Pelvic Inflammatory Disease (PID) (IM or Oral Regimens) first line treatment
Ceftriaxone 500 mg single dose + Doxycycline 100 mg PO BID for 14 days + Metronidazole
500 mg PO BID for 14 days
Syphilis first line treatment
Adults: Benzathine penicillin G, 2.4 million units intramuscularly one time
Doxazosin
Medication for Benign Prostatic Hyperplasia (BPH)
Chlamydia first line drugs
Doxycycline 100 mg PO BID x 7 days
or
Azithromycin 1000 mg po once
or
Levofloxacin 500 mg PO QD for 7 days
Uncomplicated Gonococal Urethritis first line drugs (ONLY IF Chlamydial infection has NOT
been excluded)
Ceftriaxone 500 mg intramuscularly in a single dose plus oral doxycycline 100 mg twice daily
for 7 days.
Uncomplicated Gonococal Urethritis first line drugs (IF Chlamydial infection HAS been
excluded and person is <150kg>
Ceftriaxone 500 mg IM in a single dose
Uncomplicated Gonococal Urethritis first line drugs (IF Chlamydial infection HAS been
excluded and person is >150kg)
Ceftriaxone 1 g IM in a single dose
Bacterial Vaginosis first line treatment
Metronidazole 500mg PO BID for 7 days
OR
Metronidazole, 5g gel applicator intravaginally once a day for 5 days
OR
Clindamycin cream, 5g gel applicator intravaginally at bedtime for 7 days
Herpes Simplex Virus
(First Clinical Episode)
Acyclovir, 400 mg PO TID for 7-10 days
OR
Acyclovir, 200mg PO fives times a day for 7-10 days
OR
Famciclovir, 250 mg PO TID for 7-10 days
OR
Valacyclovir, 1g PO BID for 7-10 days
Side effects for Doxazosin
hypotension, dizziness, nasal congestions
Dutasteride
Medication for Benign Prostatic Hyperplasia (BPH)
Patient teaching and response to delayed onset of therapeutic effect of Dutasteride
benefits take months to develop, must continue taking med even if improvement not readily seen,
may lower ejaculatory volume and libido.
Terazosin
Medication for Benign Prostatic Hyperplasia (BPH)
How to know Terazosin is working
improve symptoms of dysuria, urgency, UTI, and hesitancy
Advantages of transdermal estrogen
Total dose of estrogen is greatly reduced
Less nausea and vomiting
Blood levels of estrogen fluctuate less
Lower risk for DVT, PE and stroke
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