I was on 600 mg rifampin I2 x a day 300 mg pills) for three months, and then minocycline 2 x a day 300 mg total) it is better to take rifampin with another antibiotic it makes it work better. flagyl I believe is for yeast? look that up to see. also you should be on probiotics everyday 2 hours away from the antibiotics so your gut won't get all screwed up from all the good bacteria being killed off by the antibiotics.

Flagyl is another abx - it does not treat yeast.

Tbrown, you should read Dr. Joseph Burrascano's paper, "Advanced Topics in Lyme Disease" to get a better picture of what abx will treat what infection.

www.lymeneteurope.org/files/burrascano-lyme-guidelines-october-2008.pdf

Sounds like you may need to find a different LLMD? If they are combining meds that cancel each other out, then you aren't healing. I wish I knew more about using abx!

Why not start a new thread with the title something like "Doxy and Rifampin together?" or something like that so that other members who are more familiar with those meds can comment?

Tbrown2 - Rifampin is a general purpose antibacterial drug that works by inhibiting bacterial replication. So yes it works for Lyme, but for reasons that I havent been able to figure out, its particularly effective against Bart.

The real beauty of Rifampin is that its synergistic with another antibiotics and doesnt (shouldnt by itself) produce a Herx.

While this is a good article explaining why the Rifampin/Doxy combo is used, it only speaks to the Rifampin dose in that combo:
www.lymebook.com/antibiotic-treatment-for-babesia-bartonella-ehrlichia-co-infections

"It is best used in combination with certain other antibiotics. Frequently, those combinations include rifampin with doxycycline or rifampin with clarithromycin. The combination of rifampin with doxycycline is especially helpful when a patient with Bartonella/BLO is also infected with either Ehrlichia or Lyme. The dosage of rifampin is 300 mg per day for the first week; increase to 600 mg once a day after the first week. It is advisable to use rifampin in the evening (not at bedtime) on an empty stomach, three hours or more after a meal. It may be used in the morning an hour before breakfast also. "

I really couldn't find anything that I would trust to compare to for doses of Doxy to be on though.

When I said that 200 mgs of Doxy wasn't enough, I didn't realize that you were on a combination therapy.

If you don't feel any improvements within a couple of months, then you need to start asking more questions like, am I detoxing enough? Do I have other co-infections that could be stopping healing? Is it time to try another abx combo? and others.

Of course, this is all just my 2 cents worth, but it is based on what I've seen on forums and the articles that I have read over the years.

about all I can say is if you don't believe that what you are being told to do by your LLMD is correct, then you don't trust her judgement - If you don't trust her judgement, then you need to find another LLMD that you can trust.

Remember, you are quite literally putting your life in their hands.