Lyme carditis: haemodynamically stable
Drug details
Adults and children over 12 years old
1st line
Doxycycline 100mg twice daily
OR
200mg once daily
21 days
Adults and children over 12 years old
2nd line
Ceftriaxone (IV) 2 grams once daily
21 days
Children aged 9 to 12 years
1st line
see further information (a)
Doxycycline (children under 45kg)
2·5mg per kg twice daily on day one
then
2·5mg per kg daily in 1 or 2 divided doses
21 days
Children aged 9 to 12 years
For severe infections
see further information (a)
Doxycycline (children under 45kg)
up to 5mg per kg once daily
21 days
Children aged 9 to 12 years
2nd line
Ceftriaxone (IV) (children 50kg and under)
80mg per kg once daily
21 days
Children aged under 9 years
1st line
Ceftriaxone (IV) (children 50kg and under)
80mg per kg once daily
21 days
Requires hospital admission due to risk of worsening heart block