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Allergic Penicillin Other Antibiotics Treat Syphilis
Doxycycline: Doxycycline for 2-4 weeks is recommended if penicillin cannot be given, or sometimes ceftriaxone. However, penicillin is by far the best drug. If you had a severe penicillin allergy in the past, then probably penicillin should be avoided. Otherwise, it still might be the best choice for you. Discuss it with your doctor or, even better, an infectious diseases or STD specialist. ...Read more
Yes: It is known that 60-70% of those thought penicillin allergic are not, skin testing in a protected setting can usually provide more accurate status. Nontheless, the drug Doxycycline given over a 2 wk period may cure syphillis, Azithromycin has been used but some resistant strains have been found. Penicillin is the only drug known effective during pregnancy & can be used with rapid desensitization. ...Read moreSee 1 more doctor answer
Can a10 day course of non-penicillin antibiotics orally to treat Strep throat unknowingly cure/treat primary or secondary syphilis?
Here are some ...: I would not contemplate the possible effective Rx for asymptomatic syphilis. If you think you're in a high risk for syphilis due to personal lifestyle, just do inexpensive indirect serological test first (VDRL or RPR) ; if (+), do direct confirming serological test (FTA-ABS test). So, ask Doc timely for detail. ...Read more
How come doctors dont prescribe ampicillin to treat syphilis if ampicilin is still penicillin?would it be effetive in treating very early exposure?
Get the shot: Oral penicillins like ampicillin have never been studied against syphilis, and many people wouldn't take it for the 2-4 weeks necessary, especially with usual side effects like diarrhea. Ampicillin soon after exposure probably would prevent syphilis, but there are no data on what dose would be needed. If exposed, you need penicillin by injection. Don't cut corners w/ such a dangerous infection. ...Read more
Stage 2 Syphilis 1:256 treated w/ penicillin. Rash came back 8 months later. Retest titer1:64. 4fold decrease successful treatment so why isrash back?
Rash: It may not be from the same cause. Obviously, I would suggest being evaluated for HIV (I assume that you have), since acquiring one STI may be associated with another infection. Are you on Remicade for Crohn's ? Any new medications? Usually the titers are rechecked after six months for a fourfold reduction which is in your case. Look for an alternative cause - recent antibiotic exposure?etc ...Read moreSee 1 more doctor answer
Syphilis: Yes. But they are not as effective. Many doctors will treat with the second line therapies unless there is brain involvement or a treatment failure to eradicate the syphilis. In this event they work to temporarily desensitize the patient of their penicillin allergy and then give the better treatment. ...Read more
I asked yesterday but there were a difference of opinions. 24 hours after receiving 2,4 mu of penicillin g, is that person able transmit syphilis?
Yes: It is a long acting PCN. Short acting would have protected you. ...Read more
Tested positive for syphilis & got one penicillin injection July 1, 14 days now most signs are gone. Still some tongue discolor. How long to be normal?
Is this statement true?
"People are almost instantly rendered non-infectious by penicillin. Perhaps within a few hours of the first penicillin injection, and certainly within 24 hours you can transmit syphilis infection -- even though any open sores s
Not true: open fresh sores will remain infectious. Treatment should be completed and lesions healed to be considered non infectious. See ID specialist ...Read more
Why probenecid given with penicillin in treating syphilis ? What is the role of the probencid in the treating syphilis ?
Use of probenecid: Probenecid inhibits the tubular secretion of penicillin and elevates penicillin plasma levels by any route the antibiotic is given. A 2-fold to 4-fold elevation has been demonstrated for various penicillins. That is why probenecid is given with penicillin. ...Read moreSee 2 more doctor answers
Quite effective: Here is a study that compared them that show equivalent effectiveness: http://cid.Oxfordjournals.Org/content/42/6/e45.Full. ...Read more
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