Treatment FAQ

what is the treatment for lyme disease and how doe it actually work

by Edgardo Mante Published 3 years ago Updated 2 years ago

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.
Oct 24, 2020

Medication

“People who got Lyme disease and didn’t get treated or got what we call ‘post-treatment Lyme,’ a lot of them are still suffering from it, and we don’t understand why or what to do about it. So that’s the big issue. That’s the bigger issue now ...

Nutrition

When people are diagnosed with Lyme disease in its early stages, a 10- to 20-day course of oral antibiotics—usually with a drug called doxycycline—will clear the infection and help them feel better fairly quickly. “This cures the vast majority of people, and they have a 100% recovery with no lasting effects,” says Dr. Zemel.

What is Lyme disease and how is it treated?

To reduce the chance of being bitten:

  • cover your skin while walking outdoors and tuck your trousers into your socks
  • use insect repellent on your clothes and skin products containing DEET are best
  • stay on clear paths whenever possible
  • wear light-coloured clothing so ticks are easier to see and brush off

Can Lyme disease ever be truly cured?

Untreated, Lyme disease can spread to other parts of your body for several months to years after infection, causing arthritis and nervous system problems. Ticks can also transmit other illnesses, such as babesiosis and Colorado tick fever. The deer tick (Ixodes scapularis) goes through three life stages.

Which Lyme disease treatments are most effective?

What happens if chronic Lyme disease is left untreated?

How successful is Lyme disease treatment?

The prognosis after early treatment of Lyme disease is generally very good. The prognosis worsens, however, when diagnosis and treatment are delayed. Most patients with early Lyme disease infection recover with antibiotics and return to their normal state of health.

How does Lyme disease work in the body?

When you do get infected, the bacteria travel through your bloodstream and affect various tissues in your body. If you don't treat Lyme disease early on, it can turn into an inflammatory condition that affects multiple systems, starting with your skin, joints, and nervous system and moving to organs later on.

Can you be completely cured of Lyme disease?

No. Patients treated with antibiotics in the early stages of the infection usually recover rapidly and completely. Most patients who are treated in later stages of the disease also respond well to antibiotics, although some may have suffered long-term damage to the nervous system or joints.

What happens after you treat Lyme disease?

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 organs are affected by Lyme disease?

It can affect any organ of the body, including the brain and nervous system, muscles and joints, and the heart. Patients with Lyme disease are frequently misdiagnosed with chronic fatigue syndrome, fibromyalgia, multiple sclerosis, and various psychiatric illnesses, including depression.

What are the 3 stages of Lyme disease?

There are three stages of Lyme disease.Stage 1 is called early localized Lyme disease. The bacteria have not yet spread throughout the body.Stage 2 is called early disseminated Lyme disease. The bacteria have begun to spread throughout the body.Stage 3 is called late disseminated Lyme disease.

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 is the best treatment for chronic 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 symptoms of late stage Lyme disease?

Symptoms of late stage Lyme diseaseSevere headaches and neck stiffness.Additional EM rashes in new places on the body.Facial palsy, also known as Bell's palsy – paralysis of one side of the face.Arthritis or joint pain and swelling, especially of large joints (such as the knee)More items...

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.

How serious is Lyme disease?

Untreated, Lyme disease can spread to other parts of your body for several months to years after infection, causing arthritis and nervous system problems. Ticks can also transmit other illnesses, such as babesiosis and Colorado tick fever.

What are the long term side effects of Lyme disease?

Chronic symptoms of Lyme are a much longer list and may include vertigo, ringing in the ears, short-term memory loss, light and sound sensitivity, mood swings, anxiety, depression, heart palpitations, and serious cardiac problems.

What antibiotics are used for lyme disease?

If your Lyme disease is found soon after you’ve been infected, your doctor will start you on antibiotics: 1 Doxycycline 2 Amoxicillin 3 Cefuroxime

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

Sometimes, people go through treatment for Lyme disease but their symptoms (feeling run-down and achy) don’t go away. If this lasts over 6 months , it’s known as chronic Lyme disease or “post-treatment Lyme disease syndrome” (PTLDS). Doctors still aren’t sure why some people get PTLDS.

