Treatment FAQ

what are treatment options for lyme disease

by Eloisa Hill Published 2 years ago Updated 1 year ago
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For early Lyme disease, a short course of oral antibiotics, such as doxycycline or amoxicillin, cures the majority of cases. In more complicated cases, Lyme disease can usually be successfully treated with three to four weeks of antibiotic therapy.

Medication

Some of the Best Herbs for Lyme Disease

  • San lian – Combination of 3 of the most anti-microbial herbs. ...
  • Olive Leaf – Found effective against wide spectrum antibacterial, wide spectrum antimicrobial, antifungal, anti-yeast, antifungal, anti-spirochetal. ...
  • Yan hu so – Corydalis – Best herbs for pain reduction in the joints and limbs. ...

More items...

Nutrition

Sulfa Antibiotics.

  • Types: Sulfamethoxazole/Trimethoprim (Bactrim and Septra) and Dapsone. For more information, see Dapsone for Lyme Persisters. A Miracle Antibiotic? and How to Treat Persister Lyme. What Works?
  • Germ Forms Treated: Persister Lyme forms.
  • Location: Inside and outside of cells.
  • Mechanism: Interferes with folate metabolism.
  • Available As: Prescription medicine.

What are the best treatments for Lyme disease?

Stevia—a natural sweetener and sugar substitute derived from the leaves of the Stevia rebaudiana plant—may be effective in treating Lyme disease.

Which antibiotic is best for Lyme disease treatment?

What Precautions Can I Take Against Tick Bites?

  • Avoid wooded, brushy, and grassy areas, especially in May, June, and July.
  • Wear light-colored clothing so that you can see ticks that get on you.
  • Wear long pants and long-sleeved shirts, and shoes that cover the entire foot.
  • Tuck pant legs into socks or shoes, and tuck shirts into pants.
  • Wear a hat for extra protection.

More items...

Is there a natural cure for Lyme disease?

Are any preventive measures recommended for Lyme disease?

See more

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What is the best treatment for Lyme disease?

Antibiotics are the only proven treatment for Lyme disease. Some people who have unexplained signs and symptoms or chronic disease might believe they have Lyme disease even if it's not been diagnosed.

What are alternative treatments for Lyme disease?

Oxygen and Reactive Oxygen Species. Oxygen therapy was marketed to patients for treatment of Lyme disease primarily in 3 forms: hyperbaric oxygen, ozone, and hydrogen peroxide. Hyperbaric oxygen is administered using hyperbaric oxygen chambers and was promoted as having salutary effects on the immune response to B.

Can Lyme disease be treated or cured?

Although most cases of Lyme disease can be cured with a 2- to 4-week course of oral antibiotics, patients can sometimes have symptoms of pain, fatigue, or difficulty thinking that lasts for more than 6 months after they finish treatment. This condition is called Post-Treatment Lyme Disease Syndrome (PTLDS).

What is the treatment window for Lyme disease?

After you remove a deer tick that has been attached to you for at least 36 hours — the amount of time it takes for the tick to transmit the bacteria Borrelia burgdorferi — there's a 72-hour window during which your doctor may give you a single dose of the antibiotic doxycycline to prevent the development of Lyme ...

Why do doctors not treat Lyme disease?

The medical establishment refuses to accept the fact that the Lyme disease bacterium, Borrelia burgdorferi, sequesters and hides in deep-seated tissue, such as ligaments, tendons, bone, brain, eye, and scar tissue. This stealth pathogen is persistent in the body, and is hard to treat.

Are there any natural treatments for Lyme disease?

Other natural treatments for Lyme disease According to a 2015 study looking at the alternative treatments found during an Internet search, other natural treatments people use for Lyme disease include: saunas and steam rooms. ultraviolet light. photon therapy.

Do you ever recover from Lyme disease?

Most people who develop Lyme disease recover fully following a course of antibiotics. In rare cases, Lyme disease symptoms may persist for weeks, months, or even years after antibiotic treatment.

Is Lyme disease lifelong?

If treated, Lyme disease does not last for years. However, for some people, the after-effects of the disease can linger for months and sometimes even years. Alternative medicine providers call this condition "Chronic Lyme disease," but this title is simply wrong.

What is stage 3 Lyme disease?

