Treatment of Lyme Disease
Tabla de Antibióticos Recomendados y Dosis1
| Symptom | Drug (oral/intravenous) |
Adult Dosage | Pediatric Dosage2 |
| ERYTHEMA MIGRANS and Other Symptoms of Early Dissemination Alternative: |
Doxycycline3 (Vibramycin, and others) OR |
100mg PO b.i.d.
|
|
| Amoxicillin (Amoxil, and others) | 250-500mg PO t.i.d. | 25-50mg/kg/day div. t.i.d. | |
| Cefuroxime axetil (Ceftin) | 500mg b.i.d. | 250mg b.i.d. | |
| NEUROLOGIC DISEASE Facial nerve palsy More serious CNS disease4 |
Doxycycline3 OR |
100mg PO b.i.d. | |
| Amoxicillin | 250-500mg PO t.i.d. | 25-50mg/kg/day div. t.i.d. | |
| Ceftriaxone (Rocephin) OR |
2 grams/day IV | 75-100 mg/kg/day IV | |
| Penicillin G | 20-24 million units/day IV | 300,000 units/kg/day IV | |
| CARDIAC DISEASE Mild More serious5 |
Doxycycline3 OR |
100mg PO b.i.d. | |
| Amoxicillin | 250-500mg PO t.i.d. | 25-50mg/kg/day div. t.i.d. | |
| Ceftriaxone (Rocephin) OR |
2 grams/day IV | 75-100 mg/kg/day IV | |
| Penicillin G | 20-24 million units/day IV | 300,000 units/kg/day IV | |
| ARTHRITIS4 Mild Serious |
Doxycycline3 OR |
100mg PO b.i.d. | |
| Amoxicillin | -500mg PO t.i.d. | 50mg/kg/day div. t.i.d. | |
| Ceftriaxone OR |
2 grams/day IV | 75-100 mg/kg/day IV | |
| Penicillin G | 20-24 million units/day IV | 300,000 units/kg/day IV | |
| NOTES: 1 Recommendations are based on limited data and should be considered tentative. The duration of treatment is not well established for any indications; it is usually based on severity of disease and rapidity of response. Clinicians generally recommend 10 to 30 days for oral drugs and 14 to 21 days for intravenous treatment. 2 No exceda la dosis de adulto. 3 Tetracycline HCI (Adrpmycin y otros), 250-500 Mg. q.i.d. Ninguna Doxycycline y ninguna Tetracycline debería ser usada para niños menores 8 años, mujeres en embarazo o amamantando. 4 Cuando la enfermedad esta en una etapa avanzada, la respuesta al tratamiento puede demorar varias semanas o meses. 5 Un receso temporal podria ser necesario. (1)Síntomas Medicamentos Dosis para Adultos Dosis Pediátrica (2)Migrañas Alternativas (3)Enfermedades Neurológicas Parálisis de nervios faciales Enfermedades más severas el el Sistema Nervioso Central (4) Enfermedades Cardíacas menos severas Mas severas (5)Artritis Oral Externa |
|||
