What antibiotic to start with?

[MarkH]

All else being equal, what antibiotic appears to be the first choice among PANDAS knowledgeable doctors?

Edited June 25, 2010 by MarkH

[peglem]

The 2 favorites (for strep) seem to be either full strength zithromax or augmentin (the XR version of that seems to be what has worked best), unless mycoP is suspected- then Biaxin.

 

On the other hand, some people find that keflex or omnicef work best for there child, so there is really a lot of variation from child to child.

[MarkH]

What about Azithromycin?

[sptcmom]

azithromycin is the same as zithromax/Z- pack. Augmentin 600 ES twice a day was what we started within the day when my son got a bad episode. It worked overnight with 50% reduction in symptoms. Then we found Mycoplasma and did two 10 day doses of Biaxin or also known as clarithromycin, one before IVIG and 2nd after IVIG.