 [ Symptoms ] i was diagnosed with pandas syndrome i often run low grade fevers have fatigue and chills [ Disease ] have you tried antibiotics initially what are they antibiotics should be tried before initiating ivig or other immunomodulatory therapy prophylactic antibiotics are often useful in the management of pandas as they help to prevent strep triggered exacerbations cognitive behavior therapy should be started as soon you can if you were diagnosed with any type of associated psychological disorder