What kind and what dose of antibiotics should a 2 year old have prescribed?

Yes, Amoxicillin is the antibiotic for children. 50mg/kg per day - divided into 3 doses (every 8 hours).

If only symptom is the rash - then antibiotics for 6+ weeks is recommended (per LLMD Dr. J. Burrascano guidelines).

I suggest you find a LLMD and follow up to make sure no more is needed. They have wait-lists - several weeks to a few months typically...so finding one soon is key.

Not all will take children as patients.

Now, I'd like to welcome you to our community! This is a supportive, caring, knowledgeable place.

Ammox works wonders and I see my dr also offers azithromycin. Doxycycline is very effective but generally not used in children under 9 because it can cause staining of the teeth. Cefdinir is also helpful if there is central nervous system involvement.

Azithromycin can be used in children from what I am reading.

For oral dosage form (extended-release suspension):

For treatment of pneumonia:
Adults—2 grams (g) once as a single dose.
Children weighing 75 pounds (34 kg) or more—2 g once as a single dose.
Children and infants 6 months of age and older weighing less than 75 pounds (34 kg)—Dose is based on body weight and must be determined by your doctor. The dose is usually 60 milligrams (mg) per kilogram (kg) of body weight once as a single dose.

http://www.mayoclinic.org/drugs-supplements/azithromycin-oral-route/proper-use/drg-20072362

But ILADS guidelines say this for a tick bite with EM rash only - if there are symptoms, longer treatment is necessary:

"Q2. Should the treatment of an EM rash be restricted to 20 or fewer days of oral azithromycin, cefuroxime, doxycycline and phenoxymethylpenicillin/amoxicillin?"


"Pediatric dosing for the individual agents is as follows: amoxicillin 50 mg/kg/day in three divided doses, with a maximal daily dose of 1500 mg; cefuroxime 20–30 mg/kg/day in two divided doses, with a maximal daily dose of 1000 mg and azithromycin 10 mg/kg on day 1 then 5–10 mg/kg daily, with a maximal daily dose of 500 mg. For children 8 years and older, doxycycline is an additional option. Doxycycline is dosed at 4 mg/kg/day in two divided doses, with a maximal daily dose of 200 mg. Higher daily doses of the individual agents may be appropriate in adolescents."


http://informahealthcare.com/doi/full/10.1586/14787210.2014.940900 Question 2, recommendation 2b.

But ILADS guidelines say this for a tick bite with EM rash only - if there are symptoms, longer treatment is necessary:

That is a very good point Trav. Your llmd will hopefully be able to detect any symptoms that may arise Paradise.

Has she shown any symptoms yet? If so that will affect the length of time required to treat the infection. I believe the ILADS standard for a child with only the bull's eye rash is still 6 weeks, and then you have to watch for more symptoms to show up. If they do, then more treatment is necessary. PFM will be able to guide you through this too. Is there any way that you can get in to see them at PFM?

Honestly, I would call PFM and ask them how much probiotics your little girl should be on.

Testing is iffy no matter what - the bulls eye is completely diagnostic of Lyme though - no other thing causes a bull's eye rash, only Lyme disease. The testing relies on antibodies that the body may or may not be capable of producing. Lyme can hide in the tissues and stop the immune system from recognizing it so that it can make those much coveted antibodies.

You can see if you qualify for Lyme Tap - it's a program designed to help those that meet the financial qualifications pay for Lyme disease testing: www.lymetap.com/

And you might find this site helpful as well: www.childrenslymenetwork.org/
I haven't been able to go through the site to check it out, as I get highly affected by being reminded by what I went through as a child myself.

And another site you might find helpful:
/sites.google.com/site/drjoneskids/home

Thanks Girlie!! I (finally) slept really hard and long last night and have been a bit out of it since. I read the treatment guidelines, but, well, I surely don't want to make any mistakes on this!!