NR566 Final Study GuideWeek 5STI/STD First line drug, dose, route, frequency Chlamydia(Among Adolescents and Adults) Azithromycin 1g/PO/once ***OR***Doxycycline 100 mg/PO/BID x 7-daysUncomplicated gonococcal urethritis Ceftriaxone 500mg/IM/single-dose with ***OR** without Doxycycline 100 mg/PO, BID x 7-daysCeftriaxone 250mgmg IM once plus azithromycin 1 g PO onceBacterial Vaginosis Non-pregnant:Metronidazole 500mg/PO/BID x 7-daysPregnant: Vaginal metronidaqzole 2% x 7-days **OR** Clindamycin 1% for 7-days (p. 763)Herpes Simplex Virus (First Clinical Episode) Acyclovir 400mg/PO /TID x 7-10 days **OR**Acyclovir 200mg/PO/5 times/day x 7-10 days *OR*Famciclovir 250mg/PO/TID x-7-10days **OR**Valacyclovir 1g/PO/BID x 7-10 days ( p.765)Pelvic Inflammatory Disease (PID) (IM or OralRegimens) Doxycycline 100mg/PO/BID x 14 days plus eitherCefoxitin 2 g/IM/once boosted withProbenecid 1 g/PO/once **OR**Ceftriaxone 250mg/IM/once, with or without Metronidazole 500mg/PO/BID x 14-days(p. 764)Syphilis (Primary and Secondary) Primary/Secondary: Benzathine Penicillin G 2.4 million units/IM/once (p.765) Doxazosin BPH Tx (a1 blocker ) (p. 465) Side Effects: Hypotension, dizziness, reflex tachycardia and nasal congestion Dutasteride (Avodart ) BPH Tx (5a-reductase inhibitors) Patient teaching and response to delayed onset of therapeutic effect (p. 464)o Goal is to relieve urinary symptoms, may take 1 month for it to worko Pregnant womnen should notb handle the drugo May not donate blood while using the med or for at least 6 months after