Lyme disease, a vector-borne ailment, stems from the bacterium Borrelia burgdorferi or, less commonly, Borrelia mayonii. Blacklegged tick bites transmit the disease to humans, presenting symptoms like fever, headache, fatigue, and a distinctive skin rash called erythema migrans. If untreated, Lyme disease can extend to joints, the heart, and the nervous system. Timely antibiotic treatment, lasting a few weeks, proves successful in the majority of cases. Preventative measures encompass insect repellent use, prompt tick removal, pesticide application, and habitat reduction, considering the potential transmission of other tickborne diseases. In this article, we’ll explore the different options for Lyme disease treatment.
Treatment of Lyme Disease
Antibiotics are the only established Lyme disease treatment.
Antibiotic Course:
- Duration: Early Lyme disease is treated with a 10 to 14-day course of antibiotics, with drug selection based on disease stage and symptoms.
- Common Antibiotics: Choices include doxycycline, amoxicillin, cefuroxime, and azithromycin.
- Later Stages Treatment: Prolonged pill antibiotics, up to a month, are often used in later stages. Intravenous ceftriaxone are used for refractory arthritis or neurologic issues.
IV Antibiotic:
When your care provider deems it necessary, you may be prescribed an antibiotic that is administered directly into a vein, known as an intravenous (IV) antibiotic. This treatment is commonly recommended for more-serious diseases, particularly if you are experiencing symptoms such as long-lasting arthritis, or diseases impacting the nervous system or heart.
Preventative Measures:
To ensure your well-being, your healthcare provider may prescribe an antibiotic for prophylaxis, which is a preventive measure. There are three essential conditions that must be met for this to occur:
- The tick that bit you is confirmed to be a deer tick.
- You either live in or have recently visited an area where Lyme disease is prevalent.
- The tick was attached to your skin for a duration of 36 hours or longer.