Table I.
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