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Dr. Phil, MD
Dr. Phil, MD, Board Certified Physician
Category: Medical
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Experience:  GP in the United States
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I'm in Costa Rica. I had unprotected sex, and caught an

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Hi, I'm in Costa Rica. I had unprotected sex, and caught an infection. It felt like chlamydia since I had it before. I went to the chemist and was able to get antibiotics. I took azithromycin and metronidazole. I felt it clear up, but then a couple days after I stopped the medication it came back again. I'm know taking another dose of azithromycin and metronidazole but it doesn't feel like it's getting better and I'm now worried it has become resistant to the antibiotics. Not sure what to do.
Submitted: 1 year ago.
Category: Medical
Expert:  Dr. Phil, MD replied 1 year ago.
Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.
Thanks for this question
What dose of azithro did you take?
Also, why the metronidazole?
Customer: replied 1 year ago.
Hi,
I took a single dose of 1000mg.
Last time I had an infection I was also prescribed metronidazole in case it was NSU. I didn't actually get tested. But that cleared it up.
I took 500mg twice a day for 6 days.
Expert:  Dr. Phil, MD replied 1 year ago.
much of gonorrhea is resistant now. I suspect that is what it is
chlamydia is very easy to treat and is knocked out easily
However, gonorrhea is becoming tough.
You may need doxycycline or another antibiotic
Dr. Phil, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 53162
Experience: GP in the United States
Dr. Phil, MD and other Medical Specialists are ready to help you
Customer: replied 1 year ago.
Can I start a course of doxycycline while I'm on the second course of metronidazole? I can get antibiotics over the counter here. Obviously would be preferable to go get tested but I don't speak Spanish and worried it will be expensive here.
Expert:  Dr. Phil, MD replied 1 year ago.
Yes, you can. Of course I recommend testing first but that is your choice.
Customer: replied 1 year ago.
Thanks. Can you just tell me what dose of doxycycline I should take for gonorrhea? Thanks
Expert:  Dr. Phil, MD replied 1 year ago.
100 mg twice a day for 7 days.
CDC recommends a shot of rocephin with this
Expert:  Dr. Phil, MD replied 1 year ago.
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Expert:  Dr. Phil, MD replied 1 year ago.
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