Washout Necessary?

[BellaB]

New to Forum. Diagnosed 8 years ago with RA/Lupus. Considering the antibiotic protocol, have been on hydroxychloroquine, methotrexate, celebrex and antidepressants now for 6 years. Is it common for folks to try a “washout” period (for metho?) prior to going on AP? Seems problematic as one might flare a lot…

BellaB

[Lynne G.SD]

Hi Bella;
I stayed on MTX for the first 3 years of AP.Once I was about 80% of my old self I slowly reduced it.The max dose was 7.5mg or 3 pills so I went to 21/2 for a month then 2 then 1.5.By the time I was on half of a pill I was really worried about a rebound but nothing happened.
Plaquinil is kind of a cross between asperin and an antibiotic so that wont cause a problem.You are going to be stunned at how many of us have Lyme also and that is one of the meds used.
Lynne

[BellaB]

Thank you Lynne! Great to know-
Did you also cycle your antibiotics when you first started them? I don’t have access to IV in the location I’m living, so I’ll only be able to go on oral, my doc is saying to take it every day, and I thought from reading that it should be cycled for best results? Think I will be starting on just Minocycline.

BellaB

[Lynne G.SD]

Hi BellaI have SD so one has to hit it hard and hit it fast 200mg a day.My kid sister has Lyme/Lupus and MCTD.She did the CIR protocol and has been off all meds for over 4 years.Looks cured,but Gos only knows.People with RA usually start with 50mg 3 days a week and Lupies are even more sensitive so no big doses of anything until you know how you will react.Most of us do not do I.V s unless very,very sick

[BellaB]

Thank you, will keep that in mind and start Minocycline slowly. Did you (or your sister?) ever experience any Lupus type syndrome from Minocycline (which in essence may just be a herx response?) I’ve read about Minocycline and a Lupus type syndrome now in a few different articles…

BellaB

[Maz]

@BellaB wrote:

Thank you, will keep that in mind and start Minocycline slowly. Did you (or your sister?) ever experience any Lupus type syndrome from Minocycline (which in essence may just be a herx response?) I’ve read about Minocycline and a Lupus type syndrome now in a few different articles…

Hi Bella,

Have replied to your private email with further info for you. The difference between a herx and DILE is that a herx will occur when treatment is begun, whereas DILE is something that can, in rare instances and in people with certain predispositions, occur later, with chronic use. Both are drug-induced, but the mechanism is entirely different. Hopefully, the literature I sent to you will elucidate further. 🙂

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