Treatments for Gonorrhea

Treatment list for Gonorrhea:

The list of treatments mentioned in various sources for Gonorrhea includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.

• Antibiotics
  • Penicillin - once the most useful treatment but now there are resistent strains and other antibiotics are used.
  • Sulphonamides
  • Tetracyclines
  • Ceftriaxone
  • Cefixime
  • Ciprofloxacin
  • Ofloxacin
• Treatments for combined gonorrhea and chlamydia infections
  • Antibiotic combinations
  • Ceftriaxone
  • Doxycycline
  • Azithromycin
• Avoid sexual activity
• Careful hygiene to avoid contagion
• Avoid rubbing eyes

Treatments of Gonorrhea: Online Medical Books

16 MEDICAL BOOKS ONLINE! Review the full text of medical books online, free, without registration, for more information about the treatments of Gonorrhea.

Vaginal Discharge: Treatment
(In a Page: Signs and Symptoms)

• See most recent CDC guidelines for all STDs
• Trichomonas
  –Metronidazole single dose or for 7 days (avoid alcohol with metronidazole use)
  –Intravaginal clotrimazole if pregnant or unable to use metronidazole

Gonorrhea
–Oral ciprofloxacin or IM ceftriaxone

Chlamydia –Azithromycin or doxycycline orally

Bacterial vaginosis
–Metronidazole single dose or for 7 days

Candida
–Clotrimazole cream or intravaginal suppository
–Fluconazole single dose

Atrophic vaginitis
–Topical or oral hormone replacement if appropriate

Advise to avoid douching/perfumed hygiene products

>

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Vaginal Discharge: Treatment
(In A Page: Pediatric Signs and Symptoms)

• Physiologic leukorrhea: Provide reassurance
• Irritative vaginal discharge: Educate on proper wiping techniques, avoidance of tight clothing and irritants
• Foreign bodies such as toilet paper can usually be removed with gentle vaginal lavage, sitz baths
• Treatments for infectious causes of vaginal discharge:
  –Bacterial vaginosis: Metronidazole or topical clindamycin
  –Candida can be treated with topical or oral antifungals
  –Trichomonas is treated with metronidazole
  –Group A β-hemolytic streptococci: Penicillin
  –Chlamydia is treated with doxycycline or azithromycin
  –Gonorrhea: Ceftriaxone, ciprofloxacin, or ofloxacin
  –Shigella is treated with trimethoprim-sulfamethoxazole
  • Encourage barrier contraception in sexually active adolescents

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Gonorrhea: Treatment
(Professional Guide to Diseases (Eighth Edition))

For adults and adolescents, the recommended treatment for uncomplicated gonorrhea caused by susceptible non-penicillinase-producing N. gonorrhoeae is a single dose of ceftriaxone; for presumptive treatment of concurrent C. trachomatis infection, doxycycline. Common alternative prescriptions may include ciprofloxacin, ofloxacin, spectinomycin, cefuroxime, cefpodoxime proxetil, or erythromycin. A follow-up visit 7 days after treatment to recheck cultures and confirm the cure of infection is recommended, especially for women who are asymptomatic or may not have symptoms associated with the infection. A single dose of ceftriaxone and erythromycin is recommended for pregnant patients and those allergic to penicillin.

Treatment of gonococcal conjunctivitis requires a single dose of ceftriaxone, and lavage of the infected eye with saline solution once.

Routine instillation of 1% silver nitrate drops or erythromycin ointment into the neonate’s eyes soon after delivery has greatly reduced the incidence of gonococcal ophthalmia neonatorum.

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Gonorrhea: Treatment
(Handbook of Diseases)

For adults and adolescents, the recommended treatment for uncomplicated gonorrhea caused by susceptible non-penicillinase-producing N. gonorrhoeae is a single 125-mg dose of ceftriaxone I.M.; for presumptive treatment of concurrent Chlamydia trachomatis infection, the treatment is 100 mg doxycycline by mouth (P.O.) twice daily for 7 days.

A single dose of ceftriaxone and erythromycin for 7 days is recommended for pregnant patients and those allergic to penicillin.

