Lyme disease - Treatment 

Treating Lyme disease 

Oral antibiotic (tablets, capsules and liqudis) are recommended for treating early, mid- and late-stage Lyme disease. Most people will require a two- to four-week course of antibiotics depending on the stage of the condition.

If you are prescribed antibiotics, it is very important that you finish the course even if you are feeling better because this will ensure that all the bacteria are destroyed.

If your symptoms are particularly severe and include arthritis or neurological conditions, antibiotic injections (intravenous antibiotics) may be used. Most people with mid- or late-stage Lyme disease will require a course of intravenous antibiotics.

Some of the antibiotics that are used to treat Lyme disease (both oral and intravenous) can make your skin more sensitive to sunlight (photosensitivity).

You should check the leaflet that comes with your medication to see if this is the case.

If it is avoid prolonged exposure to the sun and do not use tanning equipment until after you have finished the course.

Pregnancy and breastfeeding

As a general rule antibiotics tend not to be prescribed during pregnancy as a precaution in case they affect the development of the baby.

Though exceptions can be made if it is thought that the benefits of treating Lyme’s disease outweigh any potential risk.

You should discuss the pros and cons of using antibiotics with the doctor in charge of your care.

The Borrelia burgdorferi bacteria that cause Lyme disease cannot be passed on through breast milk, so it is safe to breastfeed if you have Lyme disease.

Last reviewed: 15/08/2011

Next review due: 15/08/2013

Comments are personal views. Any information they give has not been checked and may not be accurate.

Probitas said on 18 January 2012

From a recent study published January 2012 by Embers, Barthold et al :
"Persistance of Borrelia burgdorferi in Rhesus Macaques following Antibiotic treatment of Disseminated Infection "

http://www.plosone.org/article/info:doi/10.1371/journal.pone.0029914

If as shown in the above study Borrelia burgdorferi does persist in monkeys AFTER treatment with antibiotics, then what does this mean for humans who have been infected with Borrelia burgdorferi and received just a short 2-4 week course of antibiotics as suggested in your guidance above ?


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jmgboy said on 30 November 2011

i was dieagnosed with lyme 12years ago in the uk and was told ten pounds worth of antibioctics would cure me , how wrong they are , and alot more needs to put right off the tests in uk people like me are getting left so ill because of the nhs standard tests that are unreliable , yes i do think the care for someone with lyme needs to be put right , it has been horriable to live this way ill every day

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Joanne Drayson said on 23 September 2009

For more information on Lyme disease check out UK charity website www.lymediseaseaction.org.uk
There is evidence that that Lyme disease is not so rare in UK as previously thought.

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Joanne Drayson said on 23 September 2009

If Lyme Disease is not caught and treated adequately in the early stages there are those doctors who believe that ongoing symptoms are in fact chronic lyme disease and these symptoms can improve on long term antibiotics.

HPA follow IDSA guidelines which are currently under review see IDSA website for a presentation on 30July 2009
An alternative view is that held by ILADS International Lyme and Associated Diseases Society. They believe that 50% of blood tests are not finding cases and that long term antibiotics are helping patients with persistent and reoccurring symptoms.

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Antibiotics

Antibiotics are medications used to treat, and in some cases prevent, bacterial infections.