What is the disease that can make you sick?

What Is Lyme Disease? Symptoms. Diagnosis. Treatments. Prevention. Chronic Lyme Disease Complications. Some ticks carry a type of bacteria called Borrelia burgdorferi. If you’re bitten by an infected tick, this microbe enters your bloodstream and can make you sick with an illness called Lyme disease.

Why do people get PTLDS?

Others believe it’s because the bacteria that causes Lyme hasn’t completely gone away .

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

Which drug you’re prescribed will depend on your age. Your doctor will also take into account if you’re pregnant or nursing. You’ll need to take this medicine for 10 to 21 days. The earlier Lyme disease is found, the better. Most people who start treatment in this stage improve quickly.

How long does it take for a syringe to work?

This allows it to go right into your bloodstream and start working. Most people receive medicine by IV for 2 to 3 weeks. During this time, your doctor will also try to ease some of your symptoms and any pain you’re in.

Can ticks cause a headache?

It’s the most common illness carried by ticks in the United States. It can damage any organ of your body. That includes your nervous system and brain, heart and joints. Lyme disease can be tough to diagnose. Early symptoms such as headaches and body aches are often mistaken for other health problems.

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.

What is PTLD in medical terms?

For research studies, a defined subset of this condition is called Post Treatment Lyme Disease (PTLD). This research definition is being used to investigate the potential causes of persistent symptoms in Lyme disease.

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.

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 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 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, ...

How long after an infection can you test for antibodies?

Lab tests to identify antibodies to the bacteria can help confirm or rule out the diagnosis. These tests are most reliable a few weeks after an infection, after your body has had time to develop antibodies. They include: Enzyme-linked immunosorbent assay (ELISA) test.

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.

How to remember information you received?

Take a family member or friend along, if possible, to help you remember the information you receive.

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.

How to help lyme disease?

Massage therapy can help to improve immune system functioning, assist with detox by removing waste products from muscles, and improve circulation. Massage also helps with the joint and muscle soreness that is sometimes associated with Lyme disease. It can even provide improvement if you are dealing with flexibility issues.

What is bio terrain therapy?

Bio terrain therapy is a schedule of treatments designed to target and improve a multitude of critical body functions . A biological terrain assessment takes measurements of the patient’s urine, blood, and saliva to get more information on the metabolic processes taking place within the body. Bio terrain therapy is appropriate for patients of any ages and is a non-invasive treatment that is implemented over a 14-day schedule and continues to yield results over a three-month timeframe.

Why do you need an IV?

An IV allows the nutrients to bypass the gastrointestinal system to ensure full absorption and allow for higher doses. By absorbing critical vitamins, amino acids, minerals, and other critical supplements, patients will experience improved metabolism, energy boost, and enhanced immune support.

How long does it take to cure lyme disease?

In more complicated cases, Lyme disease can usually be successfully treated with three to four weeks of antibiotic therapy.

How long does it take to get Lyme disease treatment?

Patients were treated with 30 days of an intravenous antibiotic followed by 60 days of treatment with an oral antibiotic.

How long does it take for B. burgdorferi to be detected in mice?

NIAID-supported studies have shown that B. burgdorferi can be detected in mice for at least three months after treatment with therapeutic doses of various antibiotics (ceftriaxone, doxycycline, or azithromycin). In these studies, surviving bacteria could not be transmitted to healthy mice, and some lacked genes associated with infectivity. By six months, antibiotic-treated mice no longer tested positive for the presence of B. burgdorferi, even when their immune systems were suppressed. Nine months after antibiotic treatment, low levels of Borrelia DNA still could be detected in some—but not all—of the mice. These findings indicate that noninfectious B. burgdorferi can persist for a limited period of time after antibiotic therapy. The implications of these findings in terms of persistent infection and the nature of PTLDS in humans still need to be evaluated.