The recommended initial regimen for disseminated gonococcal infection in adults and adolescents is 1 g ceftriaxone I.M. or I.V. every 24 hours or, for patients allergic to beta-lactam antibiotics, 2 g spectinomycin I.M. every 12 hours.

All regimens should be continued for 24 to 48 hours after improvement begins; then therapy may be switched to one of the following regimens to complete 1 full week of antimicrobial therapy: 400 mg cefixime P.O. twice daily or 500 mg ciprofloxacin P.O. twice daily. Ciprofloxacin is contraindicated in children, adolescents, and pregnant or lactating women.

Gonorrhea may also be treated with a single 1-g dose of azithromycin, per Centers for Disease Control and Prevention guidelines.

Treatment of gonococcal conjunctivitis requires a single 1-g dose of ceftriaxone I.M. and lavage of the infected eye with normal saline solution once.

Routine instillation of 1% silver nitrate or erythromycin drops into neonates’ eyes has greatly reduced the incidence of gonococcal ophthalmia neonatorum.

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Vaginal discharge: Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)

Teach the patient to keep her perineum clean and dry. Also, tell her to avoid wearing tight-fitting clothing and nylon underwear and to instead wear cotton-crotched underwear and pantyhose. If appropriate, suggest that the patient douche with a solution of 5 tbs of white vinegar to 2 qt (2 L) of warm water to help relieve her discomfort.

If the patient has a vaginal infection, tell her to continue taking the prescribed medication even if her symptoms clear or she menstruates. Also, advise her to avoid intercourse until her symptoms clear and then to have her partner use condoms until she completes her course of medication. If her condition is sexually transmitted, instruct her on safer sex methods.

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Vaginal discharge: Nursing considerations
(Nursing: Interpreting Signs and Symptoms)

▪ Obtain cultures of the vaginal discharge.

▪ Give antibiotics, antivirals, or other drugs, as ordered.

▪ Observe standard precautions to prevent the spread of infection.

Patient teaching

▪ Explain to the patient the cause of vaginal discharge and its treatment.

▪ Teach the patient proper perineal hygiene and advise her to avoid tight-fitting clothing and nylon underwear.

▪ Suggest douching with vinegar and warm water to help relieve discomfort, if appropriate.

▪ Tell the patient to continue taking prescribed drugs even if her symptoms clear.

▪ Advise the patient to avoid intercourse until symptoms resolve.

▪ Provide information on safer sex practices.

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Medications used to treat Gonorrhea:

Note:You must always seek professional medical advice about any treatment or change in treatment plans.

Some of the different medications used in the treatment of Gonorrhea include:

• Cefuroxime
• Ceftin
• Kefurox
• Zinaxef
• Macrolide antibiotics
• Azithromycin
• Zithromax
• Clarithromycin
• Biaxin
• Biaxin XL
• Biaxin XL Pac
• Erythromycin
• Apo-Erythro Base
• Apo-Erythro E-C
• Apo-Erytrho-ES
• Apo-Erythro-S
• E.E.S
• E.E.S. 200
• E.E.S. 400
• E-Mycin Controlled Release
• E-MycinE
• E-Mycin 333
• Eramycin
• Erybid
• ERYC
• EryPed
• Eryphar
• Ery-Tab
• Erythrocin
• Erythromid
• Ethril
• ETS-2%
• Ilosone
• Ilotycin
• Novo-Rythro
• PCE
• Pediamycin
• Pediazole
• PMS-Erythromycin
• Robimycin
• SK-Erythromycin
• Wyamycin E
• Wyamycin S
• Probenecid
• Ampicillin-Probenecid
• Ampicin PRB
• Benemid
• Benuryl
• Colabid
• Col-Benemid
• Polycillin-PRB
• Probalan
• Probampacin
• Proben-C
• Probenecid with Coldhicine
• Pro-Biosan 500 Kit
• SK-Probenecid
• Cefpodoxime
• Vantin
• Orelox
• Rocephin
• Amcel
• Benaxona
• Cefaxona
• Ceftrex
• Tacex
• Terbac
• Triaken
• Ceftriaxone
• Cipro XR
• Ciprol XL
• Cimogal
• Ciprobiotic
• Ciproflox
• Ciprofur
• Ciproxina
• Eni
• Kenzoflex
• Microrgan
• Mitroken
• Nivoflox
• Novoquin
• Opthaflox
• Quinoflox
• Sophixin
• Suiflox
• Zipra
• Demeclocycline
• Declomycin
• Ledemicina
• Minocycline
• Dynacin
• Minocin
• Alti-Minocycline
• Apo-Minocycline
• Gen-Minoycline
• Novo-Minocycline
• PMS-Minocycline
• Rhoxal-minocycline
• Spectinomycin
• Trobicin
• Spiramycin
• Rovamycine

