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I've had gonorrhea for two weeks. Is it too late for treatment? Will there be sequelae?
Because Neisseria gonorrhoeae is sensitive to antibiotics, patients with acute infection without complications can get quick results and high cure rate as long as they use antibiotics in a timely and sufficient manner. At present, the commonly used drugs are as follows:
1, penicillin: 4.8 million units or 3 grams of ampicillin, daily 1 time, * * * 7 days to 14 days, 1 course of treatment.
2. Minocycline (minocycline): Take orally twice the first day, 200mg each time, and then twice a day, each time 100mg, for 4 days, for 1 course of treatment. For gonorrhea patients without complications, the cure rate can reach 100%. The medicine has the characteristics of high efficiency, rapidity and no serious side effects.
3, spectinomycin (Lin Bizhi): 2 grams for male patients each time, intramuscular injection of buttocks; Female patients were injected into the muscles on both sides of buttocks, 4g each time. After taking the medicine, the symptoms of dysuria and pus discharge are mostly obviously alleviated or disappeared within 3-5 hours. Generally, it can be cured within 3 ~ 5 days after the first treatment, and those who have been treated need to extend the medication time appropriately. The medicine is characterized by being effective in the treatment failure of penicillin, and can also be used for people who are allergic to penicillin.
4. Ceftriaxone (carbendazim): After intramuscular injection of 200 mg each time, the symptoms were obviously relieved 2-4 hours after injection, and disappeared after 24 hours. It is characterized by high curative effect, and the therapeutic purpose can be achieved by taking 1 time.
5. Cefotaxime sodium: every intramuscular injection 1g, the cure rate can reach over 95%. If probenecid 1g is taken at the same time, or 1% or 2% lidocaine is injected at the same time, the effect will be better. This medicine is effective for penicillin treatment failure.
6. Norfloxacin (Lin Dezhi or Lin Kexing): 800mg 1 time for patients with acute gonorrhea, once a day (or 400 mg/time, twice a day) for 3 days. Patients with chronic gonorrhea take 800 mg orally for the first time, and then 400 mg each time, three times a day, for 5 ~ 7 days; The cure rate can reach more than 95%.
7. Fluazinone: 400 mg for male patients, 600 mg for female patients, or 200 mg for both male and female patients, twice a day for 3-5 days, the cure rate can reach over 95%. The medicine can not only treat gonorrhea, but also treat nongonococcal urethritis.
8. ciprofloxacin (ciprofloxacin): acute gonorrhea patients: 65438+500 mg for 0 times, 500 mg for the next day if necessary. The cure rate can reach 99%.
9. Compound sulfamethoxazole: once 1g, twice a day, * * * 5 ~ 7 days.
Attention should be paid to the following points during treatment: ① Gonorrhea is the first choice, followed by penicillin, and then other antibiotics. ② The dosage should be large, the time should be sufficient, and the method should be scientific. ③ The treatment should be thorough, that is, all the symptoms disappear, the urine is clear, and the smear of prostatic fluid or cervical secretion is negative. 4 both husband and wife or sexual partners investigate and deal with it together. ⑤ Don't listen to the travel doctor's remedies or "ancestral secret recipe", and use drugs indiscriminately during the treatment, so as not to delay the illness. ⑥ After being cured, lead an honest and clean life, put an end to vagrancy and prevent reinfection.
The above is for reference only. You must be treated in a regular hospital and take medicine under the guidance of a doctor.
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