Stage 3 can occur months or years after the tick bite. This stage is characterized by: arthritis of one or more large joints. brain disorders, such as encephalopathy, which can cause short-term memory loss, difficulty concentrating, mental fogginess, problems with following conversations, and sleep disturbance.

What Happens If Lyme disease goes untreated for years?

Untreated Lyme disease can produce a wide range of symptoms, depending on the stage of infection. These include fever, rash, facial paralysis, and arthritis. The appearance of the erythema migrans rash can vary widely.

What triggers Lyme disease flare ups?

Triggers for Lyme disease vary by person, but they can include: emotional stress (such as a divorce, death in the family, or accidents) physical stress to the body (i.e., surgery, physical harm, concussion) life stress or stressful events.

What Happens If Lyme disease goes untreated?

What happens if Lyme disease is untreated? Left untreated, Lyme disease can spread to joints and organs, causing significant damage. Arthritis, heart disease, and nervous system problems are common complications of untreated Lyme disease.

What to do if you don't have a lyme disease rash?

Lab tests to identify antibodies to the bacteria can help confirm or rule out the diagnosis. These tests are most reliable ...

What happens after Lyme disease treatment?

After treatment, a small number of people still have some symptoms, such as muscle aches and fatigue. The cause of these continuing symptoms, known as post-treatment Lyme disease syndrome, is unknown, and treating with more antibiotics doesn't help.

What is the test used to detect lyme disease?

Enzyme-linked immunosorbent assay (ELISA) test. The test used most often to detect Lyme disease, ELISA detects antibodies to B. burgdorferi. But because it can sometimes provide false-positive results, it's not used as the sole basis for diagnosis. This test might not be positive during the early stage of Lyme disease, ...

How long does it take for a central nervous system infection to go away?

Intravenous antibiotics. If the disease involves the central nervous system, your doctor might recommend treatment with an intravenous antibiotic for 14 to 28 days. This is effective in eliminating infection, although it may take you some time to recover from your symptoms. Intravenous antibiotics can cause various side effects, ...

What to do if you have been bitten by a tick?

Make a list of: Your symptoms, and when they began. All medications, vitamins and other supplements you take, including doses. Questions to ask your doctor.

Can a Western Blot test be positive for lyme disease?

This test might not be positive during the early stage of Lyme disease, but the rash is distinctive enough to make the diagnosis without further testing in people who live in areas infested with ticks that transmit Lyme disease. Western blot test. If the ELISA test is positive, this test is usually done to confirm the diagnosis.

Can Lyme disease cause autoimmune disease?

Some experts believe that certain people who get Lyme disease are predisposed to develop an autoimmune response that contributes to their symptoms. More research is needed. Request an Appointment at Mayo Clinic.

What is the best antibiotic for lyme disease?

Doxycycline is considered the first-line drug of choice for Lyme disease by most physicians. Doxycycline, a bacteriostatic antibiotic, has the advantage of twice daily dosing and effectiveness not only for Lyme disease but also for some other tick-borne diseases such as borrelia miyamotoi disease, ehrlichiosis, anaplasmosis, tularemia, and rocky-mountain spotted fever. In Europe, doxycycline is considered to have comparable efficacy for neurologic Lyme disease as intravenous ceftriaxone; this has not yet been examined in the United States however and may not apply to U.S. neurologic Lyme disease as the genospecies causing neurologic Lyme in the US is B.burgdorferi while in Europe it is most commonly caused by B.garinii. Doxycycline absorption is decreased by food and milk and especially decreased by antacids or laxatives that contain calcium, magnesium, or aluminum or vitamins that contain iron. The latter medications or vitamins should be taken 6 hours before or 2 hours after the dox cycline.

What is the best treatment for arthritis?

For patients whose arthritis is not helped by NSAIDS, published reports indicate that methotrexate or hydroxychloroquine can be helpful; these are called disease-modifying anti-rheumatic drugs. Mindfulness meditation and Yoga can reduce stress and pain and enhance energy.

What is cefuroxime used for?

Cefuroxime, a bacteriocidal 2nd generation cephalosporin, is FDA approved for the treatment of early Lyme disease. Cefuroxime works by disrupting cell wall synthesis and does cross the blood brain barrier to some extent. (The term “generation” when applied to cephalosporins simply refers to when the drug was developed and generally means that the “later” generation versions have a longer half-life (so they don’t need to be taken as frequently) and have better efficacy and safety.) Cefuroxime should be taken with food in twice daily dosing.