Unlabelled alternative drug treatments include:

• Rocephin
• Amcel
• Benaxona
• Cefaxona
• Ceftrex
• Tacex
• Terbac
• Triaken
• Ceftriaxone
• Cipro XR
• Ciprol XL
• Cimogal
• Ciprobiotic
• Ciproflox
• Ciprofur
• Ciproxina
• Eni
• Kenzoflex
• Microrgan
• Mitroken
• Nivoflox
• Novoquin
• Opthaflox
• Quinoflox
• Sophixin
• Suiflox
• Zipra

Discussion of treatments for Gonorrhea:

Gonorrhea: DSTD (Excerpt)

Many of the currently used antibiotics can successfully cure gonorrhea in adolescents and adults. Penicillin is a common antibiotic that is no longer used to treat gonorrhea, because many strains of the gonorrhea bacterium have become resistant to penicillin. Because many people with gonorrhea also have chlamydia, antibiotics for both infections are usually given together. Persons with gonorrhea should also be screened for other STDs.

It is important to take all of the medication prescribed to cure gonorrhea, even if the symptoms or signs stop before all the medication is gone. Although medication will stop the infection, it will not repair any permanent damage done by the disease. Persons who have had gonorrhea and have been treated can also get the disease again if they have sexual contact with an infected person. (Source: excerpt from Gonorrhea: DSTD)

Antimicrobial Resistance, NIAID Fact Sheet: NIAID (Excerpt)

In sexually transmitted disease clinics that monitor outbreaks of drug-resistant infections, doctors have found that more than 30 percent of gonorrhea isolates are resistant to penicillin or tetracycline, or both. (Source: excerpt from Antimicrobial Resistance, NIAID Fact Sheet: NIAID)

Gonorrhea, NIAID Fact Sheet: NIAID (Excerpt)

Doctors usually prescribe a single dose of one of the following antibiotics to treat gonorrhea:

• Ceftriaxone
• Cefixime
• Ciprofloxacin
• Ofloxacin

If you have gonorrhea and are pregnant or are younger than 18 years old, you should not take ciprofloxacin or ofloxacin. Your doctor can prescribe the best and safest antibiotic for you.

Gonorrhea and chlamydial infection, another common STD, often infect people at the same time. Therefore, doctors usually prescribe a combination of antibiotics, such as ceftriaxone and doxycycline or azithromycin, which will treat both diseases.

If you have gonorrhea, all of your sexual partners should get tested and then treated if infected, whether or not they have symptoms of infection. (Source: excerpt from Gonorrhea, NIAID Fact Sheet: NIAID)

Sexually Transmitted Diseases, NIAID Fact Sheet: NIAID (Excerpt)

Historically, penicillin has been used to treat gonorrhea, but in the last decade, four types of antibiotic resistance have emerged. New antibiotics or combinations of drugs must be used to treat these resistant strains. (Source: excerpt from Sexually Transmitted Diseases, NIAID Fact Sheet: NIAID)

Gonorrhea: NWHIC (Excerpt)

Ampicillin, amoxicillin, or some type of penicillin used to be recommended for the treatment of gonorrhea. Because penicillin-resistant gonorrhea is increasing, other antibiotics that are given by injection such as ceftriazone or spectinomycin now are used to treat most gonoccal infections. Other new antibiotics can be taken by mouth.

Gonorrhea often occurs together with chlamydial infection, another common sexually transmitted disease (STD). Therefore, doctors usually prescribe a combination of antibiotics, such as ceftriazone and doxycycline, to treat both diseases. All sex partners of a person with gonorrhea should be tested and treated appropriately, even if they do not have symptoms of infection. (Source: excerpt from Gonorrhea: NWHIC)

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