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Treatment of gonorrhoea - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Sexually Transmitted Diseases
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
User :   hello
any one there?
what medications are available for gonorrhea?                                             
Doctor :   Hi
User :   hello
User :   doctor i had a std 6 months ago and i have green spots on my white underwear again
Doctor :   Penicillin was the drug of choice for gonorrhea
User :   is AZITHROMYCIN a good medicine for gonorrhea and clamidia ?
User :   im looking for a one dose treatment
Doctor :   Yes AZITHROMYCIN is a good medicine for gonorrhea and clamidia
User :   i took doxycycline 100 mg 2x a day for 1 week .. what is a good way can i take azithromycin or generic form?
User :   what dosage should i take on azithromycin to clear the gonorrhea and clamidia?
Doctor :   You must refrain from taking self medication
User :   its was a precription last december
Doctor :   Usually azithromycin is taken as 2g oral
Doctor :   If you have taken a complete course & yet the infection has not gone
User :   it is now a recurrence of the diease, so my question is can i take again the medicine since i got the symptoms back?
User :   2g oral.. once ? or is it for a number or days?
Doctor :   then there is a chance that the organism has become resistant to that particular antibiotic
Doctor :   It is better now to change the antibiotic, as this is a recurrence
User :   so if doxicycline i took.. what else is best? should i ask for ?
User :   should i give azithromycin a chance?
Doctor :   Did you take doxicycline by your self
User :   no
Doctor :   or was it prescribed?
User :   prescribed by std clinic
Doctor :   Did you complete the course properly?
User :   yes
Doctor :   Has it reduced atleast?
User :   yes
Doctor :   You must get back to the clinic as you may now need an injectable antibiotic called Cephalosporins
User :   my girlfriend is a RN..
User :   can i ask her doctor to prescribe me this?
Doctor :   Registered nurse?
User :   is there any oral i can take?
User :   yes
Doctor :   Yes you can ask her doc to prescribe
Doctor :   your GF can administer to you
User :   any oral?
Doctor :   Dont go for oral
Doctor :   Hi, welcome back
User :   so injection is better? tell me what kind of cephalosporin i need?
User :   any oral medication is good? or is injection the best way for my problem?
Doctor :   ceftriaxone intramuscular injection is now considered to be the drug of choice
User :   only one time dose for gonrherra and clamidia?
Doctor :   Other drugs are ciprofloxacin, which is also used for chlamydia trachomatis infections
User :   if i had both gonorhea and chlamydia is ceftriaxone intramuscular good for one time dose?
User :   i guess what im asking what would be your recommondation? what medicine and dosage? and if a alter w/oral?
Doctor :   Penicillin & ceftriaxone are
Doctor :   single doses, if
Doctor :   it is uncomplicated urethritis
Doctor :   Since the organisms in you have been exposed to azithro & doxy already
User :   dose is 1g one time?
Doctor :   now you must be put on a different, more stronger antibiotic
Doctor :   Dose of what?
User :   so ceftriaxone
User :   sorry... yes ceftraxone
Doctor :   Yes
User :   or you recommond both penicillin and cefraxone?
Doctor :   It is inappropriate and unethical to prescribe you scheduled drugs. Hence see the doctor for the medicine that you require.
User :   i understand doctor.. but wouldnt it be unethical to be passive to a person in need?
Doctor :   both penicillin and cefraxone, should not be taken
User :   ok
User :   just trying to peice it out
User :   i like to be well informed
User :   since it came back
User :   or my girlfried is lieing to
User :   i honestly dont know how i got this again.. its been 6 months
Doctor :   The organism must have either been dormant
Doctor :   or you could have acquired it from your girl friend
User :   doctor why did i get precribe medicine for a whole week when i could have got rid of it in one shot??
Doctor :   The one shot drugs that you seek
Doctor :   come with a lot of adverse effects
User :   i though it was a matter of money to the clinic..
User :   im ok with the adverse affect sir.. im very normal and healthy
Doctor :   The single shot is costlier
User :   so ok doctor .. here is the table i have...
Doctor :   Before administer Penicillin or Cephalosporin, a skin test is done to rule out allergy
User :   im not allergic to penicillin doctor
User :   two choices in a one dose sir
Doctor :   ceftriaxone intramuscular injection is now considered to be the drug of choice
User :   either the ceftriaxone or azithromycin
User :   you recommend ceftrixone
Doctor :   I need to examine you to come to a conclusion, its really not that easy
User :   i understand u must need to test for allergies
Doctor :   Yes since you have already used Azithro
Doctor :   I would not give it again
User :   i never used azithro.. only doxcy
Doctor :   So I am left out with Cephalosporin group & Quinolones
User :   does that change your recommidation
Doctor :   Oh, then Azithro too is in the list for you
User :   ok .. so which ever is cheaper i guess sir
User :   ?
Doctor :   Ok, if you want the perfect treatment
Doctor :   get a culture & sensitivity test done
User :   yes deffinately
Doctor :   then you will get to know which drug is best to kill yoour organisms

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