How often is ceftriaxone given?

Ceftriaxone has excellent penetration of the blood-brain barrier and is one of the most effective drugs for Lyme disease. Ceftriaxone is typically given once a day intravenously, typically in 45 minutes. While this can be administered in the doctor’s office on a daily basis through a peripheral vein, most commonly it is administered through a mid-line or a PICC line that once inserted can be accessed for the daily infusions at home (thereby eliminating the discomfort and inconvenience of daily needle sticks).

What is the best treatment for neuropathic pain?

Neuropathic pain that has an autoimmune etiology (possibly triggered by the prior infection with B.burgdorferi) may benefit from treatment with intravenous gammaglobulin therapy .

What is the first line of treatment for depression?

Pharmacotherapy also has many different types. For depression the first-line options usually are SSRIs, SNRIs, Tricyclics or other agents with more unique modes of action. A few noteworthy tips on anti-depressant agents: Most anti-depressant agents also help in reducing anxiety.

Is amoxicillin good for borrelia?

Most studies have found plain amoxicillin to be highly effective against Borrelia burgdorferi and thus the combination ( Augmentin) is not needed. Note: If you are allergic penicillin or to cephalosporins, then there is a good chance you may develop an allergic reaction to amoxicillin.

What is the ILADS treatment plan?

ILADS recommends individualized treatment based on the severity of symptoms, the presence of tick-borne coinfections and patient response to treatment. LDo believes that patients and their doctors should make Lyme disease treatment decisions together. This requires that patients be given sufficient information about the risks and benefits ...

Is antibiotics safe?

All medical treatments have risks associated with them. While the safety profile of antibiotics is generally quite good, only the patient (in consultation with his or her physician) can determine whether the risks outweigh the potential benefits of any medical treatment.

Can antibiotics be used for lyme disease?

The ideal antibiotics, route of administration and duration of treatment for persistent Lyme disease are not established. No single antibiotic or combination of antibiotics appears to be capable of completely eradicating the infection, and treatment failures or relapses are reported with all current regimens, although they are less common with early aggressive treatment.

Can lyme rash be treated?

They may treat a Lyme rash for a longer period of time than the IDSA recommends, to ensure that the disease does not progress. They are unlikely to withhold treatment pending laboratory test results.

Is lyme disease hard to catch?

The conflict makes it difficult for patients to be properly diagnosed and receive treatment. One medical society, the Infectious Diseases Society of America (IDSA), regards Lyme disease as “hard to catch and easy to cure” with a short course of antibiotics. IDSA claims that spirochetal infection cannot persist in the body after a short course ...

Can a test determine if a patient has Lyme disease?

There is currently no test that can determine whether a patient has active infection or whether the infection has been eradicated by treatment. The IDSA thinks Lyme disease symptoms after treatment represent a possibly autoimmune, “post-Lyme syndrome” that is not responsive to antibiotics.

Can you treat lyme disease with antibiotics?

Experts agree that the earlier you are treated the better, since early treatment is often successful. Unfortunately, a substantial portion of patients treated with short-term antibiotics continue to have significant symptoms. The quality of life of patients with chronic Lyme disease is similar to that of patients with congestive heart failure. Doctors don’t agree about the cause of these ongoing symptoms. The primary cause of this debate is flawed diagnostic testing. There is currently no test that can determine whether a patient has active infection or whether the infection has been eradicated by treatment.

What is the treatment for Lyme disease?

The first-line standard of care treatment for adults with Lyme disease is doxycycline, a tetracycline antibiotic. Other antibiotics that have activity against borrelia include the penicillin-like antibiotic, amoxicillin, and the second generation cephalosporin, Ceftin. The mainstay of treatment is with oral (pill) antibiotics, but intravenous antibiotics are sometimes indicated for more difficult to treat cases of neurologic-Lyme disease, such as meningitis, and cases of late Lyme arthritis.

What is lyme disease?

Lyme disease encompasses a range of biologic processes and disease manifestations. Patients are often referred to the Lyme Disease Research Center for evaluation of chronic Lyme disease, an umbrella term that encompasses many heterogeneous subsets of illness. Examples of defined Lyme disease subsets include Post Treatment Lyme Disease (PTLD), ...

How common is PTLD after lyme disease?

The rates of Post Treatment Lyme Disease after neurologic involvement may be as high as 20% or even higher.

