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STI Treatment (Chlamydia, Gonorrhea)

  • The CDC recommendation is to treat symptomatic or exposed patients empirically when an STD is suspected and not wait for any test results. This applies to all symptomatic patients or patients who were exposed. Requiring STD testing leads to a high rate of patients not being treated–particularly with lower-income patients. Our policy is therefore (as other one-time direct-to-consumer telemedicine services)  not to require testing unless the symptoms are atypical.   
  • How is it treated?  
    • We generally treat for both chlamydia and gonorrhea, unless the patient has a test result only showing one of them positive and the other one negative. We treat with 7 days of doxycycline 100 mg BID (treats the chlamydia) and a one-time dose of 800 mg Cefixime once (treats gonorrhea and is the only approved oral alternative to ceftriaxone). For Cefixime please add “one time dose” to comment section as some pharmacy techs call us to verify if we truly mean just one dose.  
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