Thursday, January 26, 2023

Can Normal Antibiotics Cure Chlamydia

Can You Drink Alcohol While Taking Azithromycin For Chlamydia

Chlamydia Infection Symptoms and Treatment (Antibiotic)

Yes, you may drink a small amount of alcohol while you are taking azithromycin but there is a chance large amounts of alcohol may increase the gastrointestinal side effects of azithromycin, such as nausea, diarrhea, vomiting, abdominal pain, dyspepsia, or flatulence. Too much alcohol with azithromycin may also give you a headache.

Because azithromycin is usually taken as a one-off dose, drinking alcohol is unlikely to stop azithromycin from curing chlamydia.

Who Should Take An At

Before you start worrying about amoxicillin, you should first get a proper diagnosis. For cases in which chlamydia orgonorrhea symptoms are present, these are the signs to watch out for:

  • More frequent urination or the urge to urinate
  • Painful sensation when urinating
  • Testicular pain and swelling in men
  • Lower abdominal pain in women
  • Heavier period or excessive spotting in women

If you notice any of these symptoms, its in your best interest to purchase an at-home STD kit to test for gonorrhea and chlamydia right away.

Dont assume that you dont need to get tested simply because you arent experiencing any symptoms. In many cases, gonorrhea and chlamydia may not show any visible signs of infection at all. For this reason, every sexually active person should be tested regularly for all common sexually transmitted infections.

In general, the CDC recommends that every sexually active adult get tested for chlamydia and gonorrhea at least once a year.But if you engage in certain sexual activities, you may need to get tested more frequently.This is especially true for people who meet one or more of the following conditions:

How Long Does It Take

It takes about one week for azithromycin to completely cure a chlamydial infection, and in some cases it can take up to two weeks for the infection to clear.

If you are sexually active during this time, you can pass the infection to your partner, even if you have no symptoms. For these reasons, you should avoid having sex of any kind during treatment.

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How Do I Know If I Have Chlamydia

If you suspect you have chlamydia, your doctor may want to test cervical or penile discharge or urine using one of several available methods.

In most cases of chlamydia, the cure rate is 95%. However, because many women dont know they have the disease until it has caused serious complications such as pelvic inflammatory disease, sexually active women under age 25 and others at higher risk should be tested for chlamydia once a year during their annual pelvic exam even if they dont have symptoms.

Pregnant women should also be tested as part of their routine lab work.

How Does Chlamydia Treatment Work

Antibiotics Used To Cure Chlamydia

Chlamydia treatment works by stopping the bacteria that causes chlamydia from producing an important protein which it needs to multiply. This stops the bacteria from growing and replicating, so your symptoms should improve as your body is cleared of chlamydia.

The first line treatment for chlamydia in the UK is doxycycline. The usual dose is one tablet to be taken twice daily for 7 days. You can swallow doxycycline tablets whole with water and take them with or without food. You should sit up for about 30 minutes after each dose to prevent symptoms of throat irritation or stomach upset.

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Chlamydia Treatment: Can Antibiotics Treat A Chlamydia Infection

Chlamydia trachomatis is a widespread bacteria which usually causes infections of the female genitourinary tract. It is considered a sexually transmitted disease , but males develop the symptoms of chlamydia very rarely, due to the anatomical differences between male and female genitourinary systems.

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Does Chlamydia Cause Cervical Cancer

No, chlamydia doesn’t cause cervical cancer.

It’s possible to get a sexually transmitted infection by having sex with someone who has an STI, even if they have no symptoms.

The following measures will help protect you from most STIs including chlamydia, gonorrhoea and HIV.

If you have an STI, they’ll also help prevent you from passing it on to someone:

  • Avoid sharing sex toys. If you do share them, wash them or cover them with a new condom before anyone else uses them.