What is a PTLD?

Post Treatment Lyme Disease (PTLD) represents a research subset of patients who remain significantly ill 6 months or more following standard antibiotic therapy for Lyme disease. PTLD is characterized by a constellation of symptoms that includes severe fatigue, musculoskeletal pain, sleep disturbance, depression, and cognitive problems such as difficulty with short-term memory, speed of thinking, or multi-tasking. In the absence of a direct diagnostic biomarker blood test, PTLD has been difficult to define by physicians, and its existence has been controversial. However, our clinical research shows that meticulous patient evaluation when used alongside appropriate diagnostic testing can reliably identify patients with a history of previously treated Lyme disease who display the typical symptom patterns of PTLD.

How high is the risk of Lyme disease after treatment?

The rates of Post Treatment Lyme Disease after neurologic involvement may be as high as 20% or even higher. Other risk factors being investigated are genetic predispositions and immunologic variables.

Can lyme disease be recurrent?

However, some patients suffer from ongoing or recurrent symptoms related to Lyme disease despite standard of care antibiotic therapy. The persistent symptoms in Lyme disease can have a large negative impact on an individual’s health and quality of life.

Is there a cure for lyme disease?

Currently there are no FDA approved treatments for the persistent symptoms in Lyme disease. Therefore, treatments must be individualized by addressing specific findings, symptoms, and circumstances for each individual.

How is lyme disease treated?

Lyme disease is treated with antibiotics. The type of antibiotic your doctor gives you and the number of days you take it will depend on your symptoms and the stage of the disease. Talk to your doctor if you have any questions about your antibiotic treatment.

What NSAIDs are used for Lyme disease?

These are usually helpful for symptoms of arthritis that can occur with late Lyme disease. NSAIDs include aspirin and ibuprofen.

What is IV antibiotic?

IV antibiotics are commonly used to treat nervous system problems from Lyme disease. These include tingling and numbness or conditions such as meningitis.

Can you get Lyme disease again?

Even after successful treatment for Lyme disease, you can get it again. So it's important to keep protecting yourself against tick bites.

Can you get Lyme disease if you don't treat it?

It's important to get treatment for Lyme disease as soon as you can. If it's not treated, Lyme disease can lead to problems with your skin, joints, nervous system, and heart.

Does Lyme disease require joint replacement?

We do not treat the actual Lyme disease.

What is the treatment for lyme disease?

Often the high dose therapy or 10 pass, as it is called, is used for Lyme. UBI blood irradiation is also used. A small amount of blood is withdrawn. It is combined with heparin and saline and fed through a UV light, then back into the patient.

How often did a lyme patient take colostrum?

The colostrum was collected and he took it every 1½ hours while he was awake. After this therapy he was no longer symptomatic and felt he had a remarkable recovery. Not only did the antibodies address the spirochetes of the Lyme, but also the bacteria and virus co-infections. That was 32 years ago.

How did a farmer create lyme colostrum?

He heard about a farmer in Minnesota who was creating Lyme colostrum. This was done by injecting a pregnant cow’s udder with the blood from a Lyme patient. The Lyme spirochetes and co-infections in the blood would stimulate the cow to make antibodies which were present in the first milk, colostrum, once the calf was born. The colostrum was collected and he took it every 1½ hours while he was awake. After this therapy he was no longer symptomatic and felt he had a remarkable recovery. Not only did the antibodies address the spirochetes of the Lyme, but also the bacteria and virus co-infections. That was 32 years ago.

What is the secret history of Lyme disease?

A book published in 2019 by Kris Newby called “Bitten: The Secret History of Lyme Disease and Biological Weapons” claims that ticks infected with the spirochete were to be used as bio-warfare and were experimentally released in Maryland. Since then Lyme disease has spread globally.

How many people get Lyme disease each year?

More than 300,000 Americans are infected every year with Lyme disease, showing symptoms that mimic autoimmune disorders, chronic fatigue, fibromyalgia, Parkinson’s and psychological problems. The problem is that the Lyme story is a complicated one when it comes to government regulation and interference.

How long does it take for a tick to transmit lyme?

The sad fact is, according to Lyme experts, it can take as little as 20 minutes to transmit bacteria and infect a host after a bite from an infected tick. So what are our options? FAIM has researched the various therapies and has found several viable options for treatment.

Does Lyme disease spread?

