Hi.
Like the title suggests, this post is on treatment of erythema migrans in early Lymes disease.
For non pregnant adults and children ≥8 years of age with early Lyme disease: Doxycycline, amoxicillin, or cefuroxime axetil.
Why is doxycycline preferred for most patients with early localized Lyme disease?
Because it is effective against both Lyme disease and human granulocytic anaplasmosis.
Children <8 years of age or pregnant women with early localized Lyme disease: Amoxicillin or cefuroxime axetil.
Doxycycline is not recommended for children under the age of eight years or for pregnant or lactating women.
Why?
Because of severe adverse effects, including teratogenicity, permanent yellowish-brown teeth discoloration after in utero exposure and in children under 8 years of age and more rarely fatal hepatotoxicity reported in pregnant women.
That's all!
-IkaN
Additionally to prevent the progression from early (flu like symptoms, target rash erythema migrans) to mid phase (atrioventricular delay facial N palsy) of lyme disease you give Ceftriaxone.
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