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Chlamydial Resistance To Individual Antibiotic Classes

Chlamydiae are known to acquire resistance through mutations to six major classes of antibiotics. Both naturally acquired and laboratory-generated resistance found in selected chlamydial strains have facilitated the study of conserved biological pathways, such as peptidoglycan synthesis, folate synthesis and methionine synthesis, which cannot be approached directly in the chlamydial system . The ability to generate resistant mutants has supported new experimental methods that facilitate recombination and transformation in or between Chlamydiae in vitro . The following sections will describe resistance phenotypes that are stably expressed by Chlamydiae in cell culture systems.

How Can I Protect Myself From Chlamydia

Chlamydia treatment in 100 seconds

Its not always possible to know if a current or potential partner has chlamydia, though, especially since many people with chlamydia never notice symptoms. With prevention in mind, its a good idea to make safer sex practices a regular part of your sex life:

  • Dont share sex toys, but if you do, wash them after each use and cover toys used for penetration with a condom.
  • Have sex with only one partner, who only has sex with you.

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Your Partner Didnt Get Treated

If you have a consistent sexual partner, itâs important to tell them about your infection. They likely will need to get treated too.

Once youâve both gotten treated, you have to wait until the treatment has had time to work before you start having sex again. This is especially true of unprotected sex.

You want to avoid passing the STD back and forth between the two of you. Without taking these important steps, itâs possible for this to happen. Such a cycle would prolong the STD and its symptoms.

How Is Chlamydia Diagnosed

Self-collected vaginal swab testing is available and many women find this screening strategy highly acceptable.

  • Geisler WM, Uniyal A, Lee JY, et al. Azithromycin versus Doxycycline for Urogenital Chlamydia trachomatis Infection. N Engl J Med. 2015 373:2512-2521. doi:10.1056/NEJMoa1502599
  • Workowski, K, Bolan G. U.S. Department of Health and Human Services. Sexually Transmitted Diseases Treatment Guidelines, 2015. Morbidity and Mortality Weekly Report.
  • WHO Guidelines for the Treatment of Chlamydia trachomatis. Geneva: World Health Organization 2016. 4, RECOMMENDATIONS FOR TREATMENT OF CHLAMYDIAL INFECTIONS. Available from:
  • Chlamydia Treatment and Care. Centers for Disease Control and Prevention https://www.cdc.gov/std/chlamydia/treatment.htm
  • Chlamydia Treatment Information Sheet. Wisconsin Department of Health Services.

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What Does A Chlamydia Test Involve

  • You may be asked to provide a urine sample. Before having this test, youre advised not to pass urine for 12 hours.
  • A doctor or nurse may take a swab from the entrance of the urethra .
  • If you have symptoms of conjunctivitis swabs will be used to collect a sample of discharge from your eye.

A swab looks a bit like a cotton bud but is smaller and rounded. It sometimes has a small plastic loop on the end rather than a cotton tip. Its wiped over the parts of the body that could be infected. This only takes a few seconds and isnt painful, though it may be uncomfortable for a moment.

Cervical screening and routine blood tests dont detect chlamydia.

If youre not sure whether youve been tested for chlamydia, just ask.

Condom Use During The Treatment Period

In Men, Chlamydia
  • Avoid having sex without a condom during treatment because the infection can still be transmitted. Use condoms for 7 days after the start of treatment and until 7 days after all current sexual contacts have been treated.
  • If you are on a combined oral contraceptive pill, use a condom for 14 days when having sex, as antibiotics can affect the reliability of the contraceptive pill.

After completing the treatment, phone your doctor or return to the clinic for a follow-up after 3 months to check you have not been re-infected.

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Treatment For Gonorrhea Is Quick And Easy Too

The CDC currently recommends a shot of the antibiotic ceftriaxone and an oral dose of the antibiotic azithromycin, given at the same time, to treat gonorrhea.

Treatment recommendations for gonorrhea have changed over the years as the bacteria that causes gonorrhea, Neisseria gonorrhoeae, has become resistant to a growing number of antibiotics.

