Easier pulse therapy

Hi Everyone,

I have a suggestion based upon personal experience for speeding up and making the pulse therapy easier to handle. Since this has only been tried on a single individual it of course anecdotal but having tried this several different ways over several years I am fairly certain this has better efficacy and produces less adverse reactions.

Instead of taking 500 mg of Flagy (Metronidazolei) 1-3 times per day over a several day period. I have seen much better results from taking a single larger dose, typically 1-2 grams. The symptoms of a single large dose are far less than the cumulative effects of Flagly taken for several days IMOi. And the gains made by taking the single larger dose seem much more substantial.

When I started pulsing this way the reaction was very significant. I would have aches and pains and a strong metallic taste within an hour of taking this. However virtually all of the symptoms would dissipate within 2-3 days. The increase in energy and cognitive function is very apparent within a couple of days and the quicker recovery time allows one to take another pulse much sooner. I went from once a week to every other day within 2 months.

I believe the larger doses allow the Flagyl to kill the cryptic formi of Cpni as opposed to simply inhibiting it, difference between bacteriostatic and bacteriocidal. In any event this seems to work an order of magnitude better for me. I actually prefer the 2 gram doses to to a smaller 1 or 1.5 gram dose now but you might want to start as I did with 1 gram and build up to 2 grams.

BTW if anyone here tries this I would very much like to hear their results.

IMPORTANT: There is a lot of data suggesting that high doses of Flagyl are safe but you should only attempt something like like this in consultation with your physician. The recommended dosage of Flagly for Trichomoniasis is 2 grams in either a single dose or divided into 2 (1 gram) doses so I do not think safety is an issue.

- Paul

My dialog with the doctor

I could not find any doctor, who would care about my treatment in spite of the fact I was at many doctors during last year. It appeared to me nearly impossible. Finally I find one, who is a pulmonary specialist. She was the only one, who knew at least something about chlamydia and mykoplasma organism, perhaps because she was been treating hard and long term infectionsi as tuberculosis is. I discussed with her the way of Stratton/Wheldon protocol treatment and told her I wanted to follow this. I told her I already started NACi.
She answered me:
It is not proved that NAC has such a strong effect on killing chlamydia. She doesn´t like doxycyklin for long term use, because it has nasty side effects, eg. vomiting and doxycyklin has only bacteriostatic effect on chlamydia, but ofloxacin kill the chlamydia according to her. She wants me to start with azithro, after some period change to ofloxacin. And add metronidazol after two months. What to say on this? I kindly ask her to study cpnhelp materials. I will reread this server and try to find and print exact articles about NAC, doxy and fluorocholins..

Mid-pulse update.

Day 3 of Flagyli pulse 4. Doing amazingly well. Achey, headachey, brain fog yes, but all manageable. The NACi is five times worse. Sleeping is the hardest part - I ache everywhere so there is no comfortable position :-/

Next month, I go back to NAC, but slowly. Hopefully, the Ester C 500mg and ALA 100mg will help there. I'd try it now, but I'm spent out already. Payday in 2 weeks. I can hold on till then.

My mood is rather good, and I have at least some energy. Typing ability seems to improve late in the day - I still tire easily typing, but hey, at least I can type. That's better than last September.

My new cath, a size 18 French, seems to have solved my leak problems. I still have spasms, but no leaks. Just started a new antibiotic for the UTIi - nitrofurantoin-macro 100mg - so I'll have to see how this works.

Did first Tini pulse

Well I did my first tinii pulse.  The first day I took 2 capsules.  I felt an extra energy that day, but the second day.......


I was soo confused I could barely put away the dishes from the dishwasher.  I flew off the handle about a jewelry order gone bad.  Something I would not normally do.  I was pretty bad for about 3 hours the next day and then I took some digestive enzymes and they helped. 


I must say though I felt some "movement' in my left upper thigh.  That was the first place 10 years ago I had tingling sensations.  I don't know if it was in my head or not but it felt easier to lift my left leg as well.  It has been 14 days since those 2 pills and I am still not back to normal.  My mood has been up and down although nothing like the next day after the pulse!  Also, I have been feeling extreme fatigue again.

add zithromax

I added the azithromycin yesterday. So far so good. It is much harder for me to increase the naci. Whatever I take that has antichlamydial activity causes me to herx on the 4th day . I know that is a good thing but when I'm going through it my mind tells me otherwise. My husband is going out of town all next week so I am waiting until next week to add 2 days of axithromycin. What a baby I am huh?

