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help
Today is Wednesday October 14, 2009. About 2 weeks ago I had unprotected sex with an unknown woman. I show no signs of any STD however yesterday Oct 13, 2009 at 1:00 pm I took 1g of z-pak for chlamydia. I now understand I should have taken 2g of z-pak for chlamydia and gonorrehea. Should I now take another 2g of z-pak, it is 12:00 noon approximately 23 hrs after I took the 1g of z-pak ?
MEDICAL PROFESSIONAL
Welcome to the STD forum.
Taking treatment without being tested is not the best strategy. But now that you have taken 1.0 g of azithromycin (Z-pak), you don't need any more treatment. As you already know, that dose would cure chlamydia if you had been infected. As for gonorrhea, you really don't need additional treatment at all.
First, gonorrhea of the penis almost always causes obvious symptoms, i.e. pus dripping from the penis -- and the symptoms always begin within 2-5 days. So having no symptoms, you can be very sure you were not infected. Second, although 2.0 g is recommended if azithromycin is used for treatment, the 1.0 g dose would cure at least 90% of infections. Combining the low chance you had gonorrhea plus the effectiveness of the 1 g dose, all is well and you don't need additional therapy. (But if you decide to do it anywya, just take another 1 g dose. You still have lots of azithromycin in your system; a single dose gives a week of drug in the body.)
Regards-- HHH, MD
Taking treatment without being tested is not the best strategy. But now that you have taken 1.0 g of azithromycin (Z-pak), you don't need any more treatment. As you already know, that dose would cure chlamydia if you had been infected. As for gonorrhea, you really don't need additional treatment at all.
First, gonorrhea of the penis almost always causes obvious symptoms, i.e. pus dripping from the penis -- and the symptoms always begin within 2-5 days. So having no symptoms, you can be very sure you were not infected. Second, although 2.0 g is recommended if azithromycin is used for treatment, the 1.0 g dose would cure at least 90% of infections. Combining the low chance you had gonorrhea plus the effectiveness of the 1 g dose, all is well and you don't need additional therapy. (But if you decide to do it anywya, just take another 1 g dose. You still have lots of azithromycin in your system; a single dose gives a week of drug in the body.)
Regards-- HHH, MD
thank you Doctor
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