Soothing the - Itchy Skin Parasites

D. Sources:
Soothing the Itch Within and the Diet to Control it.
C. Antibiotics effective against both Borrelia and a presumed protozoan: The
same as B.
1. All oral antibiotics are PDA approved, and purchased through local or US Mail-
Order pharmacies, typically through medical insurance co-pay. Long-term highcost
antibiotics such as azithromycin are sometimes not approved, or at least
often require "Prior Approval" paperwork. Biaxin may be substituted.
Diagnostic codes should include Babesia (088.82) if it is found or part of
treatment rationale.
2. IM ceftriaxone (Presently only sold as Rocephin until December 2004, when it
becomes available as a generic.) One-gram vials seem to be readily gotten
through local or Mail-Order pharmacies via prescription. Concurrent
prescriptions are required for the following required equipment:
• Lidocaine. 1%, 100 cc/month (two 50 cc bottles preferred). Mix 2. Ice
with each one-gram vial of ceftriaxone until clear yellow.
• Syringes, disposable, 30cc, 30 per month. Use one daily.
• Needles, 25 gauge, 1 Vz inches, 30 per month. Use only for the actual
injection.
• Needles, 18-20 gauge, 1 inch, 30 per month. Use only for fluid transfer
between bottles (that can cause tip bending).
3. IV Ceftriaxone should be given by professionals trained to do so, such as Home
Health agencies. Insurance often will not cover this method because of
exorbitant cost. Orders (describing details) for the only effective protocol we
now consider useful are attached.
4. Patients whose insurance will not cover IV ceftriaxone, but who have extremely
debilitating or progressive courses can find alternative, less expensive drug sources.
Safety, however, is paramount, and there must be assurance of quality line placement
and care, and medication mixing and infusion. See attached information.
E. TREATMENT LENGTH
1. Azithromycin: Continue from the first day without a break until
symptoms have disappeared or plateaued for more than 3 months.
2. Atovaquone: Give one course (bottle or box... typically for 21 days).
Stop a week, then give the second course. Most patients will not
require more than three courses, although CNS recovery will continue
for another 3-4 months to resolution.
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