How to Treat Gonorrhea

       In the treatment, which need to be considered are the effectiveness, price, and maybe a little toxic effect. The main choice is penicillin + probenecid, except in areas with high incidence of Penicillinase Producing Neisseria gonorrhoeae  (PPNG). epidemiologically the recommended treatment is a drug with a single dose. Various kinds of drugs that can be used include:

• Penicillin
Effective are penicillin G procaine aqua. Dose of 4.8 million units + 1 gram of probenecid. The drug can mask the symptoms of syphilis. Contraindications are allergic to penicillin.

• Ampicillin and amoxicillin
Ampicillin dose is 3.5 grams + 1 gram of probenecid, and amoxycillin 3 grams + 1 gram of probenecid. Penicillin injections are not recommended. Contraindications are allergic to penicillin. For areas with penicillinase-producing Neisseria gonorrhoeae (NGPP) is high, penicillin, ampicillin, and amoksisislin not recommended.

• cephalosporin
Ceftriaxone (3rd generation) is effective at a dose of 250 mg im, Cefoperazone with a dose of 0.05 to 1.00 g intramuscularly. Cefixime 400 mg orally single dose gives cure rates of> 95%.

• Spectinomycine
The dose is 2 grams i.m. good for patients who are allergic to penicillin, who experienced treatment failure with penicillin, and on patients who suffered from syphilis also suspect because it does not mask the symptoms of syphilis.

• Kanamycine
The dose is 2 grams i.m. good for patients who are allergic to penicillin, penicillin and treatment failure with suspected syphilis.

• Tiamphenicol
3.5 grams per oral dose. Not recommended its use in pregnancy.

• quinolone
The drug of choice was ofloxacin 400 mg, 250-500 mg ciprofloxacin, and norfloxacin 800 mg orally. Given the recent years of resistance to ciprofloxacin and ofloxacin higher, then the class of quinolones is the recommended oral Levofloxacin 250 mg per single dose. Drugs with a single dose, which is no longer effective are tetracycline, streptomycin, and spiramycin.

Dual therapy for gonococcal and Chlamydial Infections

Gonorrhea infection is often followed by a non Gonorrhea is an infection, Chlamydia trachomatis. This leads to treatment performed on patients suffering from gonorrhea infection were also given therapy Chlamydia trachomatis infection, in the United States most of Gonococci have been resistant to Azithromycin and Doxycycline, chaperone therapy may be needed to reduce the possibility of N.Gonorhoeae are resistant to antibiotics. There is a limited data that the combination of Azithromycin and oral cephalosporins are effective in the treatment of pharyngitis.

1 comment:

  1. nice write up! I suffered from HIV, I was almost down with AIDS, I sought help from DR Jose Alessio, with his drugs, prayers and instructions I was treated and now i am free!pray to God and follow the instructions of Dr Jose, he has the perfect solutions for the following ailments,HSV, HERPES, GENITAL WARTS, HIV 1 snd 2, STAPHYLOCOCCUS, HPV, CHLAMYDIA, GONORRHEA, TRICHOMONIASIS, HEPATITIS, CHANCROID, LYMPHOGRANULOM VENERUM OR LGV, MOLLUSCUM AND CONTAGIOSUM.He is such a genius dealing with brain and STD issues, you can write to him on joseherbals28@gmail.com He will surely be able to help you

    ReplyDelete