme disease. Im scared of medicines that prolong qt interval because it happened to me before when i took cyclobenzoprine. Which antibiotics are the safest for treating late neurologic lyme disease? Rocephin is dangerous i read and this doctor combine medications so i just want a heads up. Also my blood pressure is dropping low and rising high. What causes that?
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Answered by Dr. Chakravarthy Mazumdar (11 hours later)
Brief Answer: Tetracyclines are better Detailed Answer: Hi, You seem to have equivocal result for Lyme disease, IgG levels are not confirmatory. If there is a strong suspicion, your physician can go ahead with the treatment. It is going to be long for about 4 to 6 weeks. I prefer to use Doxycycline and/or Cephalosporin. Since you are not comfortable with Rocephin (Ceftriaxone). You may go with IV Doxycycline after skin test. You can say this to your treating doctor. Doxy does not interfere with QT interval nor BP fluctuations. I suggest you to follow up with Internal Medicinist for thorough BP recording with mercurial sphygnomanometer than the digital recorder that you hold. After a snap shot of at least three BP recording in successive weeks we can decide the plan of treatment for the fluctuations. There are different causes that fluctuates the BP and complex to explain here. Hope this helps.
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Above answer was peer-reviewed by : Dr. Aparna Kohli
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Answered by
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Dr. Chakravarthy Mazumdar

General & Family Physician

Practicing since :2004

Answered : 2242 Questions

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Suggest The Antibiotics For Neurologic Lyme Disease

Brief Answer: Tetracyclines are better Detailed Answer: Hi, You seem to have equivocal result for Lyme disease, IgG levels are not confirmatory. If there is a strong suspicion, your physician can go ahead with the treatment. It is going to be long for about 4 to 6 weeks. I prefer to use Doxycycline and/or Cephalosporin. Since you are not comfortable with Rocephin (Ceftriaxone). You may go with IV Doxycycline after skin test. You can say this to your treating doctor. Doxy does not interfere with QT interval nor BP fluctuations. I suggest you to follow up with Internal Medicinist for thorough BP recording with mercurial sphygnomanometer than the digital recorder that you hold. After a snap shot of at least three BP recording in successive weeks we can decide the plan of treatment for the fluctuations. There are different causes that fluctuates the BP and complex to explain here. Hope this helps.