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Tindamax and zpack
Hi All~

Was wondering how many of you have taken Zpack and tindamax together?

I am currently on plaquenil and zpack. Was feeling fine until today. I just added Zpack Weds. Could I be herxing from adding the zpack?

Help!! Feeling horrible.... JKV
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428506 tn?1296560999
Is "Zpack" azithromycin?  I've been pulsing Zith since Feb., and it's still effective in me.  I started pulsing Tindamax last week and barely made it through my 1st pulse as it hit me pretty hard.  I resume it on Monday.  

I've been on and off plaquenil a couple of time during my treatment.  The first time I tried it it was way too much for me.  I recently did a shourt course of it with much more mild Herxing, a good sign that I'm much better than I was before.

BTW, I've read reports from the recent ILADS conference that Plaquenil may encourage the cyst form as opposed to breaking it up as previously speculated.  So if you're taking it as a cyst buster, keep that in mind.  It is also an antimalarial, which would work against Babs. Do you have co-infections?

I did, and still do, Herx quickly in response to zith.  My  LLMD has told me that many of his patients feel the same way, that it still seems to pack a punch even later in treatment.  Granted, it's not as bad as it was early on.

Do you have Bart?  I think zith is mostly used for that.  I always have the biggest responses to Bart meds.
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fwiw

a "Z-Pak" is a dosing protocol for azithromycin:

Six 250-mg tablets, [sometimes/often] taken 2 on the first day and then one each day after that.

I've seen them in blister-packs, I think.
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Wonko,
thanks for the info. My doctor told me the same info regarding plaquenil and the use of it in cyst busting. That's why hes having me discontinue the plaquenil and add the the tindamax.

He also added the tindamax because I have some parasite infection according to the Fry Smear.

I started the azithryomicin weds and started feeling yucky herxing yesterday. It's not that bad but making old symptoms more annoying and caused a little fever. I don't have any coinfections since he tested me for those.

Do you know if you can get the generic form of tindamax called tiniziandole? My doctor prescribed the generic but most pharmacies I've called don't carry it. Go figure.
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428506 tn?1296560999
I was not able to get the generic, either.  My insurance still picked up some of the cost, but the cost to me was 5 times what it would be for a generic Rx.
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My sister-in-law is also on the plaquenil & Z-Pak protocol for her Typhus fever (infected by a tick) I'm looking at talking to my LLMD about this protocol too. My symptoms are slowing increasing again
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Hi, can you explain what you mean about pulsing with Tindamax? What dosage for how long? Our LLMD wants my 17yo daughter to take 500 mg 2x/day for at least 30 days and I'm worried about the herx. She's had so many herxes on all the many antibiotics we have tried and we don't want her to have to drop out of school again. Thanks for any insight you can provide! - Karen
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