Bartonella abx protocol

Hello,

So long story short I have been diagnosed with acute bartonella and yersinia and trying to decide which treatment protocol to follow, I am seeing 2 LLMDs (one local, one remote).

Doctor 1 is advocating:
-minocycline 100mg (twice a day)
-rifampin 300mg (twice a day)
-nystatin 500,000u (3x a day)
-Bactrim DS
-bromelain
-IV magnesium infusions for detox

Doctor 2 is advocating:
-clarithromycin 500mg (twice a day)
-rifampin 600mg (once a day on empty stomach)
-serropeptase/lumbrokinase/NAC for absorption/biofilms
-clonazepam 0.25mg for anxiety from bart
-claritin/zyrtec for idiopathic MCAS from bart
-liposomal glutathione for detox
-magnesium threonate
-LDN (1.5-4.5mg) for pain, fatigue, inflammation, immune modulation
-lithyronine & hydrocortisone for thyroid and cortisol hormone support


Both tx plans are centered around rifampin but they differ how to take it and with what other abx and enzymes it is effective with while also covering the yersinia. I have a followup soon with Doctor 2 on Monday and debating on what to tell her...Any input would be helpful as I don't want to keep switching my protocol...I'm 3 weeks into doctor 2's protocol and seeming to feel slightly better with some heavy herxing here and there.

Thanks again fellow sufferers!

If you have strong herx responses and flares to antimicrobials I think the 2nd doctor's approach will help in tolerating treatments. I've found LDN helpful, magnesium threonate is also a good one. The antihistamines may help with the die-off and cytokine cascades if this is a problem for you.

In regards to the antibiotics in the protocols it depends, I think both protocols can be effective. But each patient responds differently, one important factor is that if you plateau and still have symptoms it's important to rotate the meds.

I can say is that given my huge sensitivity and issues with massive herxing I would do better with the 2nd doctor's protocol. But that won't be the case for everyone!

Post Edited (sebreg) : 8/2/2018 12:14:23 PM (GMT-6)

IMO, Dr 2 is on much more the right track in terms of what's most proven effective for bart. I agree with Girlie though, i would be cautious of taking a benzo every day and just use it as needed.