Will 500mg. of Levaquin for 30 days kill both Gonarrhea/Chlamydia?

Question

I ask, because the CDC no longer reccommends using Levaquin because of several antibiotic resistant strains against it's drug family.

Answer 1

I have to question why anyone would be on levofloxacin for 30 days if they weren't critically septic with some raging horrible infection.

With that said, I haven't seen levofloxacin listed as a treatment for CT or GC in the CDC treatment guidelines dating back to 2002. Usually, it seems doctors prescribe doxycycline for most part (unless the patient is pregnant or allergic).

Anyway, I haven't seen fluoroquinolone resistance be a big issue for CT, but I know it is growing in "popularity" in GC strains coming from Asia. Since comorbidity between CT and GC is common, I can see why you'd just try to use the antibiotics that would cover both, hence not treat CT with levofloxacin.

Answer 2

Levofloxacin is used treat infections such as pneumonia; chronic bronchitis; and sinus, urinary tract, kidney, and skin infections. Levofloxacin is in a class of antibiotics called fluoroquinolones. It works by eliminating bacteria that cause infections.
Treatment of Chlamydia:
* Doxycycline 100 mg 2-3 times a day for 10-14 days
* Zithromax® (azithromycin) 1.0 gm (4 x 250 mg) a single dose
* Zithromax® Z-pak® (azithromycin) - 500mg on day 1, followed by 1 tab (250mg) once a day for 4 more days
To avoid re-infection, any sexual partners should be treated too. Treating gonorrhea is advocated for patients being treated for chlamydia, and vice versa (50% have both infections together)
Treatment of Gonorrhea:
* Cipro® XR 500 mg a single dose, or
* Levaquin® 500 mg a single dose, or
* Tequin® 400 mg a single dose;
Once chlamydia has been successfully treated, it won't come back unless a new infection is picked up.

Answer 3

Levaquin Chlamydia

Answer 4

What you need is

for gonorrhea: Ceftibuten 400 mg per oral single dose
for clamydia: Azathromycin 1g per oral single dose

You do not really need to take drugs for a whole month to cure them.

Alternative treatments:

Clamydia:
Doxycycline 100 mg twice a day for a week
Levofloxacin 500mg daily for a week

Gonorrhea
Ceftriaxone 250mg Intramuscular single dose
Spectinomycin 2-4g intramuscular single dose
Fluoroquinolone e.g. Levofloxacin 250mg single dose

FQ like levofloxacin should not be used as empirical therapy in asia as increasing resistance is observed. i do not know where you come from sorry...

Note all the treatment for gonorrhea are "Single Dose" unless u hv disseminated gonococcal infection like septicemia, arthritis, endocarditis, etc.

Answer 5

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Each one works and each one works a little differently. Amoxicillin is the mildest. You should have had some relief with the Zpak. Levaquin is good and usually isn't given for a month at a time so I'm thinking your Dr wants to knock it out of you. This should also cover anything else going on in your body. Drink lots of water. If this doen't work ask the Dr about doing a culture. Good luck

Answer 6

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Answer 8

Levofloxacin side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives, or the first sign of a skin rash; rapid heart rate, difficult breathing; swelling of your face, lips, tongue, or throat.
Levofloxacin may cause swelling or tearing of (rupture) a tendon. Levofloxacin can also have serious effects on your nerves, and may cause permanent nerve damage. Stop taking this medicine and call your doctor at once if you have:
- signs of tendon rupture--sudden pain, swelling, bruising, tenderness, stiffness, movement problems, or a snapping or popping sound in any of your joints (rest the joint until you receive medical care or instructions); or
- nerve symptoms--numbness, tingling, burning pain, or being more sensitive to temperature, light touch, or the sense of your body position.
Stop using levofloxacin and call your doctor at once if you have:
- headache with chest pain and severe dizziness, fainting, fast or pounding heartbeats;
- nausea, upper stomach pain, itching, tired feeling, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);
- muscle weakness or trouble breathing;
- diarrhea that is watery or bloody;
- sudden weakness or ill feeling, fever, chills, sore throat, mouth sores, easy bruising or bleeding;
- depression, confusion, hallucinations, paranoia, tremors, feeling restless or anxious, unusual thoughts or behavior, insomnia, nightmares;
- severe eye redness, small white or yellow patches on the surface of your eye;
- seizure (convulsions); or
- increased pressure inside the skull-- severe headaches, ringing in your ears, dizziness, nausea, vision problems, pain behind your eyes.
Common side effects may include:
- constipation, mild diarrhea;
- mild dizziness; or
- mild headache.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
See also: Side effects (in more detail)


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