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Does Azithromycin 500mg Cure Chlamydia

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COVID-19Common questionIs remdesivir used to treat COVID-19?Remdesivir injection is used to treat coronavirus disease 2019 caused by the SARS-CoV-2 virus in hospitalized adults and children 12 years of age and older who weigh at least 88 pounds . Remdesivir is in a class of medications called antivirals.

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Outcomes And Populations Used For Analyses

The primary outcome was treatment failure at the first follow-up, which was defined as a positive test for chlamydia and concordant C. trachomatis strains at baseline and follow-up if genotyping was unsuccessful , participants could not have had unsupervised furloughs and could not have had sex between enrollment and the follow-up. Participants with discordant strains were presumed to have new infections and were not considered to have treatment failure. The secondary outcomes included treatment efficacy based on the results of tests from both follow-up visits, as well as safety.

How Long Does Azithromycin Take To Cure Chlamydia

It usually takes approximately 7 days for azithromycin to cure chlamydia. However, it can take up to 2 weeks for the infection to go away completely.

Avoid having sex during treatment or until the infection has cleared. Youll want to make sure its completely cured, or else youll risk passing it to someone else.

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How Should I Take Azithromycin

Take Azithromycin as prescribed by your doctor. Take the Azithromycin pills with a glass of water and with meals. Taking the antibiotic with meals prevents upset stomach and vomiting, and the medicine will be easily absorbed by the body. Take it as often as prescribed by your physician. Never take antacids like Maalox, Rolaids, or Tums two hour before or after the taking pills.

Never give out Azithromycin to other people. They may be taking other medicines which have an adverse reaction to the Azithromycin.

When Will The Signs And Symptoms Go Away

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You should notice an improvement quite quickly after having treatment.

  • Discharge or pain when you urinate should improve within a week.
  • Bleeding between periods or heavier periods should improve by your next period.
  • Pelvic pain and pain in the testicles should start to improve quickly but may take up to two weeks to go away.

If you have pelvic pain or painful sex that doesnt improve, see your doctor or nurse as it may be necessary to have some further treatment or investigate other possible causes of the pain.

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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.

Infant Pneumonia Caused By C Trachomatis

Chlamydial pneumonia among infants typically occurs at age 13 months and is a subacute pneumonia. Characteristic signs of chlamydial pneumonia among infants include a repetitive staccato cough with tachypnea and hyperinflation and bilateral diffuse infiltrates on a chest radiograph. In addition, peripheral eosinophilia occurs frequently. Because clinical presentations differ, all infants aged 13 months suspected of having pneumonia, especially those whose mothers have a history of, are at risk for , or suspected of having a chlamydial infection should be tested for C. trachomatis and treated if infected.

Diagnostic Considerations

Specimens for chlamydial testing should be collected from the nasopharynx. Tissue culture is the definitive standard diagnostic test for chlamydial pneumonia. Nonculture tests can be used. DFA is the only nonculture FDA-cleared test for detecting C. trachomatis from nasopharyngeal specimens however, DFA of nasopharyngeal specimens has a lower sensitivity and specificity than culture. NAATs are not cleared by FDA for detecting chlamydia from nasopharyngeal specimens, and clinical laboratories should verify the procedure according to CLIA regulations . Tracheal aspirates and lung biopsy specimens, if collected, should be tested for C. trachomatis.

Treatment

Erythromycin base or ethylsuccinate 50 mg/kg body weight/day orally divided into 4 doses daily for 14 days

Azithromycin suspension 20 mg/kg body weight/day orally, 1 dose daily for 3 days

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How Often Should I Get Checked For Chlamydia

Sexual health check-ups are recommended for anyone who is sexually active. Frequency of testing also depends on your STI risk:

  • An annual sexual health check-up is highly recommended if you are sexually active especially if you are under 25.
  • Get checked more often during the year if you frequently change sexual partners.
  • Remember, you are at greater risk if you have sex without a condom with 1 or multiple sexual partners.

What Happens If Chlamydia Isn’t Treated

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Only some people who have chlamydia will have complications. If chlamydia is treated early, its unlikely to cause any long-term problems. But, without proper treatment, the infection can spread to other parts of the body. The more times you have chlamydia the more likely you are to get complications.

  • If you have a vulva, chlamydia can spread to other reproductive organs causing pelvic inflammatory disease . This can lead to long-term pelvic pain, blocked fallopian tubes, infertility and ectopic pregnancy .
  • In people with a vulva, chlamydia can also cause pain and inflammation around the liver, though this is rare. This usually gets better with the correct antibiotic 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.

