Ceftriaxone₃500 mg IM once if <150 kg body weight 1 gm IM once if >150 kg body weight
Doxycycline100 mg PO q12h for 7 days
Ceftriaxone₃ AND AzithromycinFor pregnant patients
★
Ceftriaxone₃500 mg IM once if <150 kg body weight 1 gm IM once if >150 kg body weight
Azithromycin1 gm PO once
OR
500 mg on day 1, followed by 250 mg once daily for the next 4 days (Z-Pak)
Gentamicin AND AzithromycinFor cephalosporin allergic patients
Gentamicin240 mg IM once
Azithromycin2 gm PO once
Cefixime₃ AND DoxycyclineOnly if ceftriaxone administration is not available or not feasible; higher risk of treatment failure for pharyngeal infections
Cefixime₃800 mg PO once
Doxycycline100 mg PO q12h for 7 days
Cefixime₃ AND AzithromycinOnly if ceftriaxone administration is not available or not feasible; higher risk of treatment failure for pharyngeal infections
Cefixime₃800 mg PO once
Azithromycin1 gm PO once
OR
500 mg on day 1, followed by 250 mg once daily for the next 4 days (Z-Pak)