| |
|
| Neisseria gonorrhoea: |
Ceftriaxone 250 mg IM or if known to be a sensitive
strain Ciprofloxacin 500 mg stat.
Also give Zithromax 1 gram stat or
Doxycycline 100 mg bd for 1 week (because 50% of GC patients will also have
chlamydia or non specific urethritis) |
| |
|
| Non Specific Urethritis/Chlamydia: |
Azithromycin 1 gram stat
Alternatives:
Doxycycline 100mg BD for 1 week. Erythromycin 250 mg qds for 2 weeks (500 mg bd
works just as well as qds).
Pregnancy: Erythromycin is the first
choice. If intolerant of this, Amoxycillin can be used. |
| |
|
| Pelvic Inflammatory Disease |
Ofloxacin 400 mg bd for 2 weeks
+/- Metronidazole
400 mg bd for a week.. |
| |
|
| Epididymo-orchitis |
Ofloxacin 200 mg bd for 2 weeks |
| Bacterial Vaginosis: |
Metronidazole 400 mg bd for a week
Metronidazole 2
grams stat
Zidoval Gel PV x 5 nights
Clindamycin (Dalacin C 2%) nocte PV
for a week
Amoxycillin 500 mg qds for 5 days. |
| |
|
| Candidiasis: |
Clotrimazole pessary 500 mg (Canesten 1) and Canesten
cream.
Fluconazole (Diflucan) 150 mg PO stat.
Itraconazole (Sporanox) 200
mg bd for one day. If recurrent - any treatment monthly x 6 mnths
Canesten
HC useful if inflammation is a significant feature.
Sensilube (vulvo-vaginal
lubricant) useful to prevent recurrences. |
| |
|
| Herpes Simplex: |
Acyclovir 200 mg x 5 daily for 5 days
Analgesia:-
General: Co-Dydramol x 2 tablets
4-hourly.
Local: Lignocaine gel or EMLA to allow patient to pass
urine. Also, PU in bath or shower helpful. Zovirax cream may be useful in
recurrences. Sensilube for sex can prevent recurrences.
If pregnant:
and severe enough to warrant systemic therapy then Acyclovir (Zovirax) 200 mg x
5 per day for 5 days.
Prophylaxis - Acyclovir 400 mg bd - no need to monitor
LFTs. |
| |
|
| Trichomonas (TV): |
Metronidazole 400 mg bd for a week
Metronidazole 2
grams stat,
Tinidazole 2 grams stat. |
| |
|
| Genital Warts: |
Podophyllotoxin 0.1% (Warticon cream) for home use (if
soft fleshy warts).
Imiquimod (Aldara) cream for three days a week for a
month and review.
Good for recalcitrant warts and recurrences less likely.
First line for peri-anal.
In clinic: Cryotherapy.
95%
Trichloroacetic acid. |
| |
|
| Pediculosis / Scabies: |
Malathion 0.5% lotion (Derbac-M) |
| |
|
| |
Updated Jan 2010 |
Please note
COCH Dept of GU Medicine recommendations
only. Clinic website: www.chestersexualhealth.co.uk Department not responsible
for inaccuracies. |
| |
| NHS Clinic phone No 01244-363091. If patient too embarrassed
to attend NHS clinic; then Private patients seen at COCH outside of clinic
times (01244-363097) or rarely at The Grosvenor Nuffield Hospital.
|
| |
|
|