Chartreux said...
Exitwound thanks that something I think I'll talk over with my rheumy.
I got put on steroid eye drops today and will have to use then for the next 3 weeks..
my left eye was rejecting the restasis, tearing up and swollen, sometimes I wish I could
take my eye balls out and squirt antibotics on them and push them back into my head.
If it is reactive arthritis then I might have to be hospitalized as I'm allergic to Erythromycin
the main antibotic used to treat it. Life just got COMPLICATED...
Antibiotic therapy for Reiter's/ReA has an extremely mixed record of results. If you already have other auto-immune conditions, you can develop it secondary to those and you don't need an active infection to keep it going (though one will definitely cause it to flare up). There's a lot of debate as to whether antibiotic therapy actually helps when you don't have an active infection, and whether "simmering" infections such as biofilms are a major factor.
Antibiotics are often also anti-inflammatory to some degree or another, so that can complicate the analysis of benefit.
FYI, one antibiotic or another is often mentioned in the literature as being the "go-to" treatment for ReA. But that's usually just a reference to its acute form; once it's become chronic, or when it's part of a cluster of other auto-immune conditions, rarely are antibiotics effective except to help relieve flares caused by treatable infections.
I would think that there would be numerous alternatives even within antibiotic treatment to Erythromycin or even any of the 'mycin family period. The 'cyclines are often front-line options as well.