Aetna: Most plans accepted including Medicare retirement plans. Aetna Whole Health is accepted. Aetnaâs Aexel network is designated for specific specialties. The Polyclinic is not designated for Gastroenterology, Neurology, OB/GYN, Orthopedics, ENT, Plastic Surgery, Urology or Vascular Surgery.
Antibiotics. 1  Oral antibiotics. These are the standard treatment for early-stage Lyme disease. 2  Intravenous antibiotics. If the disease involves the central nervous system, your doctor might recommend treatment with an intravenous antibiotic for 14 to 28 days.
There have been few randomized clinical trials of treatment, so optimal choice of antibiotic or optimal duration of treatment are not known. In general, early Lyme disease in adults is treated with doxycycline 100 mg orally twice daily or amoxicillin 500 mg orally three times daily for 20 to 30 days. Doxycycline should not be used in children under age nine years or pregnant women. Other antibiotic choices include phenoxymethyl penicillin, tetracycline, cefuroxime axetil, erythromycin, or azithromycin, with the latter two considered to be second line choices. Lyme Disease Treatment Research Overview In a study by Nadelman, et.al., they compared treatment with placebo versus a single 200-mg dose of doxycycline in 482 subjects who had removed attached I. scapularis ticks from their bodies within the previous 72 hours.