Recommendations For Adults Adolescents Sex Partners And During Pregnancy

Chlamydia is a sexually transmitted infection caused by the bacteria Chlamydia trachomatis, which is treated with antibiotics. When used as directed, antibiotics can cure the infection and prevent potentially severe complications like infertility. The choice of antibiotics can vary by your age and whether you are pregnant or not.

There are no home remedies or over-the-counter medications able to treat chlamydia infections. Practices like vaginal douching may only make things worse. Only the correct antibiotics in the correct dose can fully resolve the infection.

Learn more about how chlamydia is treated and the medications your healthcare provider may prescribe if you or your sexual partner is diagnosed with chlamydia.

Verywell / Laura Porter

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Treatment Of Sexual Partners

When you are being treated for chlamydia, it is important to have your sexual partners treated as well. This includes anyone you’ve had sex with within 60 days of the appearance of symptoms.

Depending on state law, your partner may be able to be prescribed the same treatment without having to undergo chlamydia testing. This precautionary measure helps ensure that you are not reinfected or that others are not infected as well.

If you have chlamydia, do not share your antibiotics with your partner. You need the full course to fully clear the infection, and your partner does as well.

To avoid reinfection, abstain from sexual intercourse until all sexual partners have been treated.

Is Treatment Always Necessary For Chlamydia

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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.

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When To See A Doctor

Azithromycin is also called Zithromax. This medication can be relatively safe to use even though some potentially fatal side effects may occur.

Before using azithromycin, make sure to speak to your healthcare specialist for instructions and recommendations.

Also, you should contact your doctor before using azithromycin if:

  • If youre a pregnant woman
  • If youre experiencing inflammation or pain in your testicles
  • If you have kidney, liver, or heart conditions
  • If youre on other drugs, including medications for diabetes
  • If youre feeling feverish or nauseous

Suppose you have experienced an allergic reaction to using antibiotics in the past. In that case, you should definitely consult your doctor before using azithromycin.

In addition, you should always reach out to your medical specialist before using azithromycin for your condition, as theyre best placed to recommend the best treatment option for you.

Summary Of The Evidence

There is no evidence relating to patient values and preferences but the Guideline Development Group agreed that there is probably no variability in the values people place on the outcomes. Research related to other conditions indicates that adherence may be improved with simpler medication regimens. The GDG therefore agreed that azithromycin may be more acceptable to patients since it is a single dose regimen . There is little to no evidence for equity issues and feasibility. Resistance in other infections that often co-occur with chlamydia may restrict the use of some medicines, such as ofloxacin. For many of these medicines, costs may differ between countries in places with high incidence of chlamydia, the cost differences between azithromycin and doxycycline may be large due to greater numbers of people requiring treatment.

In summary, there was moderate quality evidence for trivial differences in benefits and harms between azithromycin and doxycycline, and although the cost of azithromycin is higher, the single dose may make it more convenient to use than doxycycline. While the differences are also trivial with the other medicines, the evidence is low quality and these are therefore provided as alternatives, with the exception of delayed-release doxycycline, which is currently expensive.

See for list of references of reviewed evidence, and for details of the evidence reviewed, including evidence profiles and evidence-to-decision frameworks .

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Ophthalmia Neonatorum Caused By C Trachomatis

A chlamydial etiology should be considered for all infants aged 30 days who experience conjunctivitis, especially if the mother has a history of chlamydial infection. These infants should receive evaluation and age-appropriate care and treatment.

Preventing Ophthalmia Neonatorum Caused by C. trachomatis

Neonatal ocular prophylaxis with erythromycin, the only agent available in the United States for this purpose, is ineffective against chlamydial ophthalmia neonatorum . As an alternative, prevention efforts should focus on prenatal screening for C. trachomatis, including

Neonates born to mothers for whom prenatal chlamydia screening has been confirmed and the results are negative are not at high risk for infection.

Diagnostic Considerations

Treatment

Erythromycin base or ethylsuccinate 50 mg/kg body weight/day orally, divided into 4 doses daily for 14 days*

* An association between oral erythromycin and azithromycin and infantile hypertrophic pyloric stenosis has been reported among infants aged < 6 weeks. Infants treated with either of these antimicrobials should be followed for IHPS signs and symptoms.

