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Doctor insights on: Syphilis Treatment Dosage

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I am taking azithromycin 500mg for three days for syphilis treatment and I've already taken it for two days. Now I'm told to take 2g single dose.

I am taking azithromycin 500mg for three days for syphilis treatment and I've already taken it for two days. Now I'm told to take 2g single dose.

Not syphilis: I don't think you're being treated for syphilis. If it's syphilis you should be getting a shot of penicillin -- did you get that already? It sounds like they're treating you for chlamydia. You should talk to your doc about why they're making the changes. ...Read more

Dr. Hunter Handsfield
534 Doctors shared insights

Syphilis (Definition)

A sexually transmitted disease involving a ...Read more


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What's the treatment for syphilis?

Penicillin: Injectable (intramuscular) penicillin remaims the treatment of choice for all stages of syphilis. If the patient is penicillin allergic, other choices include tetracyclines, macrolides, such as erthromycin and ceftriaxone. Duration of therapy depends on the stage of the disease. Some of the non penicillin treatments suffer from antibiotic resistance. Follow up to insure cure is advised. ...Read more

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What is the treatment for syphilis?

Depends: Rx for syphillis depends on the type, newborn or acquired;stage, early or late and complications. Penicillin is the primary drug treatment. Management of new cases includes parameters such as detecting other std's, finding & treating exposed contacts, etc. Followup includes testing to be sure the initial treatment is successful. ...Read more

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How syphilis become cure after treatment?

How syphilis become cure after treatment?

Penicillin: Syphilis is treated with penicillin, usually via intramuscular injections. One shot for early disease and three shots (one weekly for 3 weeks) for late disease. Certain severe forms or congenital disease in babies is treated with IV doses. ...Read more

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When someone contracts syphilis, how long do they receive treatment?

When someone contracts syphilis, how long do they receive treatment?

Depends: For early stages it is a single shot of antibiotic. For complicated stages the treatment may vary from 3 shots to IV antibiotics. ...Read more

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If someone contracts syphilis, how long do they have to receive treatment?

Depends on form: The preferred treatment for newly acquired (primary)syphillis is a single dose of penicillin g with avoidance of sexual activity until any primary leasons are healed. Followup blood tests at 6 & 12 months are recomended to verify the success of initial treatment or recurrance. Weekly pcn x3 is recomended for latent disease. Since other std's often co-exist variations in rx are often needed. ...Read more

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After being diagnosed with syphilis and given your first treatment how long does it take for the shot to work. Am I gonna go through the secondary stg?

After being diagnosed with syphilis and given your first treatment how long does it take for the shot to work. Am I gonna go through the secondary stg?

Not if treated: You ought to follow up with your doctor to ensure that treatment was successful. It may require serial tests. If the treatment is successful, you will not go through secondary or tertiary stage. ...Read more

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What is the treatment for quaternary syphilis?

IV Penicillin.: Late infections need IV penicillin for at least 10 days. If the patient is allergic Ceftriaxone can be used. Other kinds of late disease may be treated with once-weekly intramuscular penicillin g for three weeks. If allergic, Doxycycline or tetracycline may be used, for a longer duration. These treatments can stop further progression, but not fully reverse damage already done. ...Read more

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With end stage syphilis what are my treatment options?

Clarify please---: "end stage" syphilis is not considered a diagnostic classification. We classify syphilitic infections based on: 1) time from 1st infection (early, late, and late-lantent) 2) syndromes (primary, secondary, tertiary), and 3) CNS effects (neurosyphilis). In all these cases, your treatment options are limited to IV penicillin (for neurosyphilis) or benzithene penicillin (all other forms)- no subs. ...Read more

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Is their a alternate treatment for syphilis besides penicillin?

Is their a alternate treatment for syphilis besides penicillin?

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

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What will be effect if we take syphilis treatment as early as possible after unsafe sex without examination?

Treating before test: Syphilis can sometimes be hard to treat and it is always good to get a test drawn before treatment so that the correct antibody titters can be followed. But I have treated some patients with high risk exposure before they could test positive. I would like to know more about the situation you are confronting. ...Read more

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Treatment for syphilis in 2012. Titer went down to 1:1, f/u 6 months later was non-reactive. Latest f/u at 1 year was 1:1 again. No new exposure. Bad?

