Early localized Lyme infection; Lyme borreliosis; Stage 1 Lyme disease; Lyme disease - primary
Antibiotics are used to treat Lyme disease. The type of antibiotic used depends on the stage of the disease and your symptoms. The most common choices are doxycycline for older children and non-pregnant adults. Amoxicillin or cefuoxime (Ceftin) is typically prescribed for younger children.
Antibiotics are given for 10 - 21 days.
If diagnosed in the early stages, Lyme disease can be cured with antibiotics. The disease will usually get better in 3 - 4 weeks.
Without treatment, complications involving the joints, heart, and nervous system can occur.
If untreated, Lyme disease can progress to the advanced stages. Complications related to advanced Lyme disease include long-term joint inflammation (Lyme arthritis) and heart rhythm problems.
Nervous system (neurological) problems are also possible, and may include:
Another complication is infection with bacteria that cause other tick-borne infections, such as ehrlichiosis or babesiosis.
Call for an appointment with your health care provider if you have:
Feder HM Jr., Johnson BJ, O'Connell S, Shapiro ED, Steere AC, Wormser GP. Ad Hoc International Lyme Disease Group. A critical appraisal of "chronic Lyme disease." N Engl J Med. 2007; 357:1422-1430.
Halperin JJ, Shapiro ED, Logigan E, Belman AL, Dotevall L, Wormser GP, et al. Practice parameter: treatment of nervous system Lyme disease (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology. Neurology. 2007;69:91-102.
Wormser GP, Dattwyler RJ, Shapiro ED, Halperin JJ, Steere AC, Klempner MS, et al. The clinical assessment, treatment, and prevention of Lyme disease, human granulocytic anaplasmosis, and babesiosis: clinical practice guidelines by the Infectious Diseases Society of America. Clin Infect Dis. 2006;43:1089-1134.