BV: Flagyl 500mg PO bid x 7d OR Clinda cream 2% intravag qhs x 7d
OR Metrogel intravag bid x 5d OR Clindamycin 300mg PO bid x 7d
*If pregnant tx is the same but do not use Clinda cream (teratogenic)
*Note: 2gm single dose Flagyl not as effective for BV
Candidiasis: Diflucan 150mg PO x 1 (easiest, but can’t use in pregnancy)
-May also use various creams and suppositories (treat for 7 days if pregnant)
Chlamydia: Azithromycin 1g OR Doxy 100mg BID x 7d
-Also treat for gonococcal infection, as these diseases frequently co-exist
Gonococcal: Rocephin 125mg IM OR Cipro 500mg PO
-Also treat for chlamydial infection, as these diseases frequently co-exist
HSV (genital, first clinical episode): Valacyclovir (Valtrex) 1000mg PO bid x 10days OR Famciclovir (Famvir) 250mg PO tid x 7-10 days OR Acyclovir 400mg PO tid x 7-10d
HSV (recurrent infection): Valacyclovir 500mg PO bid x 3 days OR Famciclovir 125mg PO bid x 3 days OR Acyclovir 400mg PO tid x 5d
PID (outpt): Rocephin 250mg IM PLUS [Doxy 100mg bid x 14d +/- Flagyl 500mg bid x14d]
PID (inpt): [Cefoxitin] PLUS [Doxy 100mg IV bid OR Azithro 500mg IV]
Trichomoniasis: Flagyl 2g PO single dose OR Flagyl 500mg PO bid x 7d