Getting Rid of Lyme Disease

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Early Stage Lyme Disease Treatment

If Lyme Disease is diagnosed within the first few weeks after infection and treated with antibiotics for long enough, it can frequently be cured. Unfortunately, there’s no general agreement on what “long enough” means. Most doctors prescribe an antibiotic for two to three weeks, four weeks tops. Often this is not enough.

Here’s why: The Borrelia bacteria can exist three ways in the body – as spirochetes traveling around in the bloodstream, in cell-wall deficient form hitching a ride inside red blood cells, or as cysts hiding where antibiotics are unlikely to reach them. Since it takes four months (120 days) for red blood cells to be completely replaced, any cell-wall deficient Lyme not killed in a few weeks (14-30 days) are free to replicate and cause more harm. Encysted Lyme can also reactivate.

Traditional Lyme Treatment

pillsbottle1The most common oral antibiotics prescribed for Lyme are doxycycline or minocycline for adults and amoxicillin for pregnant women and children. Erythromycin, azythromycin, and clarithromycin (Biaxin) are also used, usually in combination with another drug. Ceftin or Suprax are used orally, or Rocephin and Claforan intravenously. Flagyl is used for the cystic form. Medication choice depends on a number of personal and health factors. Typically antibiotic therapy needs to be changed from time to time when a patient reaches a plateau in recovery.

People whose symptoms don’t go away or get worse after 2-4 weeks of antibiotic treatment may have other infections as well. A large number of Lyme patients have Babesia, Bartonella, and/or Ehrlichia. Various strains of mycoplasma and chlamydia may be also be present. Furthermore, any of the 8 herpes viruses humans get, including Epstein Barr virus and Cytomegalovirus, can be reactivated.

The immune system can usually get rid of co-infections if Lyme is treated early when their load is typically low. Otherwise, full-blown co-infections further complicate the healing process. Many of these infections are immunosuppressive, meaning they weaken the immune system so it can’t work properly. Lyme won’t go away until co-infections are also treated.

Many Lyme patients understandably worry about using long-term antibiotics. Overusing antibiotics can harm the body and lead to drug-resistant bacteria. However, most Lyme-literate doctors will tell you that the effects of being on antibiotics for a long time are minimal compared to the crippling disability and most-certain death if Lyme and co-infections are not treated.

The International Lyme and Associated Diseases Society (ILADS) has been at the forefront of Lyme education and treatment since 1999. In 2004 they published their evidence-based, peer-reviewed Lyme disease guidelines.  Another group, the Infectious Diseases Society of America (IDSA), offers far more conservative guidelines. Unfortunately an ongoing political battle between these two medical groups makes getting treated effectively for Lyme very difficult.

Download the ILADS guidelines here and read a summary of the IDSA guidelines. Download the full IDSA guidelines here.

Alternative Lyme Disease Treatment

There are many alternative, non-antibiotic treatments for Lyme, with new ones popping up regularly. Some Lyme patients have reported success with alternative therapies, but it’s wise to do your homework before heading in this direction.  Many of these modalities are experimental and not medically certified for Lyme; they could ultimately be harmful or even fatal.  If you want to use alternative treatments, make sure you do it with the supervision of a qualified medical professional.

Some of the more popular therapies, in alphabetical order (not a comprehensive list) are:

Acupuncture, andrographis, aromatherapy, artemisia, bee venom, Chinese herbs, cat’s claw, colloidal silver, colonics, colostrum, cranial sacral therapy, dietary changes, digestive enzymes, far-infrared sauna, garlic, glutathione, grapefruit seed extract, homeopathy, hyperbaric oxygen therapy, Japanese knotwood, liquid oxygen, lymphatic drainage, olive leaf extract, ozone therapy, resveratrol, Rife machine, salt and Vitamin C, spilanthes, Swedish sauna, tai chi, and various combinations of vitamins and minerals.

Many doctors use both antibiotics and alternative therapies to treat Lyme.

Lyme Detox

Since spirochetal bacteria release toxins when they die (unlike other bacterial infections), dead Lyme can cause as much trouble leaving the body as when they’re alive. Detoxification can overtax the organs responsible for clean up – the liver, intestinal tract, and kidneys, especially if it happens too fast.

