Does Azithromycin Cure Chlamydia
Cure rates of 97% were reported in an analysis of 12 randomized clinical trials that investigated the use of azithromycin 1 gram for the treatment of chlamydia. That means for every 100 people with chlamydia who take azithromycin, 97 will be cured and 3 will not be cured.
This relies on the person with chlamydia taking azithromycin exactly as directed and not sharing the medication with anyone. Any sexual partners must be also treated.
Although azithromycin cures chlamydia in most people, it will not repair any permanent damage done to tissues by the disease.
If you have been symptomatic with chlamydia before treatment and your symptoms continue for more than a few days after receiving treatment, then ask to be re-evaluated by your health care provider.
Unfortunately, repeat infection with chlamydia is common. This means that even though azithromycin has cured your current infection with chlamydia, this does not mean you will not get chlamydia again. If your sexual partners have not been appropriately treated, you are at high-risk for reinfection. Having chlamydia multiple times puts women at high risk of fertility problems, ectopic pregnancy, and pelvic inflammatory disease. Infants born to mothers who are infected with chlamydia may develop chlamydial conjunctivitis and/or pneumonia. Chlamydial infection in infants can be treated with antibiotics.
Azithromycin For Chlamydia: Does It Work
Yes. Available data from medical research suggests azithromycin is an effective option for most people looking to treat sexually transmitted infections like chlamydia. Azithromycin has a 97% cure rate when used to cure chlamydia.
According to an analysis of 12 randomized clinical trials that researched the use of the drug in treating chlamydia infections, for every 100 people who take azithromycin 1 gram for the infection, 97 will be cured. The secondary outcomes show a meager 3% failure rate.
To ensure that azithromycin treats chlamydia, patients must adhere strictly to the preset directions from a healthcare specialist.
In addition, suppose youre treating chlamydia, you should ensure that your sexual partners get treated to avoid a repeat infection after being cured.
Azithromycin will cure chlamydia in most people unfortunately, it will not restore any permanently damaged tissues caused by the infection.
Sometimes, the damage from chlamydia on the reproductive parts can be irreversible if left untreated for too long.
What Are The Symptoms Of Chlamydia
Many people with chlamydia have no symptoms at all, and their infection is only picked up with a screening test.
Guidelines currently recommend that all women under the age of 25 get screened for chlamydia every year. Older women at increased risk for an infection, such as those with a new sex partner, more than one sex partner, a sex partner with concurrent partners, or a sex partner who has a sexually transmitted infection, should also be screen regularly.
Although routine screening for chlamydia in young men is not currently recommended, it should be considered in populations with a high prevalence of chlamydia or those at high risk for chlamydia .
Some people may have symptoms.
Women may notice an unusual vaginal discharge or problems when urinating , such as pain or burning, an increased need to urinate pain during sex bleeding between periods or after sex lower abdominal , or pelvic pain or cramps or.
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Usual Adult Dose For Tonsillitis/pharyngitis
Immediate-release: 500 mg orally as a single dose on day 1, followed by 250 mg orally once a day on days 2 to 5Use: Treatment of pharyngitis/tonsillitis caused by Streptococcus pyogenes as an alternative to first-line therapy in patients who cannot use first-line therapyIDSA Recommendations:Individuals with penicillin allergy: 12 mg/kg orally once a day-Maximum dose: 500 mg/day-Duration of therapy: 5 daysUse: Treatment of Group A streptococcal pharyngitis
How To Take It
Azithromycin is taken one time orally and can be taken with or without food. Its important to take it as directed by your doctor.
It takes approximately 1 week for azithromycin to cure chlamydia. Avoid having sex while under treatment, as its still possible to pass or worsen the infection during treatment.
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Management Of Sex Partners
Sex partners should be referred for evaluation, testing, and presumptive treatment if they had sexual contact with the partner during the 60 days preceding the patients onset of symptoms or chlamydia diagnosis. Although the exposure intervals defining identification of sex partners at risk are based on limited data, the most recent sex partner should be evaluated and treated, even if the time of the last sexual contact was > 60 days before symptom onset or diagnosis.
Azithromycin Vs Doxycycline For Chlamydia
Azithromycin and doxycycline are the most commonly prescribed drugs to treat chlamydia.
While azithromycin is prescribed in a single, one-gram dose taken orally, doxycycline is typically prescribed in a 100-milligram dose taken orally twice a day for seven days.
A 2014 meta analysis of 23 studies found that doxycycline had a slightly higher efficacy compared with azithromycin.
However, other research suggests that treatment with a single oral dose of azithromycin appears to be as safe and efficacious as a seven-day course of doxycycline for the treatment of uncomplicated genital chlamydial infection.