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Complications Associated With The Treatment Of Chlamydial Infections

The primary frontline antichlamydial antibiotics, tetracyclines and azithromycin , are highly effective in the treatment of uncomplicated chlamydial infections . However, accumulating data suggest that a break in the normal chlamydial developmental cycle can result in persistence and long-term infection that is refractory to antibiotic therapy. An understanding of this phenomenon is far from complete. Although 50% of genital C. trachomatis infections resolve spontaneously within 1 year of testing , a further understanding of long-term infections is important, because it is hypothesized that persistence can cause a cascade of potentially serious inflammatory-induced sequelae, such as pelvic inflammatory disease, infertility, blindness, arthritis, asthma and atherosclerosis .

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Do I Need To Have A Test To Check That The Chlamydia Has Gone

If you take the treatment according to the instructions, you wont usually need a test to check the chlamydia has gone.

If youre aged under 25, you should be offered a repeat test 3 months after finishing the treatment. This is because youre at a higher risk of getting chlamydia again.

Whatever your age, you may need a repeat test or more treatment if:

  • you think youve come into contact with chlamydia again
  • you had sex without a condom with a partner before the treatment for both of you was finished
  • you didnt complete the treatment or didnt take it according to the instructions
  • the signs and symptoms dont go away
  • your test was negative but you develop signs or symptoms of chlamydia
  • youre pregnant.

A repeat test can be done 56 weeks after the first test.

If the chlamydia was in your rectum , you may need another test around 3 weeks after finishing the treatment. Your doctor, nurse or clinic will let you know if you need another test.

You can go back to the doctor, nurse or clinic if you have any questions or need advice on how to protect yourself from infection in the future.

What Happens If Chlamydia Isn’t Treated

What causes bleeding post antibiotics for Chlamydial Infection? – Dr. Sunita Pawar Shekokar

Only some people who have chlamydia will have complications. If chlamydia is treated early, its unlikely to cause any long-term problems. But, without proper treatment, the infection can spread to other parts of the body. The more times you have chlamydia the more likely you are to get complications.

  • If you have a vulva, chlamydia can spread to other reproductive organs causing pelvic inflammatory disease . This can lead to long-term pelvic pain, blocked fallopian tubes, infertility and ectopic pregnancy .
  • In people with a vulva, chlamydia can also cause pain and inflammation around the liver, though this is rare. This usually gets better with the correct antibiotic treatment.

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New Guidelines For Chlamydia Gonorrhoea And Syphilis

Growing antibiotic resistance forces updates to recommended treatment for sexually transmitted infections

30 AUGUST 2016 | GENEVA New guidelines for the treatment of three common sexually transmitted infections have been issued by the World Health Organization in response to the growing threat of antibiotic resistance.

Chlamydia, gonorrhoea and syphilis are all caused by bacteria and they are generally curable with antibiotics. However, these STIs often go undiagnosed and they are becoming more difficult to treat, with some antibiotics now failing as a result of misuse and overuse. It is estimated that, each year, 131 million people are infected with chlamydia, 78 million with gonorrhoea, and 5.6 million with syphilis.

Resistance of these STIs to the effect of antibiotics has increased rapidly in recent years and has reduced treatment options. Of the three STIs, gonorrhoea has developed the strongest resistance to antibiotics. Strains of multidrug-resistant gonorrhoea that do not respond to any available antibiotics have already been detected. Antibiotic resistance in chlamydia and syphilis, though less common, also exists, making prevention and prompt treatment critical.

The new recommendations are based on the latest available evidence on the most effective treatments for these three sexually transmitted infections.

Is Azithromycin Better Than Doxycycline At Curing Chlamydia

STD guidelines still favor azithromycin over doxycycline for the treatment of chlamydia. This is because of the following reasons:

  • Cure rates of azithromycin and doxycycline are similar, 97% and 98-100% respectively, according to a meta-analysis of 12 trials.
  • Azithromycin is given as a single dose, doxycycline needs to be given for seven days, either as a once-daily or twice-daily dose.
  • The dose of azithromycin can be easily supervised if need be it is much harder to supervise seven days of once daily or twice daily doxycycline treatment
  • People are more likely to take a single dose of azithromycin than finish a seven-day course of doxycycline.