Many people call the uncomfortable but normal side effects of Lyme detox a “healing crisis,” “flare up,” or “die-off.” The more technical name is Jarisch-Herxheimer reaction.

This reaction (also called Herxheimer or Herx for short) is named for two European dermatologists working independently at the turn of the 20th century on the treatment of syphilis (also a spirochete). Adolf Jarisch, an Austrian, first reported this treatment reaction to in 1895. Karl Herxheimer a German, followed in 1902.

A Herxheimer reaction can include headache, swollen glands, skin lesions, joint or muscle pain, chills, cold hands and feet, excessive perspiration, low-grade fever, a rise or drop in blood pressure, nausea, constipation or diarrhea, itching, hives and rash. Other symptoms have also been reported.

If the Herxheimer lasts more than a few hours, it may be necessary to decrease or temporarily stop treatment until it goes away. Sometimes hives and rash are mistaken for an allergic reaction to the drugs being used. Close follow-up by a qualified medical professional is therefore a must to help manage the erratic course that Lyme treatment typically takes.

For Late Stage Lyme, see our post on Chronic Lyme for more information on what happens if Lyme isn’t treated or isn’t treated adequately and symptoms persist beyond 6 months.

How quickly a person heals from chronic Lyme Disease depends on many factors, including:

  • how long they’ve had it
  • how serious their symptoms are
  • how their body reacts to treatment
  • their financial resources
  • the state of their mind and emotions
  • the quality of support they get from others

In a nutshell, healing Lyme can be a frustrating, depressing, and lonely road. Lyme is like no other infectious disease we’ve known before. Those who have it and those closest to them should take Lyme very seriously.

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290 Responses to “Getting Rid of Lyme Disease”

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  1. Melissa Says:

    My husband has a coworker whose wife has been suffering for years with the lyme disease. She has found the only treatment to be helpful is the PICC iv antibotics. The only problem is the insurance will not cover the medications and it is very costly. Is there anywhere to get help with the cost of these medications in the Peoria Illinois area. Please Help!


  2. Pam Dodd Says:

    Bob, many people with Lyme also get one or more other infections when they’re bitten by an infected tick. You can also get Ehrlichia, either independently or with Lyme, from other biting insects, especially mosquitoes. It sounds like you haven’t been treated adequately for either. Two to four weeks of an antibiotic is not enough to get rid of these infections, so if that’s the treatment you had, you still have them. You’re not nuts. You’re just sick.

    If you tell me where you live, I’ll send you info on how to find a Lyme specialists who knows how to diagnose and treat these infections correctly. Thanks for asking.


    • Jane Says:

      I’m in Syracuse, NY & found a tick Monday. Was in Saratoga Springs Sunday, anther person found a tick too. Because of allergens to meds, prescribed two z-packs. Not thinking that’s enough. Any help on MD in area is appreciated.


      • Pam Dodd Says:

        You’re probably right, Jane. NY Lyme info is on its way. Thanks for asking.

  3. Bob R. Says:

    Hello fellow Lymeies, can anyone tell me if Ehrilichia Chaffeensis comes from Lyme or the opposite. I was hospitalized with E/C in ’08 (that was a nightmare, no DR. knew what it was). I also had Lyme a few yrs. before. I still feel crappy 90% of the time (now they tell me I’m depressed). Since then I also have been diagnosed with neuropathy. I feel that the E/C and or Lyme is still with me. Is this possible? Thank’s for a great site. I know I’m not alone (60yo, WM been about 8 yrs now with the Lyme).


  4. denise Says:

    I have been trying to find the best way to heal from this disease that had created so many awful symptoms and changed my life, hopefully not forever. 2 1/2 yrs ago blood tested positive. Started w/13 months of antibiotics. I stopped to go to a naturopath. I went and felt a little better for 11 months but the cost was about $800- $1000 month so i stopped. Now I went for more blood wrk and tested negative, this was from a new infectious disease dr who wants to treat with rocephin. Because of the neg test, the insurence wont pay. Plus I was told the picc line doesn’t do much for chronic lyme. Is that true? If not is there a way to get my insurance co to pay?