Talk to your healthcare provider about which medication is best for you.
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Azithromycin For Chlamydia Dosage
Azithromycin is a potent antibiotic. Therefore, patients must use this drug as instructed by a healthcare specialist.
The typically recommended dosage of azithromycin for chlamydial infection is 1 gram in one dose.
This dose can be taken with or without food, in the morning or night.
When using azithromycin for chlamydia, a 500mg dose is not recommended. In fact, a 500mg azithromycin dose may have some adverse effects, like increasing the risk of the chlamydial infection becoming resistant to the antibiotic.
Suppose you have been prescribed a 500mg dose to treat genital chlamydia. You may have to return to the doctor for a 1-gram dose to be prescribed instead.
Also, endeavor not to share your azithromycin dose with other people.
What Side Effects Are Possible With This Medication
Many medications can cause side effects.A side effect is an unwanted response to a medication when it is taken in normal doses. Side effects can be mild or severe, temporary or permanent. The side effects listed below are not experienced by everyone who takes this medication. If you are concerned about side effects, discuss the risks and benefits of this medication with your doctor.
The following side effects have been reported by at least 1% of people taking this medication. Many of these side effects can be managed, and some may go away on their own over time.
Contact your doctor if you experience these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects.
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Duration Of Azithromycin In Your Body To Stay:
As per the studied done, Azithromycin medicine usually stays around 15 to 16 days in your days after the consumption of last dose.
There is a 68 hour elimination half-life of this tablet. The prolonged terminal elimination half-life is associated with high drug uptake and subsequent elimination from the tissue.
Approximately 5.5 times the elimination half-life is required to remove the drug from the system. Therefore, it will take about 15.5 days for 374 hours to be removed from the system.
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How To Cope With Side Effects
What to do about:
- feeling sick stick to simple meals and do not eat rich or spicy food while youre taking this medicine.
- diarrhoea or being sick drink lots of fluids such as water or squash to avoid dehydration. Take small, frquent sips if youre being sick. Signs of dehydration include peeing less than usual or having strong-smelling pee. Do not take any other medicines to treat diarrhoea or vomiting without speaking to a pharmacist or doctor.
- losing your appetite eat when you would usually expect to be hungry. If it helps, eat smaller meals more often than usual. Snack when youre hungry. Have nutritious snacks that are high in calories and protein, such as dried fruit and nuts.
- headaches rest and drink plenty of water. Ask your pharmacist to recommend a painkiller if you need one. Talk to your doctor if the headaches last longer than a week or are severe.
- feeling dizzy or tired if you feel dizzy when you stand up, try getting up very slowly or stay sitting down until you feel better. If you begin to feel dizzy, lie down so you dont faint, then sit until you feel better. Do not drive or use tools or machines if you feel dizzy or tired. Do not drink alcohol as it may make you feel worse.
- changes to your sense of taste talk with your doctor if this is bothering you.
You should not use azithromycin if you are allergic to it, or if:
To make sure azithromycin is safe for you, tell your doctor if you have ever had:
low levels of potassium in your blood or
long QT syndrome .
What Dosage Treats Chlamydia
For people with uncomplicated genital chlamydia, the Centers for Disease Control and Prevention recommends a single dose of azithromycin taken orally to cure the infection.
Azithromycin comes in three forms:
For both powder formulas, either you or a pharmacist mix it with liquid to take.
Always follow the directions from your doctor or pharmacist for taking azithromycin.
Azithromycin is taken as a single dose, one time.
It should be taken as soon as you receive the prescription. Azithromycin can be taken with or without food, however, the extended-release form is typically taken on an empty stomach.
If you take the liquid form, shake it well before using and use a dosing spoon to measure an accurate dose. If you are prescribed the powder, mix it with water according to directions.
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Is Treatment Always Necessary For Chlamydia
Yes, treatment is necessary for chlamydia, particularly in women of childbearing age, because it reduces the risk of chlamydia-associated ectopic pregnancy, fertility problems, and the transmission of chlamydia to neonates during birth. In women, of all ages, chlamydia treatment reduces the risk of pelvic inflammatory disease.
In men, treatment for chlamydia stops them from infecting or reinfecting sexual partners with the bacteria.
Treat any person testing positive for chlamydia with a recommended course of antibiotics promptly. Delays in treatment have been associated with complications, such as pelvic inflammatory disease.
How Is Chlamydia Treated
The following are the recommended treatment regimens for chlamydia according to the Guidelines for Sexually Transmitted Diseases, released in 2015, but still considered current. Only one regimen should be chosen.
- Azithromycin 1 gram orally as a single dose
- Ofloxacin 300 mg orally twice a day for 7 days.
