Duke PA Pharmacology STD Treatment
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| what is the recommended treatment for adults and adolescents with an uncomplicated chlamydial infection | azithromycin 1gm po, or doxycycline 100 mg po bid x7d
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| what is the recommended treatment for a pregnant patient with a chalmydial infection | azithromycin 1gm po, or amoxicillin 500mg po tid x7d
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| what do you add to the treatment of gonococcal infection for a patient in which a concomitant chlamydial infection is not ruled out | azithromycin 1gm po, or doxycycline 100 mg po bid x7d
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| list some of the treatments for a gonococcal infection in adults and adolescents | cefpodoxime, ceftriaxone, gentamicin, azithromycin, ciprofloxacin, levofloxacin
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| pregnant patients with a gonoccocal infection should not be treated with | quinolones or tetracyclines
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| treatment for pregnant patient with a gonoccocal infection | cefpodoxime, ceftriaxone, gentamicin
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| treatment for pharyngeal gonoccocal infection | cefpodoxime, ceftriaxone, ciprofloxacin
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| treatment for mucopurulent cervicitis | empiric chlamydia treatment, consider empiric gonorrhea treatment
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| treatment for nongonococcal urethritis | azithromycin, doxycycline
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| treatment for pelvic inflammatory disease (outpatient) | ceftriaxone, cefoxitin, gentamicin (plus doxycycline, and clindamycin) with or without metronidazole
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| treatment for acute epididymitis most likely caused by gonorrhea or chlamydia | ceftriaxone plus doxycycline
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| treatment for acute epidydimitis most likely caused by enteric organisms | ofloxacin, levofloxacin
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| treatment for tichomoniasis | metronidazole 2 g po, tinidazole 2 g po, or metronidazole 500 mg po bid x7d
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| treatment for bacterial vaginosis in pregnant patients | metronidazole po, clindamycin po
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| treatment for bacterial vaginosis in non-pregnant patients | metronidazole po, metronidazole gel, clindamycin cream
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| treatment for first episode of herpes simplex virus | acyclovir, famciclovir, valacyclovir
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| treatment for recurrent episodes of herpes simplex virus | acyclovir, famciclovir, valacyclovir
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| daily suppressive therapy for herpes simplex virus | acyclovir, famciclovir, valacyclovir
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| treatment for adults with primary, secondary, and early latent syphilis | benzathine penicillin G 2.4 million units IM
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| treatment for syphilis of late or unknown duration | benzathine penicillin G 2.4 million units IM x3 at 1-week intervals
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| treatment for neurosyphilis | aqueous crystalline penicillin G 18-24 million units per day
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| what are the single dose intravaginal regimens for treatment of vaginal candida infections | butoconazole 2%cream 5g, tioconazole 6.5% ointment 5g, miconazole 1200mg vaginal supp
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| what are the 3 day intravaginal regimens for treatment of vaginal candida infections | clotrimazole 100mg vaginal tablet 2x 3days, butoconazol 2% cream 5gx 3 days, micoazole 200mg vaginal supp x 3 days, terconazole 0.8% cream 5gx3 days, terconazole 80mg vaginal supp x 3 days
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| what are the 7 day intravaginal regimens for treatment of vaginal candida infections | miconazole 2% cream 5g x7 days, miconazole 100 mg vag supp x 7 days, clotrimazole 100 mg vaginal tablet x7 days, terconazole 0.4% cream 5gx 7days
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| what are the longer intravaginal regimens for treatment of vaginal candida infections | clotrimazole 1% cream 5gx7-14 days, nystatin 100,000 unit vaginal tablet, 1 tabx 14 days
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| Tx for chronic herpes indicated in: | recurrence >6 times/year
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| Quinolones should not be used for gonococcal infections in: | MSM or in those with h/o recent foreign travel or partners’ travel
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