Chlamydia Treatment Guide for Doctors

Recommended Regimens

  • Azithromycin 1 g PO in single dose, or
  • Doxycycline 100 mg PO bid for seven days

Alternative

  • Ofloxacin 300 mg PO bid for seven days, or
  • Erythromycin 2 g/day PO in divided doses for seven days, or
  • Erythromycin 1 g/day PO in divided doses for 14 days

During Pregnancy

  • Azithromycin 1 g PO in single dose

Alternative

  • Amoxicillin 500 mg TID for seven days, or
  • Erythromycin 2 g/day PO in divided doses for seven days, or
  • Erythromycin 1 g/day PO in divided doses for 14 days

Penicillin Allergy

Same as recommended treatment regimen.

Follow-up

Rescreen six months post treatment for potential reinfection

Test of cure three to four weeks post treatment, if:

  • Alternate treatment used
  • Compliance uncertain
  • Pregnancy

Partner Testing

All recent sexual partners (60 days back) must be tested and treated.

 

Free treatment for reportable Sexually Transmitted Infections are available from our Sexual Health Centres.


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