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Sex Partners Need Treatment Too
If you are diagnosed with chlamydia, you will need to tell all of your sexual partners, because they will need the same treatment you are receiving.
In most states, a doctor or other healthcare provider can give you the medicine that your partner or partners will need to take. Then you can deliver it to those partners. This practice is called expedited partner therapy or patient delivered partner therapy.
These options can help a lot if your partner doesnt have a healthcare provider or feels embarrassed about seeking care, says Dr. Dombrowski.
Its natural to feel nervous or upset about having to tell your partner or partners about having an STD. Your healthcare provider can help with this problem. They may even rehearse the conversation with you, says Dombrowksi.
Learning about chlamydia and seeking advice from a healthcare provider about how to discuss it with your partner can help you handle the conversation with less anxiety and more confidence.
Remember, chlamydia is not just common: It is the most common infection reported to the Centers for Disease Control and Prevention . You are being helpful, mature, and responsible by telling your partners.
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Side Effects Of Doxycycline For Sinus Infection
Generally, there are only some minor side effects after taking Doxycycline for sinus infection. Common side effects that can occur after taking doxycycline are-
- Little to almost no urination
- Lower count of white blood cells
- Iron supplements and laxatives
- Oral birth control pills
People who are in the habit of drinking alcohol are more likely to side effects of Doxycycline tablets, especially stomach upset. Moreover, when medicine is taken with milk or food it can reduce the absorption of medicine by the body.
The medicine also enhances the sensitivity of the skin to sunlight. Hence, when stepping out of the house, make sure you are properly covered and wearing sunglasses and sunscreen.
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How Is Chlamydia Diagnosed
Self-collected vaginal swab testing is available and many women find this screening strategy highly acceptable.
- Geisler WM, Uniyal A, Lee JY, et al. Azithromycin versus Doxycycline for Urogenital Chlamydia trachomatis Infection. N Engl J Med. 2015 373:2512-2521. doi:10.1056/NEJMoa1502599
- Workowski, K, Bolan G. U.S. Department of Health and Human Services. Sexually Transmitted Diseases Treatment Guidelines, 2015. Morbidity and Mortality Weekly Report.
- WHO Guidelines for the Treatment of Chlamydia trachomatis. Geneva: World Health Organization 2016. 4, RECOMMENDATIONS FOR TREATMENT OF CHLAMYDIAL INFECTIONS. Available from:
- Chlamydia Treatment and Care. Centers for Disease Control and Prevention https://www.cdc.gov/std/chlamydia/treatment.htm
- Chlamydia Treatment Information Sheet. Wisconsin Department of Health Services.
Taking Doxycycline To Treat Chlamydia
Dose: Doxycycline, one 100mg capsule twice a day for 7 days.
Your doctor or other health professional will assess your suitability for doxycycline or an alternative.
- Swallow the capsules whole do not break, chew, or crush the capsules.
- If you take it with food you are less likely to feel sick.
- Stay upright while swallowing it ie standing, or sitting not lying down.
- The most common side effects are headaches, and nausea.
Stay out of sunlight while taking the tablets as its possible to get skin rashes.
Do not take doxycycline if:
- You are under 12 years old as it can stain your teeth.
- You are pregnant.
- You are allergic to it.
- You have kidney or liver disease.
It is now possible to purchase a 7-day course of doxycycline from Dr Fox online. This is safe, quick and convenient. In the light of this new advice, Dr Fox has now discontinued selling azithromycin for chlamydia infection.
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Azithromycin For Sinus Infection
People who are suffered from sinus most probably ask the doctor to prescribe an antibiotic. Acute sinus infections mostly last for about three-four weeks. Azithromycin is the most common antibiotic prescribed to treat sinus infections. There is evidence that Azithromycin works at its best level and quickly cure sinus infections. But it is not necessary that antibiotics can help sinus patients every time. Judicious usage of antibiotics is essential to cure sinus infections.
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Follow Treatment Advice Make Sure Chlamydia Is Properly Treated
However, the sexual partner may opt to be tested for chlamydia and wait for their results. If they do this, there should be no sexual activity while waiting to be tested, until their results are available, and then for the time period to complete treatment, if they test positive.
In many ways, including the fact no tests are 100% accurate, it is preferable for both of you to be treated, and the easiest option, is to take your antibiotics both at the same time. This is called epidemiological treatment, and is good medical practice.
If all the tablets were taken correctly and there has been no sex on treatment, there is no need to repeat the chlamydia test .
However a test of cure should be performed if:
- there is chlamydia in the rectum,
- it chlamydia is treated in pregnancy,
- it chlamydia is treated with erythromycin,
- if you have symptoms when diagnosed with chlamydia, and these symptoms have not resolved, or
- if any of the rules about taking treatment were not followed.
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