Vickie--I will add our d's experience (very positive results) with Amoxicillan.
I wonder the same though, that if we had tried something stronger would her recovery had been quicker? --but no way of going back, and the GOOD news is that from an entirely debilitated child summer of 2008:
with severe, regressive, sudden OCD--no talking, eyes shut, step-stepping, holding saliva in her mouth, holding painful positions, spitting at us, throwing things, toileting "accidents", we had to carry her, presented like a large naughty 4 year old (10 at the time)--for a horrid month at the worst of it, etc.etc. From THAT presentation to today where she is a gifted, happy, funny kid again, with good friends, emotionally connected and getting all A's, again, in school--(I think the emotional connectedness was most important to me.)
I credit prayer that led us to a perceptive doctor--Our d had an excellent reaction to FULL strength Amoxicillan (and two steroid bursts along the way--which seemed to snap her out of it.)
We have had three severe "episodes" where she had subsequent OCD/mild tics and Amoxicillan worked well. She has been on it continually now for the past 10 months.
Our son, Jamie, was put on amoxicillin from the onset of PANDAS. It took a while for us to see improvement so I do not feel that any parent should expect dramatic results within 10 days. I would say within 45 days we did see improvement. We chose (with advice of our pediatrician) to keep him on amoxicillin for over a year. We did not use steroids as they can effect the emotional lability and this is something we did not want to take a chance on. It is important to mention that during this time we
kept our son away from artificial sweeteners, colorings, vaccines, toxins, made sure he got plenty of rest, used meditation and chiropractic. Thank goodness, he has not had any exacerbations since his initial treatment in 2001. We do, however, use Amoxicillin as a prophylactic tool when he is exposed to an ill family member or becomes ill himself. The key to all PANDAS children, in my opinion, is to be proactive and seek out a holistic healthcare provider to keep your child's immune system at
an optimal level. We do not have all the answers...but this is what we found to be true in our son, Jamie's case.