GENITOURINARY - STD, Urethritis, Nongonococcal General statement: Confirm urethritis and rule out gonococcal or chlamydial infection. Patient should refer all sex partners within previous 60 days for evaluation and treatment.
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Azithromycin (Zithromax®) Pregnancy: B; Lactation: Unk
Tabs: 250 mg Powder for Oral Suspension: 1 g
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Adolescents and Adult: 1 g ´ 1 dose. |
Food: 1 g powder for oral suspension and tablet may be taken without regard to food.
Important side effects: Nausea, diarrhea, elevated LFTs.
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Doxycycline (Vibramycin®) Generics available Pregnancy: D; Lactation: Unsafe Caps: 50 mg, 100 mg Tabs: 100 mg |
Adolescents and Adults: 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, use sunscreen. Esophagitis. May discolor fingernails.
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Erythromycin Base* Alternative (E-Mycin®) Generics available Pregnancy: B; Lactation: Safe Tabs: 250 mg, 500 mg Caps: 250 mg
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Adolescents and Adults: 500 mg four times daily ´ 7 days (recommended) or, if gastrointestinal intolerance, 250 mg four times daily ´ 14 days. |
Food: May take with or without meals. Take with food if causes GI upset.
Important side effects: GI upset, hepatitis, drug interactions. |
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Ofloxacin Alternative (Floxin®) |
Adult: 300 mg twice daily for 7 days. |
Food: Take on empty stomach. Do not take within 2 hours of antacids, magnesium, calcium, zinc, iron, |
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Pregnancy: C; Lactation: Unk Tabs: 200 mg, 300 mg, 400 mg - |
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aluminum, sucralfate, vitamins, or mineral supplements.
Important side effects: Nausea, photosensitivity, dizziness.
Reduce dose in renal disease (CrCl <30 mL/min).
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GENITOURINARY - STD, Urethritis, Nongonococcal, Recurrent, or Persistent
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Metronidazole* (Flagyl®) Generics available Pregnancy: B; Lactation: Unsafe Tabs: 250 mg, 500 mg - < *Use in conjunction with erythromycin. |
Adolescents and Adult: 2 g ´ 1 dose. |
Food: Administer on empty stomach unless GI upset occurs, then with food.
Important side effects: Dizziness, headache, confusion, seizures, nausea, metallic taste, insomnia, paresthesias.
Avoid alcohol.
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Erythromycin Base* (E-Mycin®) Generics available Pregnancy: B; Lactation: Safe Tabs: 250 mg, 500 mg Caps: 250 mg *Use in conjunction with metronidazole. |
Adolescents and Adults: 500 mg four times daily ´ 7 days. |
Food: May take with or without meals. Take with food if causes GI upset.
Important side effects: GI upset, hepatitis, drug interactions. |
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