Leading Lyme Physicians in Lyme Disease Conversations – Dr. Daniel Cameron speaking with Dr. Joseph Burrascano. Dr. Burrascano- Treatment Recommendations Dr. Joseph Burrascano, Jr. DIAGNOSTIC HINTS AND TREATMENT GUIDELINES FOR LYME AND OTHER . These guidelines for diagnosis and management of borreliosis (Lyme in turn to our mentors and teachers, principally ILADS and the Burrascano guidelines.

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These tubes are placed around the property in the wooded areas and below shrubs. Joseph Burrascano Joseph J. Thrombocytopenia and elevated liver enzymes are less common, but likewise should not be ignored. Doctors are not supposed to use the surveillance criteria to diagnose giudelines Lyme treatment should not be based on surveillance criteria.

More severe infections are associated with immune deficiency and possibly occurrence of opportunistic infections. The LDA is not a medical organization. We have seen this clinically, with the ultimate result being full blown Chronic Lyme Disease.

The tetracyclines, including doxycycline and minocycline, are bacteriostatic unless given in high doses. Artemesia a non-prescription herb may be added, but is not effective when used alone. Higher doses, parenteral therapy, and longer treatment durations may be needed based on the duration and severity of illness, and whether immune defects or extreme age is present.

Lyme Disease Association, Inc. The patient should be antibiotic free for at least six weeks before testing to obtain the highest yield.


The resultant document has proven to be extremely useful not only to the clinician, but it also can help clarify the diagnosis for third party payers and utilization review committees. These include duration and severity of illness, presence of co-infections, immune deficiencies, prior significant immunosuppressant use while infected, age, weight, gastrointestinal function, blood levels achieved, and patient tolerance.

About Joseph Burrascano, MD

Metronidazole can also be added to increase efficacy, but there is minimal clinical data on how much more effective this regimen is. There are multiple strains of Borrelia burgdorferi and they vary in their antigen profile and antibiotic susceptibilities. Cefuroxime axetil mg q12h for 6 weeks. Because of this, the doses listed below may have to be raised. For more than 30 years, he has been treating adolescents and adults suffering from Lyme disease.

Pituitary and other endocrine abnormalities are far more common than generally realized. In the list below, it is indicated whether the product should be gotten from Pharmanex, or whether a different source or generic substitute is OK. Retreatment is always possible. Fourteenth Edition November, For example, doxycycline can be very effective but only if adequate blood levels are achieved either by high oral doses to mg daily or by parenteral administration.

If necessary, begin with classic physical therapy, then progress when appropriate to a whole body conditioning program. However, these high doses can be difficult to tolerate. Typical combinations include an erythromycin, plus a fluoroquinolone or rifampin. Amoxicillin mg q6h for 6 weeks.

There is evidence that metronidazole will kill the cystic form. Clinical hypothyroidism can result from receptor blockade and thus hypothyroidism can exist despite normal serum hormone levels. This phenomenon has been reported to occur at any time, even up to several years after the initial infection.


In addition, serologies and PCRs are of unknown sensitivity and specificity. This is a mixture of household liquid bleach Cloroxone teaspoon in four ounces of water. In later stages, it also includes a very significant degree of immune suppression. The fulminant presentations include high fevers, shaking chills and hemolysis, and can be fatal.

Indeed, the very real consequences of untreated, chronic persistent infection by B. This is usually a one-time treatment, but may have to be repeated guiddlines few weeks.

Although more sensitive than standard smears, infections can still be missed.

Primary care physicians and other healthcare providers seeking continuing medical education CME credits for Lyme disease diagnosis and burrasxano can now approach the non-profit Partnership for Tick-Borne Diseases Education PTDE led by Elizabeth Maloney, MD, a physician with longstanding experience in speaking about tick-borne diseases, organizing Lyme disease conferences, and co-authoring treatment guidelines on Lyme and other tick-borne diseases.

Cessation of smoking is extremely important and must be addressed immediately. Unfortunately, not all specialists recognize pituitary insufficiency, partly because of the difficulty in making the laboratory diagnosis.