Skip to main content
. 2012 Oct 8;8(6):978–982. doi: 10.5114/aoms.2012.30948

Table I.

Dosage and duration of Lyme disease treatment

Clinical picture Suggested regimens Dosage Administration Durationof the treatment[days]
EM BLC Doxycycline 100 mg bid po 14-21
Amoxicillin 500 mg tid (children: 50 mg/kg/day) po 14-21
Cefuroxime 500 mg bid (children: 30 mg/kg/day) po 14-21
Lyme disease with joint involvement Amoxicillin 500-1000 mg tid (children: 50 mg/kg/day) po 14-28
Doxycycline 100 mg bid or 200 mg q24h po 14-28
Cefuroxime 500 mg bid (children: 15 mg/kg/day) po 14-28
Lyme disease with nervous system, heart or recurrent joint involvement Ceftriaxone 2000 mg q24h (children: 50-75 mg/kg/day) iv 14-28
Cefotaxime 2000 mg tid (children: 150-200 mg/kg/day: divided in 3-4 doses) iv 14-28
Penicillin G 3-4 mu q4h (children: 0.2-0.4 mu/kg/day divided in 4- 6 doses) iv 14-28
ACA Amoxicillin 500-1000 mg tid po 14-28
Doxycycline 100 mg bid or 200 mg q24h po 14-28
Ceftriaxone 2000 mg q24h iv 14-28
Cefotaxime 2000 mg tid iv 14-28
Penicillin G 3-4 mu q4h iv 14-28

EM – erythema migrans, BLC – borrelial lymphocytoma cutis, ACA – atrophic chronic acrodermatitis, bid – twice a day, tid – 3 times a day, po – per os (by mouth), iv – intravenously, q4h – in each 4 h, q24h – in each 24 h