MMWR in latest Grand round section discussed the options for gonorrhea treatment and their recommendation in case of\u00a0 cephalosporin allergy,<\/p>\n
From CDC Site: 1) if ceftriaxone is not available, clinicians can consider cefixime 400 mg as a single oral dose <\/strong>and either azithromycin 1 g as a single oral dose or doxycycline 100 mg orally twice daily for 7 days<\/strong>, or<\/p>\n 2) if the patient is cephalosporin-allergic, clinicians can consider azithromycin 2 g as a single oral dose<\/strong>. If either of these two alternative regimens is prescribed, the patient should return in 1 week for a test of cure.<\/strong><\/p>\n
\nTreatment for Gonorrhea at any anatomic site : a single 250 mg intramuscular dose of ceftriaxone + either 1 g of azithromycin<\/strong> as a single oral dose or 100 mg of doxycycline orally twice daily for 7 days<\/strong>. If this recommended regimen cannot be used, two alternative treatment<\/strong> options exist for urogenital or rectal gonorrhea:<\/p>\n