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What I can and cannot take NAC and ABX
By Twickle Purple
Created 06/24/2008 - 11:34am

  • Adjuncts- Exercise, diets, meditation, etc. people find helpful

I have come across a direction to not take NACi [1] with ABX (see "Drug interactions" here [2]):

"If you are taking antibiotics, NAC should not be taken, as it will weaken their beneficial effects."

I did a quick search of this site and read that ABX should not be taken with Calcium or Magnesium, and that ABX cancels out probiotics (my Doxycyclinei [3] has 90B Lactic Acid Bacillus in each capsule), but nothing specific to taking NAC and ABX at the same.  

I have 2 questions, and would appreciate any info: 

  • What are the parametres when taking NAC?   
  • What are the parametres when taking ABX?

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Corinna | GFAi [4]i [4]. Wheldon Protocol: 4–8/08. Can't kill the yeast.

Corinna, your are correct,

Submitted by katman on Tue, 2008-06-24 15:17.

Corinna, your are correct, I think, that you must not take abxi [5] with cal/mag. As for the NACi [1], I take my AM supps with my coffee, including NAC, calcium, magnesium, and probiotics,. Then I take nothing for two hours, after which I take my abxi [6] for the day. I wait about 45 minutes and then eat something nutritious. I have done abx for almost four years and am still improving.

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Rica PPMSi [7] EDSSi [8] 6.7 at beginning - now 2. Began CAPi [9] Sept, 2004 with Rifampin 150 mg 2xd, Doxyi [3] 100 mg 2xd, added regular pulses Jan 2005. Jan 2006 switched to Doxy, Azith, cont. flagyli [10] total 55 pulses LDNi [11] Rifampin 8/08 again NC USA

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Rica, that seems a prudent

Submitted by Twickle Purple on Tue, 2008-06-24 16:00.

Rica, that seems a prudent scheduling, I will adopt it starting tomorrow. Thanks.

Am I reading this correctly then that you take all your ABX at one sitting? 

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Corinna | GFAi [4]. Wheldon Protocol: 4–8/08. Can't kill the yeast.

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Thank you for this post as

Submitted by reve Kiehl on Tue, 2008-06-24 16:01.

Thank you for this post as I have not run across this (haven't thought to look for it) and I have been taking NACi [1] and abxi [5] together.  Sorry I can't give more insight as I obviously was oblivious, but I will NOW take my NAC with my supplementsi [12] .  I knew not to take abxi [6] with calcium and magnesium, which is why I took my NAC with my abx, in case calcium and magnesium affected NAC, also!  Now I wonder if calcium and magnesium could affect NAC or not?

Reve'

___________________________________________________________

Memphis,TN - FMSi [13], IBSi [14], rhinitis, depres (~20 yrs) CFSi [15], intestine, bladder, pelvic inflam., red itchy skin, anxiety (~5 yrs). CPni [16] titer 1:256.  CAPi [9] 6-07 Current NAC 2400mg; doxyi [3] 100mg x2, Biaxin 500mg x2, pyruvate, supplementsi [17].

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I also wonder if it is ok

Submitted by reve Kiehl on Tue, 2008-06-24 16:07.

I also wonder if it is ok to take NACi [1] with food?  I assumed it would be, but maybe I should look that one up also!  So much to juggle!

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Memphis,TN - FMSi [13], IBSi [14], rhinitis, depres (~20 yrs) CFSi [15], intestine, bladder, pelvic inflam., red itchy skin, anxiety (~5 yrs). CPni [16] titer 1:256.  CAPi [9] 6-07 Current NAC 2400mg; doxyi [3] 100mg x2, Biaxin 500mg x2, pyruvate, supplementsi [17].

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I just read that article

Submitted by reve Kiehl on Tue, 2008-06-24 16:17.

I just read that article more thoroughly.  That is a very good article.  I learned a lot and it sounds as if taking NACi [1] with food may be ok.

 

___________________________________________________________

Memphis,TN - FMSi [13], IBSi [14], rhinitis, depres (~20 yrs) CFSi [15], intestine, bladder, pelvic inflam., red itchy skin, anxiety (~5 yrs). CPni [16] titer 1:256.  CAPi [9] 6-07 Current NAC 2400mg; doxyi [3] 100mg x2, Biaxin 500mg x2, pyruvate, supplementsi [17].

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Okay, let me lay your

Submitted by farandwide on Tue, 2008-06-24 19:31.

Okay, let me lay your concerns to rest. The antibiotics you are likely to be taking are not affected by NACi [1]. This is a topic/issue that concerned me enough to post about it a couple of years ago here...

http://www.cpnhelp.org/?q=nac_question [18]

You will find in the thread the explanation of why it isn't an issue.  If you want to shoot right to a source document on it, here is the link within the thread to it.  Go to the section that talks about side effects.

http://www.thebody.com/content/art4754.html [19]

___________________________________________________________

all my best

John

RRMSi [20]/EDSSi [8] was 4.5, 5, now 6 on Wheldon Protocol (naci [1], doxycycline, azithromycin, metronidazolei [10]) since 04/12/2006. Added Rifampin 2x150mg/daily 08/19/2007. Added INHi [21] 300mg/daily 03/17/2008 stopped 05/08

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John, many thanks for your

Submitted by Twickle Purple on Tue, 2008-06-24 20:27.

