EYE(S) - Conjunctivitis, Chlamydial - Newborns (Chlamydia trachomatis) |
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Erythromycin Estolate Suspension (Ilosone®) Generics available Oral Susp: 200mg/5mL, 400mg/5mL |
Neonate: 50 mg/kg/day in divided doses four times daily for 10-14 days. 125 mg/5 mL @ 50 mg/kg/day 4-5 kg (9-11 lb) = 2 mL Q6H 5.5-7 kg (12-15 lb) = 3 mL Q6H 7-8 kg (16-18 lb) = 4 mL Q6H
Food: With or without meals. Take with food if causes GI upset. Important side effects: GI upset, hepatitis. . |
EYE(S) - Conjunctivitis, Chlamydial - Adult (Chlamydia trachomatis) Comment: Consider referring sex partner for evaluation and treatment. |
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Doxycycline (Vibramycin®) Generics available Pregnancy: D; Lactation: Unsafe
Tabs: 50 mg, 100 mg Caps: 50 mg, 100 mg
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Children ≥8 years and Adult: 100 mg twice daily for 7 days. Food: May take with food if GI upset occurs. Take 1 hour before or 2 hours after antacids, iron, milk, or other dairy products. Take with full glass of water to prevent esophagitis. Important side effects: Photosensitivity, esophagitis. May discolor fingernails.
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Azithromycin (Zithromax®) Pregnancy: B; Lactation: Unk
Tabs: 250 mg Powder for Oral Suspension: 1-g packet
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Children ≥45 kg and Adult: 1 g PO x 1 dose.
Food: 1-g powder packet for oral suspension and tablets without regard to food.
Important side effects: Nausea, diarrhea, elevated LFTs. |
Erythromycin Base (E-Mycin®, Eryc®) Pregnancy: B; Lactation: Safe
Tabs: 250 mg, 333 mg, 500 mg Caps Delayed Release: 250 mg
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Children ≥40 kg (88 lb) and Adult: 500 mg four times daily for 7 days. Less effective than doxycycline or azithromycin. Consider retesting 3 weeks after therapy.
Food: May take with or without meals. Take with food if causes GI upset.
Important side effects: GI upset, hepatitis. Drug interactions may be significant.
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EYE(S) - Conjunctivitis, Chlamydial - Pregnant Woman (Chlamydia trachomatis) |
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Azithromycin (Zithromax®) Pregnancy: B; Lactation: Unk
Tabs: 250 mg Powder for Oral Suspension: 1 g
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Adolescent and Adult: 1 g PO x 1.
Food: 1-g powder packet for oral suspension and tablets without regard to food.
Important side effects: Nausea, diarrhea, elevated LFTs . |
Erythromycin Base (E-Mycin®, Eryc®) Generics available Pregnancy: B; Lactation: Safe
Tabs: 250 mg, 333 mg, 500 mg Caps: 250 mg |
Adolescent and Adult: 500 mg four times daily for 7 days OR 250 mg four times daily for 14 days if GI upset.
This drug is less effective than azithromycin. Consider retesting 3 weeks after therapy.
Food: May take with or without meals. Take with food if causes GI upset.
Important side effects: GI upset, hepatitis. Drug interactions may be significant. |