Kills Anaplasma and Ehrlichia: A Brief Guide.

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How to treat Ehrlichia and Anaplasma Image from Marty Ross MD

In my experience, treating Ehrlichia and Anaplasma, two of the Lyme disease co-infections, requires

  • prescription antibiotics,
  • steps to boost the immune system, and
  • supplements to decrease inflammation caused by chemicals called cytokines.

Fortunately, these germs are fairly easy to eliminate in most people who have Lyme disease.

Boost the Immune System and Decrease Inflammation

It is critical for Ehrlichia and Anaplasma recovery to take steps that boost the immune system. Do the first 10 steps in The Ross Lyme Support Protocol. These steps

  • correct sleep,
  • decrease inflammation cytokines,
  • help the immune system adapt to stress,
  • correct hormone imbalances,
  • provide essential micronutrients, and
  • remove yeast overgrowth in the intestines if present.

Antigerm Action Plans
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Ehrlichia and Anaplasma Antibiotics

I do not recommend herbal antibiotics for Ehrlichia or Anaplasma. There is no meaningful research showing they work. And in my clinical experience, I do not find herbal antibiotics to work effectively for these infections.

A review of the National Library of Medicine research database and recommendations from the US Centers for Disease Control and Prevention shows two antibiotics are effective. Of these,  Doxycycline is the preferred choice.

  • Doxycycline 100 mg 1 pill 2 times a day in adults for both of these infections for 2 o 4 weeks. In my experience, this works very well nearly all of the time.
  • Rifampin 300 mg 2 pills 1 time a day. Use this if someone is allergic to doxycycline.

These same antibiotics are useful in children at doses adjusted for a child's weight.

In my experience, 2 to 4 weeks of Doxycycline eliminate Anaplasma and Ehrlichia. I do not see relapses of either of these infections once treatment is completed.


  1. Biggs HM, Behravesh CB, Bradley KK, et al. Diagnosis and Management of Tickborne Rickettsial Diseases: Rocky Mountain Spotted Fever and Other Spotted Fever Group Rickettsioses, Ehrlichioses, and Anaplasmosis — United States. MMWR Recomm Rep 2016;65(No. RR-2):1–44. DOI:
  2. Buhner SH. Natural Treatments for Lyme Coinfections: Anaplasma, Babesia, and Ehrlichia. Rochester, VT: Healing Arts Press; 2015.

Antigerm Action Plans
For Lyme Disease

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