A year down the line

I'm very pleased with my course so far.  I switched to isoniazid, rifampicin and amoxicillini at the beginning of the year and have so far completed about 11 pulses of flagyli over the year or 10 months of taking antibioticsi. (I started internet antibiotics a year ago but UK prescribed pills in April 05).   My osteopath today said my bad right leg was better.  It certainly feels better and I managed last week to hobble about 1.48 kilometers which is longer than I've managed in ages.  My left foot burn is mild and has been pretty much all year.  My night spasms are still very very infrequent.  The stiffness seems to be dissolving; it's less regular and less acute.  Compared with a year ago I have definitely improved quite a bit.Laughing

Here goes number 4.

I'm doing generally ok. My mood has been up and down recently, but it's beginning to stabilise, finally. Tomorrow I start my fourth Flagyli pulse - hopefully five gruelling days of three 400mg pills a day, killing off more CPni. Wheee!

After this week, I'll see about trying to ramp up on NACi again. That stuff's downright nasty :( but it has to be done *sigh* Maybe it'd be easier with more anti-inflammatories. I'll try it and see.

Today, I stood up without help three times already, and did some squats to exercise my legs and stretch my tendons. Still working on holding silverware - I tend to spill one spoon in ten, not great but tolerable. I'm thinking about doing some lifting, too - a quart jug of water should be a decent start, to get some arm strength back.

A tentative schedule

OK, I've been off NACi for two days now, and my all-body aches are gone. However, I used to take NAC once, daily, along with ALA and vitamin C, with no aches. So, I'm planning to re-add NAC, but starting at 1 capsule each morning, along with my vitaminsi. I'll get some 150mg ALA and 500mg Ester C soon, and then I'll give NAC another shot.

Starting Monday, I plan another Flagyli pulse - three 400mg pills/day, for hopefully 5 days, in addition to the doxicycline 100mg twice daily and azithromycin 250mg M-W-F. The next Monday, I'll take one NAC 500mg, doxi and azithro, then a week of just doxi and azithro, then another Flagyl pulse but this one will use 500mg pills.

If all goes well, I hope to add Ester C and ALA, then bring the NAC to two capsules daily. Soon, I'll get the d-mannose, acidophilus and pro-biotics, and start adding them to my daily pill pile.

Entsol anyone?

Just wondering if the chronic-sinus'ers, like myself, have tried this new nasal irrigation product??  I imagine the E-N-T in the name refers to the obvious....


I bought the reusable Entsol squeeze bottle and a box of hypertonic salt solution packets.  I tried it for the first time one wk ago--Wow that stuff stings!  I'm not sure just how hypertonic it is, but it is beyond my pain threshold.  Maybe it's just me and my always sensitive nose.  But I have had increased sinus problemsi ever since--I can't tell yet whether it has only irritated, or if maybe it has forced open the 'back 40'! Tongue out

Curious if anyone else has tried it.  Thanks.


Yup, I do believe it is the niacin">i. Took Niaside about 8pm. By 10  I had developed a rash on my face, neck, hands , arms, legs and back. didn't appear to be any on my trunk. It grew redder and redder for about an hour and than begin to dissipate..


To pulse or not to pulse...?

Here I am at about 4 months on the Wheldon protocol [for msi].  Though no change in meds--still the standard doxyi/azith schedule, I have experienced a pretty rough month.  I do feel fortunate as I have had a healthy season--no colds or flu--even when my kids were sick!! [Which is truly amazing for me, the sicky of my family].  However, I feel a bit "fuzzy" and tired and this concerns me as it seems like an exacerbation. Cry  I have also gained 5 unwanted pounds since Dec. 

 Three wks ago, it was incredibly tight and painfully spastic hamstrings[> on my weaker left leg].  Over the past 3 weeks of unnerving spasms and the need for more sleep meds, it has evolved into a fatigue with weak-ish legs, and poorer balance.

