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Informatics in Pharmacy

Sexually Transmitted Disease

August 13, 2018 By Dr. G, PharmD

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Syphilis:

  • Pen G x 1 or doxycycline
  • In more severe cases may treat weekly for 3 weeks.
  • For neurosyphilis, PenG infusion for 10-14 days.
  • Treat all sex partners within last 90 days.
  • If a patient with neurosyphilis is allergic to PCN, desensitization is best.  Neurosyphilis is not as vulnerable to doxy.

Chlamydia:

  • Azithromycin X 1
  • Doxy for 7-21 days
  • If pregnant, azithromycin only.
  • Add amoxicillin to cover N. gonorrhea

Gonorrhea:

  • Ceftriaxone +/- azithromycin (treats gonorrhea and chlamydia) or doxy for 7 days.

Vaginosis:

  • Metronidazole for 7 days (trichomoniasis X 1 only)

Prostatitis:

  • Acute: hydration, analgesics, bed rest
  • Men < 35 years: ceftriaxone and doxycycline
  • Men > 35 years: Bactrim, fluoroquinolones (especially in resistance) or Ampicillin plus gentamicin if enterococci suspected.
  • Chronic: Bactrim, but if Bactrim failure, nitrofurantoin,  fluoroquinolones if you need pseudo coverage
  • For chronic, non-bacterial: terazosin +/- valium +/- stool softeners

Pelvic Inflammatory Disease:

  • Cefoxotan + doxycycline for 14 days
  • Ceftriaxone + doxycycline for 14 days

Filed Under: Infectious Disease

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acid base acidosis acute coronary syndrome alkalosis analgesics anaphylaxis aortic dissection arrhythmia Beta-Blockers biostatistics blood pressure cardiac markers CHA2DS2-VasC cocaine COVID-19 diabetes diabetes inspidius Guidelines heart failure Heparin hypersensitivity hypertension hypovolemic shock intubation ionotropes journal club lipids LMWH medication safety morphine conversions myocardial infarction needs work NOAC NSTEMI obstructive shock pharmacoeconomics pheochromocytoma pressors reference materials right mi sedation septic shock shock STEMI Updated 2020