No: Rises in titer only count if they're 2-dilution rises. From non-reactive to 1:1 is a 1-dilution rise, and is not felt to be significant. A rise from non-reactive to 1:2 would be significant. However, if you were re-infected with syphilis, your titer would probably be much higher than 1:2. ...Read more

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What treatment can I expect for syphilis if I'm allergic to penicillins?

Syphillis: Depends on the allergic reaction you have to pcn. An allergist can perform a penicillin desensitization for therapy or 2nd line therapy is typically doxycycline. ...Read more

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Will a rash caused by syphilis itch and how long will it stay without treatment?

Will a rash caused by syphilis itch and how long will it stay without treatment?

It can.: An itchy rash can occur in syphilis, typically in its secondary form. It can be on the pal of the hands, and is contagious. Diagnosis and treatment is very important- this usually involves one intramuscular dose of benzathine penicillin. ...Read more

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We come from a religious background where treatment is based on faith and home cures. What can we use to treat end stage syphilis?

See a doctor: If you're saying that you have been treating syphilis with home cures, and it has progressed to the tertiary stage, that should tell you something: you could have resolved the problem at an early stage with a shot of penicillin. Since you didn't, you have a significant problem, since tertiary syphilis is quite difficult to treat. See a qualified physician immediately. ...Read more

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Had the standard treatment for gonorrhea and syphilis changed?

Had the standard treatment for gonorrhea and syphilis changed?

Yes: CDC recommends ceftriaxone as standard treatment for gonorrhea, and benzathine penicillin for syphilis. ...Read more

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Can I get syphilis by holding hands with a person who has undergone the treatment for syphilis for the past year?

Can I get syphilis by holding hands with a person who has undergone the treatment for syphilis for the past year?

No risk: Treatment for syphilis is quite effective and usually by two weeks the organism is eliminated. Transmission requires intimate contact through mucus linings. Holding hands is sweet and will not transmit syphilis which I believe is not now present in this formerly infected person. ...Read more

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How long will syphilis feet rash take after treatment?

How long will syphilis feet rash take after treatment?

It depends: It all depends on what the treatment was. But, days is usually the best answer we can give. ...Read more

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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?

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 more

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If you are infected with syphilis or Lyme disease would regular antibiotic treatment work?

If you are infected with syphilis or Lyme disease would regular antibiotic treatment work?

Yes: Both syphilis and lyme disease are treatable and curable with antibiotics. In the case of syphilis, intravenous or intramuscular penicillin is used. For lyme disease, oral Doxycycline or intravenous Ceftriaxone are used. ...Read more

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I'm just wondering, if you are infected with syphilis and Lyme disease would regular antibiotic treatment work?

I'm just wondering, if you are infected with syphilis and Lyme disease would regular antibiotic treatment work?

Maybe: It's not cleare what "regular antibiotic treatment" means. Both diseases are infectious in nature and will each respond to antibiuotic therapy. The medicvations used are commonplace antibiotics but the proper ones need to be selected based on the disease. ...Read more

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Is annual STD screening frequent enough to catch potentially asymptomatic STDs (like syphilis) in a timely manner for their treatment? (Not high risk)

Is annual STD screening frequent enough to catch potentially asymptomatic STDs (like syphilis) in a timely manner for their treatment? (Not high risk)

STD Testing: Yes. In general yes. But remember Syphilis is not asymptomatic. There are three stages of the infection and most of the cases are diagnosed from symptoms during the second stage. ...Read more

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How long does it take before syphilis rash on back goes away? Was Diagnosed with neuropsyphilis and IV therapy of penicillin has been completed.

How long does it take before syphilis rash on back goes away? Was Diagnosed with neuropsyphilis and IV therapy of penicillin has been completed.

Should have cleared: The skin rash of secondary syphilis typically clears up within a few days of starting penicillin. Any rash persisting 10+ days (the usual duration of IV pen for NS) probably wasn't syphilis, and syphilis rash usuallyis body wide, not one area like the back. Maybe penicillin allergy if it started after treatment began. In any case, show it to your doctor. Good luck! ...Read more

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Taking Amox-Clav 875mg/2x day/10 days for NGU. Possibly exposed to syphilis within last week. Is A-C also effective against syphilis at this dosage?

Taking Amox-Clav 875mg/2x day/10 days for NGU. Possibly exposed to syphilis within last week. Is A-C also effective against syphilis at this dosage?

