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Chlamydia Treatment Guide
Azithromycin

Application & Dosage

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Chlamydia Treatment

This treatment plan reviews the risks and benefits of the treatment we are recommending. Please make sure to read it and the manufacturer's pamphlet that comes with the medicine. The manufacturer's pamphlet contains the full information on interactions, side effects, and other important information you should know about the medicine before you start.

Instructions

You have stated that you wish to obtain treatment with Azithromycin due to your exposure to Chlamydia. This medication is Azithromycin 500mg which you are to take two tablets orally at once. This treatment will control the infection of this bacteria which can transmit during sexual activity with a colonized partner. Chlamydia can oftentimes have no symptoms, but if symptoms do occur you can experience abnormal genital discharge, a burning sensation with urination, bleeding between your periods, pain and swelling in one or both testicles, rectal pain, discharge, and bleeding. Untreated chlamydia infections can result in pelvic inflammatory disease in patients assigned female at birth which can cause complications with fertility in the future. If your symptoms worsen or you develop fever or severe abdominal or back pain you should see an in-person healthcare provider. Ensure to abstain from intercourse 7 days AFTER completing treatment AND when your symptoms are gone to prevent transmission to another partner and reinfection to yourself.

It is recommended to have STI testing performed 3 months after completing treatment to ensure you are no longer colonized with a bacterial STI.



Allergies

This medicine, like all medications, may cause an allergic reaction if you are allergic to similar medicines or components. If you are allergic to any of the following please do not take the medicine and call or message us or see your doctor in person.

  • Azithromycin
  • Erythromycin
  • Other macrolide (eg, azalide or ketolide) antibiotics
  • Pimozide

Conditions

We have evaluated your health history and the specific health information you provided us, however if anything changes and you develop one of these conditions, please stop taking this medicine and call or message us immediately.

  • Pregnancy
  • History of liver problems or disease
  • History of kidney problems or disease
  • Bronchiolitis obliterans
  • Myasthenia Gravis
  • Prolonged QTc syndrome
  • Heart problems including irregular heartbeats



Pregnancy and Breastfeeding

Azithromycin is considered safe and acceptable during pregnancy and is rated pregnancy class B. It crosses the placental barrier and is present in amniotic fluid.

Drug levels of Azithromycin are low in breastmilk and are not expected to cause adverse effects in breastfed infants. Monitor the infant for possible effects on the gastrointestinal flora such as vomiting, diarrhea, candidiasis (thrush, diaper rash). Azithromycin is acceptable in nursing mothers.

Medicine, Supplements, and Food

We have evaluated the specific health information you provided us, however if you are taking any of the medicines, foods, or supplements listed below call or message us before you take the medicine. Some of these can cause dangerous interactions with the medicine we are prescribing you and we will help you evaluate that risk and decide on an appropriate treatment plan. Please ensure your chart is up to date with your current medications, allergies, and medical conditions so your provider can safely treat you as this list may not be all inclusive.

  • Aluminum or Magnesium-containing antacids (Avoid 2 hours after treatment)
  • Warfarin
  • Ciclosporin or Tacrolimus
  • Colchicine
  • Medications for abnormal heart beat like: Amiodarone, Sotalol, and Digoxin
  • Certain antipsychotics

Emergency Side Effects

This medicine can cause dangerous and potentially life-threatening side effects. If any of the emergency side effects listed in the manufacturer’s pamphlet or those below happen to you please stop taking the medicine and call 911 or seek immediate medical help in person.

  • Sudden onset of chest pain or heart palpitations
  • Shortness of breath
  • Difficulty or painful swallowing
  • Severe skin rash and/or itching
  • Facial or throat swelling
  • Severe diarrhea or blood diarrhea
  • Significant fatigue, loss of appetite, or a yellow color of the skin or eyes
  • Sudden onset of hearing loss or tinnitus

Other Side Effects

This medicine can also cause other side effects including (this list is not all inclusive):

  • Diarrhea
  • Sun sensitivity
  • Abdominal discomfort- constipation, GERD, gas
  • Nausea and Vomiting
  • Vaginal yeast infections
  • Fatigue
  • Headache
  • Dizziness and vertigo

Risks

Accurate Information

We have evaluated your health history and your specific health information you provided and determined it is safe to proceed with oral Doxycycline Hycalate at this time. If your health history changes including diagnoses or medications please message or call us before you take the medicine to ensure it's safe to proceed. Some medications and conditions can cause dangerous interactions with the medicine we are prescribing and we will help you evaluate that risk and decide on an appropriate treatment plan.

Treatment Failure

This treatment is not guaranteed to be effective. It may not work or may only partially resolve the condition for which you are seeking treatment. If the treatment is not working, or if you are experiencing new or worsening symptoms, give us a call or message us anytime. If it is an emergency, call 911 or seek immediate medical help in person. You may need to seek alternative treatment such as those listed below or in the follow up plan.

Misdiagnosis or Delayed Diagnosis

Through telehealth, there is also a risk that we misdiagnose or fail to diagnose conditions that you may have which could affect our recommendation for treatment. This risk exists with a doctor in person as well but they may have additional resources to aid their evaluation. We use evidence-based practice and guidelines as well as clinical decision-making to minimize these risks.

Accepting or Declining Our Recommendation

We have based our recommendation on your specific case and medical guidelines, but there may be alternative treatments or strategies that may be helpful to you. Some may be more or less effective than what we provide. Some treatments may require an in-person exam or procedure which we can’t provide. Message us or talk to your doctor in person to discuss alternative treatments.

Share with Your In-Person Healthcare Team

You can access your records anytime. We strongly recommend that you update your in-person doctor, pharmacist, and the rest of your healthcare team to let them know about any new medicines you are taking or other changes in your health.

You can also ask us questions anytime and we are happy to help you share any information about your health with your in-person healthcare team.