What animal models have provided information on the transmission and pathogenesis of Lyme disease?

Animal models have provided considerable information on the transmission and pathogenesis of Lyme disease, as well as on the mechanisms involved in the development of protective immunity. Studies of the effects of antibiotic therapy in animals infected with B. burgdorferi have been conducted most often with mice but also with rats, hamsters, gerbils, dogs, and non-human primates.

How long does it take for ceftriaxone to improve?

In a statistical model, the ceftriaxone group showed a slightly greater improvement at 12 weeks, but at 24 weeks both the ceftriaxone and the placebo groups had improved similarly from baseline. In addition, adverse effects attributed to intravenous ceftriaxone occurred in 26 percent of patients.

How long does it take for a mouse to test positive for B. burgdorferi?

By six months , antibiotic-treated mice no longer tested positive for the presence of B. burgdorferi, even when their immune systems were suppressed. Nine months after antibiotic treatment, low levels of Borrelia DNA still could be detected in some—but not all—of the mice.

Which bacteria causes Lyme disease?

The susceptibility of B. burgdorferi, the bacterium that causes Lyme disease, to specific antibiotics

What is the best treatment for lyme disease?

The treatments we offer for Lyme disease include Hyperbaric Chamber Treatment , which helps restore your body’s natural functions, Ozone Therapy which kills pathogens, and Stem Cell Therapy which repairs the damage Lyme disease caused.

What is the stage of lyme disease?

Lyme disease has early (stage one) and late (stage two and three) symptoms: Stage one – a rash with flu-like symptoms. Stage two – inflammation throughout the body (such as arthritis) as the bacteria spreads. Stage three – a range of ongoing problems affecting different systems in the body such as the nerves and joints.

What age group is most at risk for lyme disease?

Children aged 3 to 14 are at the greatest risk for contracting Lyme disease, due to being more active outdoors, with more than 200 cases per day. The next age group most at risk is people over 50, who are also more involved in outdoor leisure activities like gardening, hiking, or playing golf.

Does lyme disease require a hyperbaric chamber?

Our Hyperbaric Chamber Treatment for Lyme disease allows patients to be pressurized in the Hyperbaric Chamber whilst the Ozone is still very active in their system. When both treatments are used in conjunction, this is a phenomenal advantage over other approaches.

Is Lyme disease treated under one roof?

All the treatment protocols have been highly effective as individual Lyme disease treatments for many years, however, we are the only treatment clinic in Europe that combines all of these therapies under one roof, and this is a huge benefit for maximizing your positive results.

Who is at risk for tick bites?

People who work outdoors for a living, including landscapers, utility workers, and farmers have an occupational risk for a tick bite. Pets who go outdoors, like dogs and cats, may bring ticks into the house and should be checked upon entering the home. Make An Enquiry.

Does stem cell therapy help with lyme disease?

The use of Stem Cell Therapy for Lyme disease provides an effective benefit by immediately strengthening the Immune System. One of the major benefits that patients attest to following Pluripotent Stem Cell Therapy for Lyme disease treatment is the enhanced ability of the body to protect itself from pathogen invasion.

What is the treatment for lyme disease?

Once you’re diagnosed with Lyme disease, your doctor will prescribe oral antibiotics such as doxycycline.

How to get back lyme disease?

Prompt treatment for Lyme disease reduces the risk of lingering symptoms and complications. If you’ve already been treated with antibiotics but continue to experience issues, talk to your doctor to determine if additional treatment is necessary. Patience and proactive communication with your healthcare professional will help you get back ...

How long does it take to recover from lyme carditis?

Some patients might need a temporary pacemaker. Most people recover within one to six weeks.

What is Lyme disease caused by?

David Ozeri, MD. Published on May 04, 2021. Westend61 / Getty Images. Lyme disease is caused by the bacteria Borrelia burgdorferi, transmitted by a bite from an infected black-legged tick.