Recently, some reports have suggested that doxycycline may be more effective than azithromycin, particularly when medication adherence can be assured. There is also some concern that azithromycin may not be as effective for anogenital chlamydial infections.

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What Should I Do If I Think I Have Chlamydia

If you think you have chlamydia, you need to see your doctor immediately and have a chlamydia test. You may have another STD with similar symptoms, and your doctor needs to know the exact STI you have so that you can get the best treatment.

Chlamydia tests involve collecting a urine sample or swabbing the affected area. Your doctor will send the specimen to a lab for testing to see if you have chlamydia or another type of STI.

If your test is positive for chlamydia, your doctor will prescribe an antibiotic immediately.

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Chlamydia Treatment And Prevention

Can Nitrofurantoin Be Used To Treat Chlamydia

Milly DawsonSanjai Sinha, MDShutterstock

Chlamydia is easy to cure. If you test positive for chlamydia, basically you take an antibiotic, says Jill Rabin, MD, cochief in the division of ambulatory care for womens health programs and prenatal care assistance program services for Northwell Health in New Hyde Park, New York.

Your partner must take an antibiotic, too, to keep them from reinfecting you, she says.

You have to have your partner treated, and if you have more than one partner, they should all be treated, says Dr. Rabin, regardless of your partners genders.

Even if you dont have chlamydia now, its wise to learn how to protect yourself so you wont develop this common infection in the first place. In women, chlamydia can create serious health problems, including infertility. Besides, no one ever wants to have a sexually transmitted disease and then have to tell other people about it.

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How Long Does It Take For Chlamydia Symptoms To Clear

When taking antibiotics , symptoms usually settle quickly. Pain on passing urine and discharge go within a week, pelvic or testicular pain can take two weeks and menstrual irregularities should improve by the next cycle. Always complete the full course of antibiotic.

Chlamydia is unlikely to go away without treatment. Although symptoms may subside temporarily, infection may persist in the body without treatment. It is important to seek diagnosis and treatment to get rid of the infection.

Testing And Treating Sexual Partners

If you test positive for chlamydia, it’s important that your current sexual partner and any other recent sexual partners you’ve had are also tested and treated.

A specialist sexual health adviser can help you contact your recent sexual partners, or the clinic can contact them for you if you prefer.

Either you or someone from the clinic can speak to them, or the clinic can send them a note to let them know they may have been exposed to a sexually transmitted infection .

The note will suggest that they go for a check-up. It will not have your name on it, so your confidentiality will be protected.

Page last reviewed: 01 September 2021 Next review due: 01 September 2024

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Does Chlamydia Treatment Have Side Effects

An antibiotic called Doxycycline is the most common medicine used to treat chlamydia. Like most medicines, it can cause mild side effects. The most common side effects of Doxycycline are nausea, vomiting, upset stomach, loss of appetite, mild diarrhea, skin rash or itching, change in skin color, vaginal itching, or discharge. These side effects should go away after you finish taking the medicine. Talk to your nurse or doctor about any medicines youre already taking and any medical issues you already have before taking Doxycycline.

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What Happens If Chlamydia Is Left Untreated

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  • reduced fertility
  • reactive arthritis
  • an infection of the testicles and epididymis
  • pelvic inflammatory disease which can cause pain, infertility and increase the risk of having ectopic pregnancies
  • reactive arthritis
  • pregnancy complications like miscarriages, premature births and stillbirths

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My Symptoms Haven’t Cleared

There are several possible explanations. The symptoms could have a cause other than chlamydia. You can have more than one sexually transmitted infection at the same time, so you will need to be tested for other infections. There are also non-STI causes such as a lower urinary tract infection or, in women, endometriosis. You may have been re-infected with chlamydia if you had unprotected sex with an infected or partially treated partner. Rarely, the infection is resistant to a particular antibiotic treatment and therefore does not clear. Your GP or local GUM clinic would be able to help work out what is happening.

You may need a repeat chlamydia test .

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