QUESTION: First, I have a patient with Mycoplasma infection (so far hasn’t tested positive for Lyme or other infections). She wants to avoid antibiotics and is willing to invest in some IV options. My thought was to do artusenate (120mg)/HDIVC, but am not sure what to tell her and other patients in terms of number of treatments for efficacy. I realize this is very individualized, but my thought was to start with a series of 2x/week for 6 weeks?? Would this be sufficient for treatment in a young patient without other infections, and who is otherwise healthy? Second, can I put Zith (500mg) and DMPS in the same bag? I think you said that was okay at the conference.
ANSWER: Generally I’d say yes, as long as you are doing other oral Tx. I’d hedge the bet however by stating if she isn’t feeling a lot better we would do more or alter Tx (ie H2O2…) I will put EDTA in with ABX, but DMPS is too reactive so I put it in 100cc of NS, (usually 25 – 50 mg dose for this so you can push it over 3-5 min.