What is lyme carditis?

Lyme carditis is a complication that develops when bacteria enter the heart tissues. Bacteria can interfere with electrical signals from the heart that control the beating of the heart.

How long does lyme disease last after antibiotics?

These symptoms may last six months or longer. There are a large number of Lyme disease cases in the United States each year. Luckily, the disease is not fatal, and experiencing a recurrence ...

How many people get lyme disease each year?

Lyme disease gets its name from the town of Lyme, Connecticut, where the first case was identified in 1975. 1. Recent estimates suggest that approximately 476,000 people contract Lyme disease each year in the United States. 2.

What antibiotics are used for lyme disease?

The other thing that’s significant about this study is they compared it to antibiotics. They compared herbs to doxycycline and cefoperazone, which are two antibiotics that are commonly used in Lyme disease treatment.

Why are herbs important for lyme disease?

This study showed that they are effective for — especially these top herbs, the cryptolepis, Japanese knotweed , cat’s claw, Chinese skullcap — they’re effective against both the motile and the cyst forms of the borrelia, especially the cryptolepis and the Japanese knotweed.

What herbs are good for lyme disease?

Top on the list was Cryptolepis , behind that Japanese knotweed, cat’s claw, Chinese skullcap, artemisia, black walnut, Cistus incanus, which is actually more of an essential oil, Andrographis, stevia, grapefruit seed extract, and monolaurin. These are some commonly used herbs for Lyme disease, and they tested each one.

Can you take andrographis for lyme disease?

And that’s why I would not take andrographis out of a formula for Lyme disease, because we know that one of the big advantages over antibiotics with the herbs is they can have a broader effect on the immune system. They can reduce inflammation and enhance the ability of the immune system to eradicate. We know that andrographis is a really wonderful immune-boosting herb.

Does Borrelia burgdorferi kill Lyme disease?

A new study from researchers at Johns Hopkins Bloomberg School of Public Health discovered seven herbs that directly kill Borrelia burgdorferi, the bacteria associated with Lyme disease. One in particular caused complete eradication of Borrelia.

Does Borrelia come out of tissues?

The immune system is weakened, and that allows not only Borrelia to flourish in tissues, but all the things that we call coinfections in addition to the other microbes that we all harbor in our tissues, like Epstein-Barr virus and herpes viruses and all these other things, they start coming out too.

Is Borrelia a coinfection?

The immune system is weakened, and that allows not only Borrelia to flourish in tissues, but all the things that we call coinfections in addition to the other microbes that we all harbor in our tissues, like Epstein-Barr virus and herpes viruses and all these other things, they start coming out too.

Treatment

Side effects

Prognosis

Roles

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.

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...
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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…
See more on hopkinslyme.org

Diagnosis

  • The causes of PTLDS are not yet well understood but our Center is investigating the potential roles of:
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Treatment

  • Our research has validated PTLDS as a serious and impairing condition. However, the causes of PTLDS are not yet well understood or validated. The term PTLDS does not mean post-infection or imply an assumption of underlying biologic mechanisms. The roles of immune dysfunction, autoimmunity, persistent bacterial infection, neural network alteration, and other potential causa…
See more on hopkinslyme.org

Alternative Medicine

  • Patients are often referred to the Lyme Disease Research Center for evaluation of chronic Lyme disease, an umbrella term that encompasses many different subsets of illness. Examples of defined Lyme disease subsets are Post Treatment Lyme Disease Syndrome (PTLDS), and Antibiotic Refractory Late Lyme Arthritis. The mechanisms of these Lyme disease conditions ar…
See more on hopkinslyme.org

Preparing For Your Appointment

  • The symptoms of chronic Lyme disease are similar to and overlap with other conditions involving fatigue, pain, and cognitive symptoms. Therefore, rigorous diagnostic evaluation is necessary to determine if Lyme disease could be the trigger for ongoing disease processes or if some other disease processes are involved.
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