Last Fri I saw my new dr who is an integrative MD specializing in Lyme. Very nice, compassionate and down to earth person. The appt was early morning when I am not yet in my best shape. I was so exhausted and brained fogged, my BP was soaring 170/110 so that my hubby had to drive me over and was a big support at the dr's office as well.
When we finally left the office 2 hrs later, I cried in the car from happiness. Finally I was a patient and not an advocate for myself. Finally I found someone who not only heard me out but also knew what I was talking about and had experience with prescribing CAP. The dr seemed to have understood me from a half of the sentence. I brought with me some articles and even books but I didn't have to convince him at all. In fact, he has several CAP protocols that he has been using for different Lyme co-infections and this is what he Rx-d in my case:
Minocycline 100 mg x 3 /day (he usually gives Doxy but since I had Doxy before he changed it to Mino),
Rifampin 600 mg at bedtime Mon-Fri only (start 1st week from 300 mg and increase to 600mg on 2nd week),
Azithromycin 600 mg Sat-Sun only.
He suggested to have Benadryl on hand in case of allergic reaction and provided me with emergency contact info. Also to take probiotic 2 pills x 3/day apart from abx. Other supps will be discussed on follow up visits.
Couple of things that puzzled me though. Before I came to see him I had been dx-d by a conventional dr-rheum with arthritis and I brought to him the notes of consult. However, his dx was Chronic Fatigue which doesn't seem to be my main complaint. I hope that my insurance will not have problems with this dx as I have to submit claim for reimbursement.
Another thing that I am surprised is why to take Rifampin only 5 days a week, can I develop a resistance to Rifampin this way? The dr didn't think so b/c I'll be taking 2 other abx.
What do you think?