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Posted 1/18/2021 9:59 PM (GMT 0)
My LLMD wants me to add Augmentin for a short run. Due to past high strep tigers Will it hit bart? Or Lyme
Posted 1/18/2021 10:22 PM (GMT 0)
It will hit lyme and in combination with another antibiotic - it can be used for bart. (Rifampin or Rifabutin or - if you’re comfortable - one of the fluoroquinolones )

Minimum two different abx is recommended for treating these infections.
Posted 1/18/2021 10:40 PM (GMT 0)
Augmentin is amoxicillin plus clavulanate - and clavulanate's purpose in the medication is to help keep the blood level of amoxicillin higher so it doesn't have to be dosed as frequently.

Like regular amoxicillin, augmentin should hit Lyme but with one qualification - the clavulanate makes it harder for the medication to penetrate brain tissue. Some old medical research papers I found at one point had determined that a higher percentage of people who were otherwise apparently successfully treated for Lyme with augmentin went on to develop neurological disease, vs. those who were treated with amoxicillin alone.

As with other penicillin-based drugs, augmentin is not known to be effective against Bartonella.
Posted 1/18/2021 11:52 PM (GMT 0)
Thanks it would be added to my ceftin, Clidymyocin, claritho, I am supposed to start Marlorone just being a chicken about it. I usually have to muster up the courage when starting a new med. One thing I noticed about the clindy is that it seemed to clear up some small cyst that were growing right ubove my eyelid. Who would of thought after having it for over a year.
Posted 1/21/2021 12:53 AM (GMT 0)

1yrinVA said...
Augmentin is amoxicillin plus clavulanate - and clavulanate's purpose in the medication is to help keep the blood level of amoxicillin higher so it doesn't have to be dosed as frequently.

Clavulanate inhibits a bacterial enzyme that breaks down amoxicillin. Borrelia burgdorferi does not have such an enzyme so it really makes no difference. I took amoxicillin with and without clavulanate and really couldn't tell the difference. Amoxicillin really doesn't cause much herxing as it just causes borrelia to become inactive, and is ineffective against bartonella.
Posted 1/21/2021 2:10 AM (GMT 0)
But if I had strep it would hot that?
Posted 1/21/2021 3:34 AM (GMT 0)
Amoxicillin is often used for streptococcus infections, and if you had streptococcus that was resistant to amoxicillin due to beta-lactamase then clavulanate could overcome that.
Posted 1/21/2021 5:08 AM (GMT 0)
Amoxy has a really short half life.

When I was on it, my LLND at the time told me to dose it 3x daily.
The half life is something like one hour.
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