Michèle 13 Feb 2008 04:52 am From my limited inexpert From my limited inexpert knowledge it seems to be missing one antireplicative antibiotic. We usually use two, doxycycline (or minocycline, or Rifampicin) and azithromycin (or roxithromycin). However I think the your protocol is one that was used by the Vanderbuilt doctors a couple of years ago, maybe things have moved on.The latest out of vanderbilt is the protocol that was recommended to Kimscupoftea, which is: 1) Rifampin 2) Azithromycin 3) Metronidazole (generic for Flagyl) 15 on 15 off ,although Kim could not carry on past 7 days on. 4) Sodium Pyruvate added after 8 wks. Michèle (UK) GFA: Wheldon CAP 1st May 2006. Daily Doxy, Azi MWF, metro pulse. Zoo keeper for Ella, RRMS, At worse EDSS 9, 3 months later 7 now 5.5 Wheldon CAP 16th March 2006 Michèle (UK) GFA: Wheldon CAP 1st May 2006. Daily Doxy, Azi MWF, metro pulse.