Although data regarding use of azithromycin for treating neonatal chlamydial infection are limited, available data demonstrate that a short therapy course might be effective . Topical antibiotic therapy alone is inadequate for treating ophthalmia neonatorum caused by chlamydia and is unnecessary when systemic treatment is administered.

Follow-Up

What Extra Measures Need To Be Taken During Treatment

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If someone suspects they or their partner has come into contact with chlamydia, or are displaying symptoms of chlamydia, they should get tested immediately, and refrain from having sexual intercourse until they have either:

  • received confirmation that they and their partner are clear of infection

or, if they or their partner has tested positive for chlamydia:

  • waited for seven days following successful completion of treatment with antibiotics and the disappearance of any symptoms.

If symptoms persist, you should notify your doctor as soon as possible.

In certain cases, a person may be advised to undertake a test of cure following treatment, to confirm that the infection is no longer present, before having sex again. This test should be taken at least three weeks following completion of treatment.

Where a person has tested positive for chlamydia, or has not yet tested positive but is strongly suspected of having the infection, it is crucial for them to notify their sexual partner as soon as possible. Sexual services such as GUM clinics can provide help in doing so.

Patients will also be given information on safe sex practices, to help reduce their risk of infection in future.

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How Long Does Azithromycin Take To Work

It typically takes about seven days for azithromycin to cure chlamydia infections. However, sometimes the infection can be cured entirely in 14 days.

Suppose youre taking a single dose of this antibiotic for chlamydia ensure to stay away from sex to avoid infecting your sexual partner before being cured.

Can You Get Chlamydia More Than Once

Yes, you can get the infection even if youve successfully treated it already.

A sexual partner who has chlamydia can transmit it to you again, even if youve already had it and treated it.

You can also get chlamydia again if it wasnt fully treated the first time. This can happen if you stop taking the necessary treatment. Its important to complete the antibiotics youve been given, even if your symptoms get better.

The CDC recommends getting tested 3 months after treatment of your initial infection to ensure the infection is cleared.

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Does Azithromycin 500mg Cure Chlamydia

What is the best antibiotic to treat chlamydia?

The two most commonly prescribed antibiotics for chlamydia are:

  • doxycycline taken every day for a week.
  • azithromycin one dose of 1g, followed by 500mg once a day for 2 days.

Can azithromycin treat syphilis?

Azithromycin as a single 2-g oral dose has been effective for treating primary and secondary syphilis among certain populations .

What If Symptoms Persist

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Unfortunately, some types of gonorrhea bacteria dont respond to the usual antibiotic treatment. Doctors call this antibiotic resistance. Theyve been seeing a rise in these stronger bacteria for several years. If you continue to have symptoms a few days after treatment, see your doctor again. They may prescribe a longer course of different antibiotics

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Long Term Complications Of Chlamydia In Males And Females

  • Chlamydia can affect the eye, and cause conjunctivitis. This is a major cause of blindness in under developed countries.
  • Chlamydia also affect the joints, causing a painful arthritis called Sexually Acquired Reactive Arthritis .
  • Reiters syndrome is a medical condition which is often precipitated by an episode of chlamydial infection. Patients develop a triad of symptoms: urethritis, uveitis, and arthritis.

If you are diagnosed with chlamydia, dont ignore it you must seek help without delay.

Am I At Risk For Chlamydia

Have an honest and open talk with your health care provider. Ask whether you should be tested for chlamydia or other STDs. If you are a sexually active woman younger than 25 years, you should get a test for chlamydia every year. If you are an older woman with risk factors such as new or multiple sex partners, or a sex partner who has an STD, you should get a test for chlamydia every year. Gay, bisexual, and other men who have sex with men as well as pregnant women should also get tested for chlamydia.

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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.

The Steadyhealth Team Reacts

Azithromycin for C. pneumoniae infection causing CAD – Video abstract: 31625

Chlamydia often has no symptoms unless left untreated for a long time, and the same also holds true for many other sexually-transmitted diseases. This is why anyone who is sexually active benefits from regular STD testing even if you’re monogamous, there’s a chance your partner may not be. It is, however, especially good to get tested:

  • If you have just started a new relationship
  • You and your partner would like to ditch the condoms
  • You have just found out your partner has had sex with someone else or multiple other people
  • You have sex with multiple partners of unknown STD status, even if you use condoms

If, after an STD test, you are positive for Chlamydia, you will be treated with antibiotics.

Recommended Reading: How You Get Chlamydia Or Gonorrhea

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.

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