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Recommendations

≥ 18 years
Dosage Remarks
1st choice
ceftriaxone iv 2000 mg 1dd 14 days

SWAB remarks

Early neuroborreliosis

1st choice
ceftriaxone iv 2000 mg 1dd 30 days

SWAB remarks

Chronic neuroborreliosis

1st choice alternative
doxycycline po 100 mg 2dd 30 days

SWAB remarks

Chronic neuroborreliosis, in the absence of pleocytosis 

2nd choice
benzylpenicillin iv 2 million IU 6dd 14 days

SWAB remarks

Early neuroborreliosis, if ceftriaxone is contraindicated

≥ 18 years

Indications: Beta-lactam allergy

Dosage Remarks
doxycycline po 200 mg 1dd 14 days

SWAB remarks

Early neuroborreliosis

Comments

Treat Lyme meningitis for 28 days in individual cases based on neurological deficits and/or abnormalities on repeated CSF examination.

Treatment of Lyme-associated facial palsy: see the CBO guideline for Lyme