Since then Lyme disease has spread globally. There is also the problem of the Infectious Disease Society of America and the insurance industry refusing to accept that chronic Lyme exists, so long-time sufferers also battle for reimbursement for treatment.

How long do you have to take antibiotics for lyme disease?

Depending on what symptoms you have and how bad they are, you may need to take antibiotics for 14 to 28 days.

What to do if you have a positive lyme test?

If your test positive for Lyme disease, you’ll need antibiotics to clear the infection. Your doctor may prescribe antibiotics without a test if it’s likely you have the disease. (You may not need a test if you got a tick bite in a Lyme-endemic area and have the characteristic rash, for example.)

How long does it take for lyme disease to go away?

In reality, Lyme disease is easy to treat, especially if you catch it early. Most people find their symptoms resolve within a few weeks.

What happens if you have Lyme disease for months?

If you have had Lyme disease for many months, the bacteria may be more pervasive in your body. It may be causing more serious conditions, like brain inflammation, a heart infection, or arthritis.

Is there any treatment for Lyme disease?

There is currently no treatment for this condition, which some believe to be an autoimmune condition. Fortunately, post-treatment Lyme disease syndrome will generally improve on their own with time.

Can you take Lyme carditis IV?

If you have meningitis or a serious form of Lyme carditis, your doctor may prescribe an intravenous antibiotic. A nurse will administer the IV drug at the hospital. Once your condition is stable, you can switch to the oral form of the drug.

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Diagnosis

Treatment

Alternative Medicine

Preparing For Your Appointment

Medically reviewed by
Dr. Rakshith Bharadwaj
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment includes antibiotics.
Medication

Oral antibiotics: Early stages of lyme disease are treated with oral antibiotics.

Doxycycline . Amoxicillin . Tetracycline


Intravenous antibiotics: Prescribed for people whose central nervous system is affected by lyme disease.

Ceftriaxone . Penicillin

Nutrition

Foods to eat:

  • Gluten-free eating
  • Low sugar/ carbohydrate diet
  • Consume food that is rich In vitamins to improve immunity

Foods to avoid:

  • Stop dairy intake
  • Avoid refined sugars

Specialist to consult

Primary care physician
Specializes in the acute and chronic illnesses and provides preventive care and health.

Treatment

  • Many signs and symptoms of Lyme disease are often found in other conditions, so diagnosis can be difficult. What's more, ticks that transmit Lyme disease can also spread other diseases. If you don't have the characteristic Lyme disease rash, your doctor might ask about your medical history, including whether you've been outdoors in the summer where Lyme disease is common, and do …
See more on mayoclinic.org

Side effects

  • Antibiotics are used to treat Lyme disease. In general, recovery will be quicker and more complete the sooner treatment begins.
See more on mayoclinic.org

Prognosis

  • Antibiotics are the only proven treatment for Lyme disease. Some people who have unexplained signs and symptoms or chronic disease might believe they have Lyme disease even if it's not been diagnosed. There are a variety of alternative treatments that people with Lyme disease or people who think they have Lyme disease turn to for relief. Unfortunat...
See more on mayoclinic.org

Roles

  • You're likely to start by seeing your family doctor or a general practitioner who might refer you to a rheumatologist, infectious disease specialist or other specialist. Here's some information to help you get ready for you appointment.
See more on mayoclinic.org

Research

  • The first-line standard of care treatment for adults with Lyme disease is doxycycline, a tetracycline antibiotic. Other antibiotics that have activity against borrelia include the penicillin-like antibiotic, amoxicillin, and the cephalosporin, Ceftin. In children under the age of 12, amoxicillin is used because of the possible side effects of doxyc...
See more on hopkinslyme.org

Terminology

  • Antibiotics, like all medications, have the potential for side effects. Any antibiotic can cause skin rashes and if an itchy red rash develops while on antibiotics, a patient should see their physician. Sometimes symptoms worsen for the first few days on an antibiotic. This is called a Herxheimer reaction and occurs when the antibiotics start to kill the bacteria. In the first 24 to 48 hours, thes…
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Diagnosis

  • The prognosis after treatment of Lyme disease is generally very good. The majority of people are treated with antibiotics and return to their normal health. The prognosis is best when Lyme disease is diagnosed and treated early and worsens when diagnosis and treatment is delayed. Most patients with early Lyme disease infection recover with antibiotics and return to their norm…
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