    • Pam Dodd Says:

      Denise, there’s no way to get your insurance company to pay if they base their decision on a positive Lyme test. Lyme tests are unreliable, especially after you’ve had some treatment. You could try the IGeneX test, which is more accurate. But it costs $400. Another $600 if you also do the co-infections tests (Babesia, Bartonella, Ehrlichia, and Anaplasmosis). You don’t say if you’ve been tested for them. Most people with Lyme have at least one.

      FYI – most people with chronic Lyme don’t get rid of it only with naturopathy. A PICC line with Rocephin is used by many LLMDs. I know chronically ill Lymies who’ve done it, with mixed results. Thanks for asking.


      • Paula Says:

        Hi – I had Lyme symtoms last summer — negative test result but positive for two bands. Was treated with one 30 days course of anti-biotics then symptoms quickly reemerged and did another 30 day course. Also, worked with an integrative doctor and cleaned the gut, and reworked diet and added probiotics, Omegas and some other practical pieces. I occasionally have a resurge of symptoms like, heart palpiations, ringing in my ears and throat pain — usually off things. I know intuitively that these are Lyme related and they surface when i am very stressed.
        I have a bare bones insurance plan and am trying to locate affordable resources. Any suggestions? I am concerned that the two rounds of antibiotics were not enough eventhough my PCP and the infectious disease doc denied that possibility.

      • Pam Dodd Says:

        Paula, you’re right. Two 30-day rounds of antibiotics is rarely enough to get rid of Lyme. You should also be tested for the co-infections that also come with Lyme (Babesia, Bartonella, Ehrlichia, and Anaplasmosis). If you tell me where you live, I’ll send info on how to find a Lyme specialist in your area. Thanks for asking.

  5. Jennifer Says:

    Does anyone know of any lyme literate doctors in the Eau Claire, Wisconsin area? I am at my last rope on this and am pretty positive I have chronic lymes. Also is it true that the tests are not always acurate. Had one positive for babesia (1/2048) and one negative. Desperatly wanting to know of a good doctor in the EC area as I am tired of traveling and paying medical expenses to be told there is nothing wrong with me and I just have anxiety and panic. I know myself and there is something else going on for sure. Thank you to whomever helps me out. I have like 30 symptoms (some debilitating)and did have a rash back in May of 2011.


    • Pam Dodd Says:

      Jennifer, I’m sending you WI Lyme info so you can find a Lyme specialist. If there isn’t one in Eau Claire, I’d recommend travelling. It’s worth it to see someone who knows how to diagnose Lyme correctly (yes, the standard tests most doctors use are inaccurate) and treat it adequately if you have it. Hold on! Help is available. Thanks for asking.


  6. Kendra Says:

    I’ve been having non stop muscle spasms all over my body for about a month now. Blood work just came back saying i have elevated levels of Ehrlichia bacteria. I was bitten by a tick 10 years ago with no rash or any symptoms after. Could this still be lymes disease?? I live in Albany New York could you please send me info about a specialist in my area? Thank you so much


    • Pam Dodd Says:

      Kendra, yes, you could now have symptoms of Lyme, Ehrlichia, and possibly other Lyme co-infections from a bite 10 years ago. I’m sending NY Lyme info so you can find a doctor who knows how to treat Lyme adequately. Thanks for asking.


  7. Martha Says:

    Hello I’ve been dealing with a variety of symptoms for nearly two years now. First started with fever, chills, night sweats,
    Progressing slowly into muscle weakness, dizziness and breathing problems. Symtom all seem to be neurological. I’ve had many labs done,Mri, have spent thousands of dollars on treatments with no answers or results. Chinese medicine, chiropractors, nutritionist. Recently my G.P decided it was time to see a neurologist to rule out M.S for the second time. I’m very frustrated with my situation. My husband and I wanted to start a family but with my health issues I’m very afraid. Please help me find a Lyme Dr in the San Diego area. Hopefully I can find some answers. Thank you much.


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