WRONG ANTIBIOTICS: Syphilis is treated by an injection of Benzathene Penicillin.How do you know you were exposed to Syphilis. My advice is to consult your doctor or clinic and seriously learn about how to have safe sex.If you have been having high risk sex without protection. There will continue to be risk of STDs including HIV.And you should be chcked for it. And Amox-Clav is not the drug of choice for NGU ...Read more

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How do you cure syphilis?

Peniccilin: Good old fashioned penicillin is still the standard first line treatment for syphilis. For people with an allergy to penicillin there are other antibiotics available. Syphilis is a treatable std. Get tested. ...Read more

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Is it possible for syphilis to cure itself?

No: The symptoms may go away, but you'll still be infected, which could cause problems later. ...Read more

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What re the symptoms of syphilis and its cure?

What re the symptoms of syphilis and its cure?

Syphilis: Doxycycline can be a cure to syphilis but it is not the most effective treatment. There is a special Penicillin known as Bicillin or Penacillin G that at 2.4 million units is 100% curative. Syphilis is experienced in three phases but there are often no symptom between phases. Blood testing and antibody titer monitoring are the norms for making sure the treatment was effective. ...Read more

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If you found syphilis at 9 months would it be too late to cure it?

Never too late to Rx: Syphilis progresses in 3 stages, the initial sore, the blood borne spirochete, and finally crossing the blood brain barrier. Unlike the carol king song "it's too late" from her tapestry album, we rarely see 3rd stage disease because it is usually caught and treated prior to infiltrating the brain. Can that happen in 9 untreated months? It depends on the hosts' resistance and the rapidity of rx. ...Read more

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Is there a way to cure syphilis without a prescription med?

No: No. In the U.S., the only effective treatments are by prescription or injection. The preferred treatment is injected penicillin. ...Read more

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How much time does a penicillin injection take to cure secondary syphilis?

How much time does a penicillin injection take to cure secondary syphilis?

Here are some. ..: If 1 year, give 3 weekly doses. Of course, need to be monitored with RPR / VDRL at 1, 3, 6 & 12 months after treatment. Besides, take on practicing safe sex and low-risk healthy lifestyle without obsession. ...Read more

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On average, how long will a penicillin injection take to cure secondary syphilis?

7 days: 1 injection of benzathine penicillin will cure secondary syphillis. It will maintain blood levels of penicillin for over 15 days. It takes 7 days of continuous penicillin levels in the blood to cure secondary syphillis. ...Read more

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What is the cure of treponema pallidum (syphilis)?

Treatment: Depending on the stage of syphilis, intramuscular of intravenous penicillin is recommended with Doxycycline as a back up for penicillin allergy. Follow-up testing is recommended. ...Read more

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Is there a cure for syphilis?

You can kill germ: The syphillis germ can be killed with antibiotics. Tissue that has been scarred or distroyed by the germ before it was detected may or may not recover from the injury. ...Read more

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If I was treated with the appropriate shot of penicillin one day after possible exposure to Syphilis, is this enough to cure it?

If I was treated with the appropriate shot of penicillin one day after possible exposure to Syphilis, is this enough to cure it?

STD prophylaxis: Syphilis is very susceptible to penicillin, and the prophylactic dose is sufficient to protect, but a sustained blood level is given by only certain types of penicillin, so check with your physician to see which kind was given. ...Read more

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Will 1 g of azithromycin cure syphilis?

Will 1 g of azithromycin cure syphilis?

Yes and no: In many parts of the world, including much of the US and Europe, syphilis bacteria are resistant to azithromcyin, so it is not used or recommended for treatment or prevention. However, it is effective and sometimes used where resistance isn't a problem, such as many parts of Africa. ...Read more

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I had vrdl 1:64. I got 1 penicillin 1.2 shot. I took 2 tablets of doxycyline hyclate for 2 weeks everyday. Is this enough to cure my syphilis. Am hiv-?

I had vrdl 1:64. I got 1 penicillin 1.2 shot. I took 2 tablets of doxycyline hyclate for 2 weeks everyday. Is this enough to cure my syphilis. Am hiv-?

No way to tell: These are syphilis tests, not HIV tests. Please do yourself a double favor: (1) get a good HIV test now from your physician; (2) be a responsible lover and always use barrier protection from now on. Best wishes. ...Read more

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