treatment

Treatment of Gonorrhea

Gonococci are resistant to the commonly used antimicrobials like penicillins and tetracyclines, and they are avoided as a first choice option. Single-dose of intramuscular ceftriaxone or oral cefixime can cure most cases of uncomplicated gonorrhea. Single-dose oral ciprofloxacin, or levofloxacin is highly effective for gonococcal infections acquired in the United States.

Gonorrhea patients should also be routinely treated for co-existing Chlamydia trachomatis infections, with azithromycin single dose or doxycycline twice daily for 1 week.

Disseminated gonococcal infection patients are treated with injectable formulations such as ceftriaxone, cefotaxime, ciprofloxacin, or levofloxacin for 1-2 weeks. Other complicated gonorrhea infections may be treated orally for 1-2 weeks. All partners in the past 60 days should also be treated.