Which is better for chlamydia azithromycin or doxycycline?

Trial finds doxycycline slightly more effective, but researchers not entirely convinced of its superiority. Standard treatment for chlamydia is a single dose of azithromycin or a week's course of doxycycline twice daily.
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Is doxycycline more effective than azithromycin?

Conclusion: Azithromycin and doxycycline are equally efficacious in achieving microbial cure and have similar tolerability. Further head-to-head trials comparing these antibiotics are unnecessary.
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What is the most effective antibiotic for chlamydia?

The two most commonly prescribed antibiotics for chlamydia are: doxycycline – taken every day for a week. azithromycin – one dose of 1g, followed by 500mg once a day for 2 days.
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Why is azithromycin not recommended for chlamydia?

A 500mg dose of azithromycin is not recommended by guidelines to cure chlamydia. There is also a chance it may increase the risk of C. trachomatis bacteria becoming resistant to it.
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Can I take doxycycline and azithromycin together for chlamydia?

No interactions were found between azithromycin and doxycycline. However, this does not necessarily mean no interactions exist. Always consult your healthcare provider.
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Treatment for chlamydia infection doxycycline vs azithromycin



What is the strongest antibiotic for STD?

Single-dose therapy with azithromycin is as effective as a seven-day course of doxycycline (Vibramycin). Doxycycline is less expensive, but azithromycin may be cost-beneficial because it provides single-dose, directly observed therapy. Erythromycin and ofloxacin (Floxin) also may be used to treat C.
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Can chlamydia survive doxycycline?

Doxycycline is more effective for treating rectal chlamydia

An alternative treatment is a seven day course of doxycycline, which is effective in 97% of patients with genital chlamydia infection.
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What STD does doxycycline treat?

Doxycycline is successful in treating many types of infections, including: Other sexually transmitted infections (STIs): In addition to treating gonorrhea, doxycycline may be prescribed to treat syphilis, chlamydia, or pelvic inflammatory disease.
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Can we use both azithromycin and doxycycline together?

In conclusion, azithromycin combined with doxycycline was revealed to be more effective than azithromycin monotherapy in the treatment of non-gonococcal urethritis.
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Why is doxycycline prescribed for chlamydia?

It has a broad antibacterial spectrum, including intracellular pathogens and bacteria responsible for sexually transmitted infections (STIs) (Chlamydia trachomatis, Treponema pallidum, Neisseria gonorrhoeae and Mycoplasma genitalium).
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How effective is azithromycin for chlamydia?

These recommendations are supported by a meta-analysis of 12 randomized clinical trials, which showed that the efficacy of azithromycin against chlamydia was 97%, and that of doxycycline was 98%4; however, these trials had limitations.
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How long after doxycycline is chlamydia gone?

Chlamydia Treatment and Care

Persons with chlamydia should abstain from sexual activity for 7 days after single dose antibiotics or until completion of a 7-day course of antibiotics, to prevent spreading the infection to partners. It is important to take all of the medication prescribed to cure chlamydia.
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How long does it take for azithromycin to start working for chlamydia?

It usually takes approximately 7 days for azithromycin to cure chlamydia. However, it can take up to 2 weeks for the infection to go away completely. Avoid having sex during treatment or until the infection has cleared. You'll want to make sure it's completely cured, or else you'll risk passing it to someone else.
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What is the difference between Doxy and azithromycin?

Doxycycline and azithromycin are different types of antibiotics. Doxycycline is a tetracycline antibiotic and azithromycin is a macrolide antibiotic. Side effects of doxycycline and azithromycin that are similar include diarrhea or loose stools, nausea, abdominal pain, and vomiting.
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Is doxycycline 100 effective for chlamydia?

In our study, we determined adherence through the staff recording directly observed treatment, and our results suggest that doxycycline is up to 100% efficacious against chlamydia among patients who are mostly adherent, whereas azithromycin may be slightly less efficacious, with an occasional treatment failure.
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Can chlamydia treatment fail?

Two things would explain that—treatment failures that could occur because of antibiotic resistance, or reinfection. Rank says that, though treatment failure in chlamydia is rising, in mice studies, antibiotics were much less effective on GI chlamydia than on genital chlamydia.
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How do you get rid of gut chlamydia?

Treatment of chlamydial GI infection with doxycycline.

According to CDC guidelines, people who are infected with Chlamydia are given 1 g of Az as single-dose therapy or 100 mg of doxycycline at multiple doses (2 doses/day) for 1 week.
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Why azithromycin is given for 3 days?

It is concluded that a 3-day regimen of azithromycin prescribed as tablets is as clinically and microbiologically effective as a 10-day regimen of co-amoxiclav in the treatment of acute lower respiratory tract infections.
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What happens if you take azithromycin without needing it?

Antibiotics such as azithromycin will not work for colds, flu, or other viral infections. Using antibiotics when they are not needed increases your risk of getting an infection later that resists antibiotic treatment.
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Will 4 days of doxycycline cure chlamydia?

Conclusions: A 3-day course of doxycycline appears to be as effective as a 7-day course of doxycycline for the treatment of uncomplicated chlamydia cervicitis.
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Does azithromycin treat all STDS?

Azithromycin is the recommended treatment for chlamydia, nongonococcal urethritis, and cervicitis. It is also used in the recommended dual therapy for gonorrhea. Alternative regimens for chlamydia, nongonococcal urethritis, and cervicitis are outlined in the 2021 STI Treatment Guidelines.
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What happens if doxycycline doesn't work for chlamydia?

What happens if you don't seek treatment? If you take your antibiotics as directed, chlamydia is likely to go away. But if it's left untreated, it can cause a few complications. For example, if you have a vulva, you could develop pelvic inflammatory disease (PID).
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Will 2 days of doxycycline cure chlamydia?

If you are diagnosed with chlamydia, your doctor will prescribe oral antibiotics. A single dose of azithromycin or taking doxycycline twice daily for 7 to 14 days are the most common treatments and are the same for those with or without HIV. With treatment, the infection should clear up in about a week.
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Will 3 days of doxycycline cure chlamydia men?

Conclusions: A 3-day course of doxycycline appears to be as effective as a 7-day course of doxycycline for the treatment of uncomplicated chlamydia cervicitis.
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How do you know when chlamydia is gone?

If you take the treatment according to the instructions, you won't usually need a test to check the chlamydia has gone. If you're aged under 25, you should be offered a repeat test 3 months after finishing the treatment. This is because you're at a higher risk of getting chlamydia again.
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