One month ago I tested positive for Lyme Disease, after going to my internist with a large rash on my shoulder. (The rash turned into a classic bulls-eye over 5 cm wide.) My doctor prescribed 2 weeks of doxycycline. But my friends and I had heard the treatment was longer. So after I searched the CDC and Johns Hopkins website for the standard treatment, I asked for 2 more weeks of antibiotic. My doctor refused and only would prescribe 1 more week for a total of 21 days. (Her reasoning was the extended antibiotic could be harmful to my intestinal flora since I had also taken 10 days of eurythromycin sp? to treat a rapid skin infection that had developed in the rash cellulitis?) It has been over 1 week since my 3 week antibiotic was finished and I am starting to feel very fatigued, somewhat achy and flu like. I am concerned that I didn’t stay on antibiotics long enough. Is there a standard treatment/testing procedure once a patient has finished the initial course of antibiotics? E.g., when should I get re-tested?
There is no accepted test to verify that the treatment has been successful. The decision to treat with an additional course of antibiotics is based on clinical signs and symptoms.