John, many thanks for your post. The thread you linked to covers Doxycyclinei [3], but what of Roxithromycini [22], Azithromycin, Tinidazolei [23], Rifampicin and Metronidazole, are they okay as well?

___________________________________________________________

Corinna | GFAi [4]. Wheldon Protocol: 4–8/08. Can't kill the yeast.

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Did not know this. Kim's

Submitted by notasperfectasyou on Wed, 2008-06-25 09:06.

Did not know this. Kim's been taking NACi [1] around the time she takes Flagyli [10] and Azith. Are you sure this concern doesn;t just relate to Rifampin? Ken

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In Pursuit of ABX

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[24]

Corinna, Many people do

Submitted by Louise on Wed, 2008-06-25 11:57.
Corinna, Many people do take both doses of doxyi [3] and roxi at the same time once a day I believe. Those of us sensitive sorts may do well to choose to devide the doses of both of these. After a year I have experimented with taking my doxy at my evening meal both doses. And after a year I am less aware of the blood level rise. Others will say that it makes no difference for them from the start. Wish I could say the same. However if my evening meal is a sparse one then I have the stomach sentitivity issue to deal with so for me I have been most consistent deviding the dose. I started my Doxy tx at 200 mg twice a day per instruction. I had massive die-off and porphoria, I was laid low and not able to do much of anything, I was one sick chick. Just a word of caution from my perspective, if you need to work start slowly and work up to trying to take all the Abxi [5] at one time daily just in case. We have time, lots of time, in fact time is what makes this approach effective as I have read. I am one year in on the 3 - 5 year plan. So far much improved. Louise

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Louise  CFSi [15], CPN+/Bb+,Wheldon CAPi [9] 6/07, Cholestyramine 1-2 pks @ HS for Porphyriai [25] & Endotoxinsi [26] PRN, Doxyi [3] 200daily, Roxi 300BID, Tini500BIDx14day pulses,VitD3-10,000IU, Iodoral 25mg, {S.O.D.3/QD[KAL Brand], Pyruvate 3.75G, SAM-e For Energy Support

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  Corinna, Ken and Reve, [27]

Submitted by Sarah on Wed, 2008-06-25 12:48.

 

Corinna, Ken and Reve, you don't have to separate NACi [1] from anything else.  Some people do but I never did, just separate calcium and magnesium and always make sure your stomach is empty before taking charcoal, if you do. 

And drink plenty of water!...........Sarah

An Itinerary in Light and Shadow

___________________________________________________________

Completed Stratton/Wheldon regime for aggressive secondary progressive MSi [28] in June 2007, after nearly four years, three of which intermittent.   Still slowly improving and no exacerbation since starting. EDSSi [8] was 7, now 2, less on a good day.

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Louise, thank you so much

Submitted by Twickle Purple on Wed, 2008-06-25 13:35.

Louise, thank you so much for your thoughtful reply. I will be mindful of stomach upset. I cannot miss work, one of the benefits of self-employment!

___________________________________________________________

Corinna | GFAi [4]. Wheldon Protocol: 4–8/08. Can't kill the yeast.

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Thanks Sarah! Your word is

Submitted by Twickle Purple on Sat, 2008-06-28 12:58.

Thanks Sarah! Your word is golden on the subject. I appreciate your input. Since vitamin C powder is buffered with both magnesium and calcium I now know that there can be no Emergen-C, and the like, near the ABX time.

___________________________________________________________

Corinna | GFAi [4]. Wheldon Protocol: 4–8/08. Can't kill the yeast.

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Corinna,Don't you mean no

Submitted by Tina on Sat, 2008-06-28 12:00.

Corinna,

Don't you mean no Emergen-C near abxi [5] time?  I think the consensus is that it is OK to take NACi [1] with cal/mag. 

My question is do we have to worry about the magnesium and calcium that occurs naturally in our food interfering with Doxy if we take it with food.  I am sure it is possible to eat a meal that is high in those two minerals.

Tina 

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 Tina-MSi [28] 37 years;EDSSi [8] 4.5   1/1/08 Wheldon CAPi [9]; Azith 250mg 3 x a week; Doxyi [3] 200mg daily, NACi [1] 2000 mg daily, started Flagyli [10] pulse 4/14/08.

 

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Yes I do... I have edited

Submitted by Twickle Purple on Sat, 2008-06-28 13:08.

Yes I do... I have edited my mistake. Thanks for pointing that out, it's one of those typos that just muddy up the wholepoint of the thread!

 

___________________________________________________________

Corinna | GFAi [4]. Wheldon Protocol: 4–8/08. Can't kill the yeast.

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  Corinna, I did just mean

Submitted by Sarah on Sat, 2008-06-28 13:04.
 

