Drug |
Dose |
Duration |
+/- Notes |
Likely to be sexually transmitted pathogen but NOT gonorrhoea |
Doxycycline PO
|
100mg every 12 hours
|
10-14 days
|
Risk of photosensitivity. Absorption significantly impaired by antacids, iron/calcium/magnesium/zinc containing products. Separate administration by 2-3hrs
|
OR |
Ofloxacin PO |
200mg every 12 hours |
14 days |
See fluoroquinolone warning below
|
Likely to be sexually transmitted INCLUDING gonorrhoea
- If allergic to cephalosporins, recommend onward referral to a dedicated STI clinic.
- Gonorrhoea cultures must be sent prior to treatment.
|
Ceftriaxone IM
PLUS
Doxycycline PO
|
1g
100mg every 12 hours
|
Single dose
10-14 days
|
Ceftriaxone: Dissolve 1g ceftriaxone in 3.5ml of 1% Lidocaine Injection for IM injection. Not for IV injection
Doxycycline: Risk of photosensitivity. Absorption significantly impaired by antacids, iron/calcium/magnesium/zinc containing products. Separate administration by 2-3hrs
|
Likely to be enteric pathogen (urinary tract source or history of receptive anal intercourse) |
Ofloxacin PO |
200mg every 12 hours |
14 days |
See Fluoroquinolone warning below. |
OR |
Ciprofloxacin PO |
500mg every 12 hours |
10 days |