Template:BV Antibiotics: Difference between revisions
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*[[Metronidazole]] | ====First Line Therapy<ref>Workoski KA and Bolan GA. Sexually transmitted diseases treatment guidelines, 2015. MMWR Recommen and Reports. 2015; 64(3):1-140.</ref>==== | ||
** | *[[Metronidazole]] 500 mg PO BID for 7 days OR | ||
* | *[[Metronidazole]] gel 0.75%, one full applicator (5 g) intravaginally, qd for 5 days OR | ||
*[[Clindamycin]] | *[[Clindamycin]] cream 2%, one full applicator (5 g) intravaginally qHS for 7 days | ||
====Alternative Regimine==== | |||
*[[Tinidazole]] 2 g PO qd for 2 days OR | |||
*[[Tinidazole]] 1 g PO qd for 5 days OR | |||
*[[Clindamycin]] 300 mg PO BID for 7 days OR | |||
*[[Clindamycin]] ovules 100 mg intravaginally qHS for 3 days (do not use if patient has used latex condom in last 72 hrs) | |||
====Pregnancy==== | ====Pregnancy==== | ||
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====Prophylaxis ([[Sexual Assault]])==== | ====Prophylaxis ([[Sexual Assault]])==== | ||
*[[Metronidazole]] 2 g PO x 1 OR | *[[Metronidazole]] 2 g PO x 1 OR | ||
*[[ | *[[Tinidazole]] 2 g PO x 1 | ||
Revision as of 14:47, 5 June 2015
First Line Therapy[1]
- Metronidazole 500 mg PO BID for 7 days OR
- Metronidazole gel 0.75%, one full applicator (5 g) intravaginally, qd for 5 days OR
- Clindamycin cream 2%, one full applicator (5 g) intravaginally qHS for 7 days
Alternative Regimine
- Tinidazole 2 g PO qd for 2 days OR
- Tinidazole 1 g PO qd for 5 days OR
- Clindamycin 300 mg PO BID for 7 days OR
- Clindamycin ovules 100 mg intravaginally qHS for 3 days (do not use if patient has used latex condom in last 72 hrs)
Pregnancy
- Alternative: 250mg PO q8h x 7 days in pregnant patients[2]
- 2g PO x 1 is also acceptable in pregnancy[2]
- Multiple studies have not demonstrated teratogenicity from metronidazole use[2]
Prophylaxis (Sexual Assault)
- Metronidazole 2 g PO x 1 OR
- Tinidazole 2 g PO x 1