A realization

I think I now grok why I'm having "brain fog," something I had only before seen during an exacerbation. This fog happens because the CPni is dying off.

My MRIs show that all my lesions are in the brain. An exacerbation involves attacks that kill off brain cells, causing fuzzy thinking. Taking the ABXs and supplementsi kills off CPn and infected cells in the brain, causing the same fuzzy thinking. It took me months to figure this out, thanks to fuzzy thinking.

Another note here - even Sarah started and stopped ABXi several times in the beginning. Nobody is Superman, myself included. With that in mind, I'm to take a break soon, for one week only. I really need a full night's sleep without all-body aches, and a few days with no brain fog. I ***WILL*** re-start after a week, on the following schedule:

Where does time go

Greetings from northwestern Washingtn where some people like us had no power all weekend even during (shock) the SUPERBOWL! I missed you guys
Well, I have now been on the Wheldon protocol for 5.5 months. I have finished three pulses of flagyl the first dec 20-21 (two days) then a 5 day Jan 3-8 then a four day just completed Feb 1. The last one was 1500 a day for 4 whole days. I felt ill the last day so stopped. Then I continued to get worse seemingly for only one day more. Two days after the pulse, I went to they gym and worked out. 20 minutes on the elipse-normal for me followed by the usual 'hang on from machine to machine so not to trip and kill myself' after. Then I did my weights, all the usual weights. Then my best friend arrived. Hmmmm. I decided to sit on the bike while she worked the elipse herself. Hmmmm. Maybe I can work the pedals of the bike, nah! I just slip off and hurt my ankles on the footpedal. "go ahead my head whispered try it..." I did. I rode the bike for 20 minutes. After about 15 my friend said. Hey! You're RIDING the bike, you DON"T DO THAT! I said I KNOW! The whole time we've been talking I've been here thinking, "I'm riding this bike and my foot is staying on the pedal" Furthermore, every trip around with my foot on the pedal was smooth: no jittery stop at the bottom for my weak right leg as it tried to release for the "up" side of the pedal round.

Tolerated 2 days Flagyl

I just took 2 days Flagyli 5oomg once a day in the morning.

 The pain in joints was intense and I felt like I had the flu so I didn't take any yesterday or today.

Will wait 2 weeks and try again, maybe next time I can do 3days. Today my pain is down and I slept through the night last night.

I feel like I am finally ready to take Antibioticsi consistently. The bad reaction to NACi is better. Still only taking 1/2 tablet INHi. Need to get Rx refill and then will try to increase that.

I have started and stopped many times  because of severe reactions but now that I am beginning to tolerate the antibiotics better.

I also am working hard on sleep hygeine. Last night I fell asleep with headphones on listening to music. I will try that again. I must have been a funny sight-a CPAP on my nose and large headphones on my head + for awhile I had a TENS unit hooked up to my shoulder and ice packs around my shoulders, neck and knees.

Yes indeed, I have improved!

In an email to me, one of our new members noted how long I'd been on the protocol and asked me if I'd improved on it. It was a legitimate question, and one that on a day to day basis is not always clear to me, since I continue to have symptoms, and the slope of my improvement has been very gradual. As has been said elsewhere on this site by experts, the longer you've had Cpni, the more systems involved, the higher the bacterial load and so on, the longer and more arduous is the treatment. My CFSi diagnosis means that it's been a chronic condition- underline the C in FS.

So I wanted to report my assessment of this based on some recent experience.

Yes, the protocol has indeed helped. I've had this bug seriously (undiagnosed) for at least 20 years, so my tissue loadi was very high to begin with, and I had to go very gradually to get at it. As you can read in my Patient Story, I was not feeling very patient about the whole thing, wanting to push up doses too fast, suffering more because of that, and so on.  The longer you have had it, the harder to treat, the more reactions to treatment, etc. Certainly so for me. And the slope on the curve of improvement is also very low in such cases.

I've reported other changes in my Patient Story and in previous blogs, but had a very clear reference point recently as to how much I've improved. I travel and teach workshops overseas. By Spring 2004 I could no longer tolerate the travel and feel I could deliver quality teaching. I stopped traveling for a year and started treatment in fall of 2004.

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