Submitted by Len O on Thu, 2011-05-19 21:36

Wondering if anyone has suggestions on how to juggle the CAP protocol combined with specific food intake/restrictions recommendations in a 24 hour period...Especially when I add in metronidazole at pulse time, which is to be taken with food 3 X per day, I face a bit of a conundrum (spelling?)... I'm taking the standard doxy 100 mg 2 X per day, and 250 mg azithromycin on M, W, and F.  I am also taking lumbrokinase and di-sodium EDTA twice a day for biofilm inhibition which was found to be implicated in long-standing intersititial cystitis (in my particular case).  These last two supplements are to be taken on an empty stomach and ideally no food for 2 hours afterwards.  I usually take these 2 supps 1/2 hour before the antibiotics (daily doxy) as recommended by a nurse practitioner and naturopath. So M, W, and F I take the lumbro and EDTA around 1 pm and 1 am, on empty stomach, followed by the doxy (and azith on M, W, F noon only) within 1/2 hour, then refrain from eating for about 1.5 more hours. Problem is when I add in the metronidazole which recommends taking with food, and having to take it 3 times a day.  Having done only one full pulse so far, I tried doing the Flagyl at 6 pm with dinner, 3 am (get up in the night and force down some food with it trying not to wake up too much), then again at 10/11 am with a snack. The 3:00 a.m. one is a bit awkward food-wise. Does anyone have any creative suggestions? Does the 3:00 a.m. dose really need to be taken with food or can it be washed down with water only? Would taking it without food reduce effectiveness or cause stomach trouble?  Oh, and then during the pulse I have been throwing in the charcoal just before bed at 11:00 too, 2 hours away from food and abx.Any creative ideas would be most welcome!  Should have studied mathematical alorithms in school...Regards, Len


Many times I have taken flagyl on an enpty stomach - just at least eight ounces of water.   You could try it during the day. 


3/9 Symptoms returning. Began 5 abx protocol 5/9 Rifampin 600, Amox 1000, Doxy 200, MWF Azith 250, flagyl 1000 daily. Began Sept 04 PPMS EDSS 6.7 Now good days EDSS 1 Mind, like parachute, work only when open. Charlie Chan  In for the duration.&am

I take flagyl on an empty stomach too

DAILY:  NAC 2400MG , DHEA sublingual , vit D3 , multi vits,./ Three times  a week: B12 injections (Hydroxycobalamin). Deer antler./  Once every few months methyl B12 Methyl injections

No one ever mentioned taking flagyl with food to me. I generally take it on an empty stomach, unless I'm taking it at the same time as doxycycline.

I always eat a cracker or a bite of something/anything with doxy, or  else I'll feel queasy.

The difference between what we do and what we are capable of doing would suffice to solve most of the world’s problems. Mohandas Gandhi

Flagyl and tini can be taken with or without food, it does not really matter. I take my tini together with doxy and NAC twice daily after breakfast and after supper. But I used to take it on an empty stomach with no problem, the same with flagyl.

Stratton/Wheldon protocol 02/2006 - 10/11 for CFS and many problems 30 years

Which brings up the possibility that you might change to tinidazole, which is only taken twice a day................Sarah

A Journey through Light and Shadow

Completed Stratton/Wheldon regime for aggressive secondary progressive MS in June 2007, after four years, three of which intermittent.   Still improving bit by bit and no relapses since finishing treatment.

I get more of a punch when I use Flagyl on an empty stomach

DAILY:  NAC 2400MG , DHEA sublingual , vit D3 , multi vits,./ Three times  a week: B12 injections (Hydroxycobalamin). Deer antler./  Once every few months methyl B12 Methyl injections

Thks so much Hom, Kat, Lala, Mac, and Sarah!  Our pharmacy labels Falgyl Take With Food, but now I'll give it a try without to make life easier!

Sarah, thanks for the Tini suggestion. Interestingly, I originally was planning on taking Tini as my first pulse, but when I showed up at the pharmacy with the script (I had asked my Doc for it), they said "We don't have that in Canada!".  Hence, to Flagyl as plan B. Was able though to get custom compounding of 400 mg 3 X per day (standard here is only 250 or 500 mg) though as per the published protocol, which I thought might be less overwhelming to the system when starting the pulses.  Thks again and all the best everyone!  Len

Started Wheldon CAP Nov 2010 for interstitial cystitis suspected to be caused by Cpn. Now on all supplements, Doxy 100 mg 2/day, Azithromycin 250 mg M,W,F, one complete Flagyl pulse completed.