Corinna, I did just mean separate calcium and magnesium tablets from antibioticsi [5], charcoal from everything.  The amount of calcium and magnesium used as a buffer in anything is minimal compared to what you get in  calcium or magnesium tablet, so don't worry about it.  I used to drink a glass of milk to stop feeling nauseous with doxycycline, or would have a bowl full of cereals with sometimes full cream milk.  When I was splitting the antibiotics up, I wouldn't worry about what I was eating with them.

If you are taking emergen-c for a clear out, though, don't take it until two hours have passed from taking antibiotics or they will be wasted, likewise wait to take them until the emergen-c has worked!  Anything else will be wasted as well, but one day's loss of supplementsi [17] matters not............Sarah

An Itinerary in Light and Shadow

___________________________________________________________

Completed Stratton/Wheldon regime for aggressive secondary progressive MSi [28] in June 2007, after nearly four years, three of which intermittent.   Still slowly improving and no exacerbation since starting. EDSSi [8] was 7, now 2, less on a good day.

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Thank you Sarah. All of

Submitted by Twickle Purple on Sat, 2008-06-28 13:23.

Thank you Sarah. All of this information is very helpful.

My husband, Tim, has started the supplementsi [17] now and we are creating a routine so that things are timed appropriately. It does get easier to get a handle on it all in short order, and having my partner participating makes it even easier.

Tim learned the wonders of Emergen-C two days ago. He was feeling quite out of sorts and coming down with a migraine. Typically his visual auras last an hour and then he has pain and a 'numb' head for the remainder of the day or more. This time, within 5 minutes of taking Emergen-C his vision was clear and within the hour he was almost back to normal. This is unprecedented. We were amazed.

___________________________________________________________

Corinna | GFAi [4]. Wheldon Protocol: 4–8/08. Can't kill the yeast.

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Another thing then: don't

Submitted by Sarah on Sat, 2008-06-28 13:28.

Another thing then: don't pulse together or murder might ensue!

Best of luck to both of you...........Sarah

An Itinerary in Light and Shadow

___________________________________________________________

Completed Stratton/Wheldon regime for aggressive secondary progressive MSi [28] in June 2007, after nearly four years, three of which intermittent.   Still slowly improving and no exacerbation since starting. EDSSi [8] was 7, now 2, less on a good day.

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I'm one of those horrible

Submitted by Andesine on Sat, 2008-06-28 15:31.

I'm one of those horrible people who take all the abxi [5] in one go. Friday morning it was 2 x Doxyi [3], 1 x Zithi [29] and 1 x Metroi [10]. I take half the daily NACi [1] dose at the same time as well as a few other supps.

The rest I take at night before bed.

___________________________________________________________

Berkshire, UK. Diagnosed RRMSi [20] Feb 4th 2008.

NACi [1] 2400mg. All supps. Doxyi [3] 200mg. Zithi [29] 250mg. Metroi [10] 400mg.
No GP/Neuroi [30] support. Self medicating with help from David Wheldoni [31].
Started CAPi [9] 20th April 2008. First pulse June 2008

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Andesine, I'm with you.

Submitted by MacKintosh on Sat, 2008-06-28 17:26.
Andesine, I'm with you. Cal/mag at night, most abxi [5] in the morning with NACi [1] and most other supps, then whatever I couldn't chug down in the morning I take after work. ;-)

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The difference between what we do and what we are capable of doing would suffice to solve most of the world’s problems. Mohandas Gandhi

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Source URL (retrieved on 12/01/2008 - 5:28pm): http://www.cpnhelp.org/node/4677

Links:
[1] http://www.cpnhelp.org/chlamydia_pneumoniae/supp
[2] http://www.catie.ca/facts.nsf/d3d652aa551a843685256f0900686f9f/62ac47765d04609c85256775005f6275!OpenDocument
[3] http://www.cpnhelp.org/taxonomy/term/39
[4] http://www.cpnhelp.org/glossary/term/162
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[6] http://www.cpnhelp.org/glossary/term/93
[7] http://www.cpnhelp.org/glossary/term/185
[8] http://www.cpnhelp.org/glossary/term/171
[9] http://www.cpnhelp.org/glossary/term/168
[10] http://www.cpnhelp.org/taxonomy/term/44
[11] http://www.cpnhelp.org/glossary/term/170
[12] http://www.cpnhelp.org/taxonomy/term/57
[13] http://www.cpnhelp.org/taxonomy/term/24
[14] http://www.cpnhelp.org/taxonomy/term/19
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[16] http://www.cpnhelp.org/glossary/term/167
[17] http://www.cpnhelp.org/taxonomy/term/63
[18] http://www.cpnhelp.org/?q=nac_question
[19] http://www.thebody.com/content/art4754.html
[20] http://www.cpnhelp.org/glossary/term/184
[21] http://www.cpnhelp.org/chlamydia_pneumoniae/anti
[22] http://www.cpnhelp.org/taxonomy/term/40
[23] http://www.cpnhelp.org/chlamydia_pneumoniae/an_0
[24] http://www.thisisms.com/ftopict-4375.html
[25] http://www.cpnhelp.org/glossary/term/175
[26] http://www.cpnhelp.org/taxonomy/term/26
[27] http://www.cpnhelp.org/print/4677#comment-35553
[28] http://www.cpnhelp.org/taxonomy/term/6
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