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1. Chlamydia Doxycycline 100 mg Orally BID for 7 day
(Among Adoles-
cents and Adults) **Alternative therapy:
Treatment - Azithromycin 1g Orally in a single dose
- Levofloxacin 500 mg orally daily for 7 days
2. Uncomplicated Chlamydial infection is excluded:
gonococcal Ceftriaxone 500 mg IM single dose
urethritis
Treatment If Chlamydial infection has not been excluded:
- Ceftriaxone 500 mg IM single dose
- Doxycycline 100 mg Orally BID for 7 day
**Alternative therapy:
-Gentamicin 240 mg IM in a single dose +
Azithromycin 2 g orally in a single dose
- Cefixime 800 mg orally in a single dose
3. Bacterial Vagi- - Metronidazole 500 mg orally BID for 7 days
nosis Treatment
- Metronidazole gel 0.75% one full applicator intravaginal, once a day for 5 days
- Clindamycin vaginal cream 2% one full applicator intravaginal, at bedtime for 7
days
4. Herpes Simplex - Acyclovir 400 mg orally TID for 7-10 days
Virus
(First Clinical - Famciclovir 250 mg orally TID for 7-10 days
Episode) Treat-
- Valacyclovir 1 g orally twice a day for 7-10 days
ment
5. Pelvic Inflamma- - Ceftriaxone 500 mg IM in a single dose +
tory Disease (PID) Doxycycline 100 mg orally BID for 14 days +
, NR 566 Final Study Guide
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(IM or Oral Regi- Metronidazole 500 mg orally BID of 14 days
mens) Treatment
- Cefoxitin 2g IM in a single dose +
Probenecid 1g orally in a single dose +
Doxycycline 100 mg orally BID for 14 days +
Metronidazole 500 mg orally BID for 14 days
- Other parenteral third generation Cephalosporin (Ceftizoxime or Cefotaxime) +
Doxycycline 100 mg orally BID for 14 days +
Metronidazole 500 mg orally BID for 14 days
6. Syphilis Treat- Benzathine Penicillin G 2.4 million units IM in a single dose
ment
7. Doxazosin side ef- dizziness/syncope, headache, first-dose orthostatic hypotension, drowsiness,
fects (due to al- nasal congestion
pha 1 receptor
being blocked)
8. Dutasteride (Avo- benefits take months to develop, must continue taking med even if improvement
dart) patient not rapidly seen
teaching
may lower ejaculatory volume & libido
Should not be handled by pregnant women as the medication is teratogenic
9. How to know Ter- improved symptoms of dysuria, urgency, urinary tract infections, hesitancy etc.
azosin is work-
ing? Improvement should occur rapidly
10. Oral Estrogen Most convenient and used most often.
11. Transdermal Es- Total dose of estrogen is greatly reduced. Less nausea and vomiting, blood levels
trogen of estrogen fluctuate less. Lower risk for DVT, PE, and stroke.