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A single prophylactic 200mg dose of Doxycyline prevents Lyme disease

cdc.gov

81–90 of 133 posts

Re: A single prophylactic 200mg dose of Doxycyline prevents Lyme disease

#81

Earlier quoted context omitted.

Is that the one which makes you laconic / home sick / bit nutty?

My experience is that all antibiotics in that category mess with your head to some extent. I found that minocycline was the worst, though, and gave me horrible dizziness.

Supposedly It can increase cranial pressure. IIH support forums are filled with people saying to stay away from doxy. Some say It caused permanent increases.

Re: A single prophylactic 200mg dose of Doxycyline prevents Lyme disease

#82
post #58

Earlier quoted context omitted.

Maybe. But severe/cystic acne and the like are rarely solved so simply by dietary intervention. If the acne was so bad as to warrant an Accutane prescription, then my guess is that diet would not have helped much. Accutane can take a large toll on the body but is often one of the most effective tools in eradicating acne long term for those so strongly impacted.

Cystic acne is often, but not always, caused by a reaction to a dietary ingredient. Fasting a full day between meals can also often resolve cases. I will not reach for drugs until I have done everything I can in good faith with food and meal timing (24 hours between meals).

That sounds like what Steve Jobs said about his cancer.

As another anecdote - I got rid of my acne when I discovered benzoyl peroxide creams via an XKCD comic.

Re: A single prophylactic 200mg dose of Doxycyline prevents Lyme disease

#83
post #68
post #27

It's easy for some of us to forget that Lyme disease is an ongoing danger parts of the world. I used to have to keep it in mind when I lived in Tennessee, but that's one thing I don't think about much now that I'm in San Francisco. Of course, I have a lot of other problems instead, just not ticks!

When I lived in So. Cal, and even when I spent time in the Sequoia NP and NF, I never found a tick on me. I think I only found one on the entire 15 years I lived there, and I spent a lot of time bushwhacking around in those parks and the Tehachapis.

Depends on the place and year.

Most years, I've had no issues with ticks. But after a rainy winter (like 2010/2011, or 2018/2019), I've been hiking with people who have gotten ticks in the Santa Monicas and even in the San Gabriels.

Spring of 2011 was the worst. After a hike at the Circle-X Ranch, one of my companions had two ticks, and two of us had one apiece.

Re: A single prophylactic 200mg dose of Doxycyline prevents Lyme disease

#84
post #64

Earlier quoted context omitted.

> the scrip ran out. Assuming that was written intentionally, I had no idea that this was a word, and that this was a usage. I’ve learned something.

It should be "script" I believe, short for "prescription". Scrip is a word, but its meaning is different and it's close to archaic.

Interesting, why do you perceive that "scrip" cannot be short for "prescription" whereas "script" can be?

FWIW, Wiktionary lists both: https://en.wiktionary.org/wiki/scrip#Etymology_4

Re: A single prophylactic 200mg dose of Doxycyline prevents Lyme disease

#85
post #58

Earlier quoted context omitted.

Maybe. But severe/cystic acne and the like are rarely solved so simply by dietary intervention. If the acne was so bad as to warrant an Accutane prescription, then my guess is that diet would not have helped much. Accutane can take a large toll on the body but is often one of the most effective tools in eradicating acne long term for those so strongly impacted.

Cystic acne is often, but not always, caused by a reaction to a dietary ingredient. Fasting a full day between meals can also often resolve cases. I will not reach for drugs until I have done everything I can in good faith with food and meal timing (24 hours between meals).

All very well, but my (moderate) acne was caused by… carbs. I would much rather have both acne and carbs, than neither. Accutane, of course, nuked it and it never came back.

Re: A single prophylactic 200mg dose of Doxycyline prevents Lyme disease

#86

Earlier quoted context omitted.

I am right there with you. Took one week Doxy after being bit and got a rash anyway. About two years later mental fog and all our hell took over, tested positive but doc wouldn't give me antibiotics because I took the initial one week "and it's not possible that I have Lyme". Years later I have lost a business I founded and countless months where I couldn't even think let alone function. One day IS ABSOLUTELY not eno…

My Wife has long term Lyme and the cost for us aren't quite that much but close and can also confirm that insurance will cover very little of it.

No post body was provided.

Re: A single prophylactic 200mg dose of Doxycyline prevents Lyme disease

#87
post #58

Earlier quoted context omitted.

Maybe. But severe/cystic acne and the like are rarely solved so simply by dietary intervention. If the acne was so bad as to warrant an Accutane prescription, then my guess is that diet would not have helped much. Accutane can take a large toll on the body but is often one of the most effective tools in eradicating acne long term for those so strongly impacted.

Cystic acne is often, but not always, caused by a reaction to a dietary ingredient. Fasting a full day between meals can also often resolve cases. I will not reach for drugs until I have done everything I can in good faith with food and meal timing (24 hours between meals).

No post body was provided.

Re: A single prophylactic 200mg dose of Doxycyline prevents Lyme disease

#88

Earlier quoted context omitted.

I am right there with you. Took one week Doxy after being bit and got a rash anyway. About two years later mental fog and all our hell took over, tested positive but doc wouldn't give me antibiotics because I took the initial one week "and it's not possible that I have Lyme". Years later I have lost a business I founded and countless months where I couldn't even think let alone function. One day IS ABSOLUTELY not eno…

> As further reference your insurance won't cover your treatment once it gets bad Wait, what? Based on what reasoning? Was this before or after the Affordable Care Act?

Welcome to the world of rare (or at least not common) chronic diseases. Private companies work by firing their least profitable customers. If you have a less common disease, the insurance company can simply claim that your preferred treatment is insufficiently backed by data.

With a small patient population, there is no incentive for for-profit companies to fund a study. And because few can afford the treatment, you can't get real world data to use in place of a study.

Re: A single prophylactic 200mg dose of Doxycyline prevents Lyme disease

#89

Not accurate. If you read the original research study this recommendation is based on, it prevents the bullseye rash, which they used as a proxy measure. It's unclear whether or not it actually prevents lyme. I personally got bitten by a tick, did the prophylaxis dose, and then developed joint pain which continued until I did a full 21 day course. Yeah it sucks not being able to go in the sun for an entire month and…

I am right there with you. Took one week Doxy after being bit and got a rash anyway. About two years later mental fog and all our hell took over, tested positive but doc wouldn't give me antibiotics because I took the initial one week "and it's not possible that I have Lyme". Years later I have lost a business I founded and countless months where I couldn't even think let alone function. One day IS ABSOLUTELY not eno…

> doc wouldn't give me antibiotics because I took the initial one week "and it's not possible that I have Lyme"

Why would you accept that response from a doc if you were confident you had symptoms of lyme? Get a second opinion, or straight up fire your doctor.

Re: A single prophylactic 200mg dose of Doxycyline prevents Lyme disease

#90
post #29

Is there an app that can alert me when I'm in a tick-infested area? I don't think about ticks living in CA and I'm deadly afraid of being on a vacation and going on a hike and getting bit.

Just check yourself after coming back from any forested area, no need for an app
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