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Tularemia (cont.)

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What is the treatment for tularemia?

Tularemia is treated with a drug called streptomycin, an aminoglycoside antibiotic. The drug is given intramuscularly, twice a day, for one to two weeks. The antibiotic gentamicin is an alternative drug and may be given intravenously. Neither of these drugs is effective against meningitis because they do not penetrate from the bloodstream into the brain. In tularemic meningitis, it may be necessary to put gentamicin directly into the fluid that bathes the brain.

The oral medications doxycycline (Vibramycin) or tetracycline (Sumycin) may work but are less effective than streptomycin. The disease may relapse after treatment with these pills. Other drugs, such as ciprofloxacin (Cipro), are effective in the test tube but have not been widely used in patients. However, one outbreak in Spain with 142 patients showed good clinical outcomes with ciprofloxacin; fluoroquinolone antibiotics may be useful in treating tularemia if additional studies show clinical effectiveness.

Are there home remedies for tularemia?

There are no home remedies for tularemia. It is a relatively rare disease but can quickly become fatal (60% of individuals infected may die from it) if not treated with appropriate antimicrobials.

Medically Reviewed by a Doctor on 9/7/2016


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