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Gonorrhoea Antibiotic Treatment

Suprax (Cefixime) 200mg Tablets + Azithromycin 500mg Tablets
Pack Size: 4 Tablets (2 Suprax + 2 Azithromycin)
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RRP*: £59.99
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Our Price: £34.99
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  • Take all FOUR tablets as a single dose (TWO Suprax 200mg & TWO Azithromycin 500mg).
  • Swallow all the tablets whole with plenty of water.

Gonorrhoea antibiotic treatment (Suprax & Azithromycin) is available to buy from THE Medical Online Doctor service, following a free consultation, to treat gonorrhoea in men & women. To find out more about the STI, gonorrhoea, and see all the available treatments, see our Online Doctor Gonorrhoea page.

Antibiotic treatment for gonorrhoea consists of treatment with two different single-dose antibiotics. Cefixime (Suprax) is a broad-spectrum antibiotic and is effective at killing a wide variety of bacteria. When being taken to treat the sexually-transmitted infection Gonorrhea, it is used in conjunction with another antibiotic, called Azithromycin. The dosage for successfully treating Gonorrhea with these antibiotics is:   

  • Two Suprax 200mg tablets and two Azithromycin 500mg tablets together as a single dose.

Dual antibiotic treatment with Suprax & Azithromycin for gonorrhoea will also treat chlamydia. This is necessary as a significant number of people who contract gonorrhoea will also catch chlamydia at the same time.

Cefixime works by interfering with a bacteria’s ability to form cell walls. These walls are vital to the bacteria’s survival as they keep any unwanted substance out of the cell, as well as preventing anything inside from leaking out. Suprax tablets compromises the bonds that holds the bacterial cell walls together. This will allow holes to appear in the cell walls, which will kill the bacteria.

Suprax 200mg Tablets contain the active ingredient Cefixime. Suprax is manufacturd by Sanofi-Aventis. As well as gonorrhoea, Cefixime (Suprax) can be used to treat a variety of bacterial infections including urinary tract infections, bacterial infections of the lungs, and bacterial infections of the middle ear although different doses are required.

Suprax or Cefixime is categorised as a prescription only medicine (POM) and is a type of antibiotic known as a Cephalosporin. These types of antibiotics are related to Penicillin, so it is not recommended to take Suprax if a known allergy to Penicillin exists. Suprax 200mg Tablets are round in shape and white in colour. The tablets are marked ‘ORO’ on one side with the other side being plain.  

To find out more about Azithromycin, you can read about it on our Azithromycin Chlamydia page.

Like all medicines, Azithromycin can cause side effects, although not everybody gets them.

Side effects can include:

  • nausea & diarrhoea
  • abdominal pain
  • flatulence
  • diarrhoea
  • headache & dizziness

If you have any of the following symptoms, you may have a severe allergic reaction to Azithromycin, stop taking it and tell your doctor immediately or go to the casualty department at your nearest hospital. 

  • Sudden difficulty in breathing, speaking and swallowing.
  • Swelling of the lips, tongue, face and neck.
  • Extreme dizziness or collapse.
  • Severe or itchy skin rash, especially if this shows blistering and there is soreness of the eyes, mouth or genital organs.

The following are serious side effects that occur in a very small minority of patients. If you experience any of the following side effects you should see your GP as soon as possible.

  • Diarrhoea that is serious, lasts a long time or has blood in it, with stomach pain or fever. This can be a sign of a serious bowel inflammation. This is something that can rarely happen after taking antibiotics
  • Yellowing of the skin or whites of the eyes caused by liver problems
  • Inflammation of the pancreas, which causes severe pain in the abdomen and back
  • Increased or reduced urine output, or traces of blood in your urine
  • Skin rash caused by sensitivity to sunlight
  • Unusual bruising or bleeding
  • Irregular heart beat.
  • Any of the side effects (headache, dizziness, diarrhoea, nausea or abdominal pain) lasting more than a few days.
Please read the patient information leaflet that comes with your Azithromycin tablets before you take them for full information on side effects.

WARNING: If you are allergic (hypersensitive) to penicillin you may also be allergic to cefixime (Suprax). You should not take cefixime if you know you are allergic to penicillin unless under the supervision of a doctor.If you are unsure whether you are allergic to penicillin, speak to your doctor before taking any treatment.

Signs of an allergic reaction include: a rash, swallowing or breathing problems, swelling of the lips, face, throat and tongue.

It is not suitable for our Online Doctor to prescribe Azithromycin & Suprax to treat gonorrhoea (& chlamydia) for you if:

  • you have severe liver or kidney problems.
  • you have severe heart problems or problems with your heart beat such as long QT syndrome (shown on an electro-cardiogram or ECG machine).
  • your blood levels of potassium or magnesium are too low.
  • you develop signs of another infection.
  • you are taking any ergot derivatives such as ergotamine (to treat migraine).
  • you have a certain type of muscle weakness called myasthenia gravis.
  • you have nervous (neurological) or mental (psychiatric) problems.
  • you have ever had colitis.
  • you are taking medicine to thin the blood such as warfarin.

If any of the above conditions apply you should see your GP for advice and treatment of gonorrhoea.

If you notice blood in your stool, or suffer with fever, chills, or severe headache your infection may be more serious and you should see a doctor as soon as possible. If symptoms include a thick or bloody discharge from the penis with soreness or inflammation in men or women with heavy offensive vaginal discharge or irregular bleeding and low abdominal pain, you should see your GP as this could indicate a more serious infection.

About Gonorrhoea

Gonorrhoea Background

THE Medical Online Doctor service allows patients who have tested positive for gonorrhoea, or have a partner who has tested positive for gonorrhoea, to have a private consultation with a doctor and receive the treatment they require in a safe and discreet manner.

Gonorrhoea (also known as ‘the clap’) is the second most common sexually transmitted Infection (STI) in the UK after chlamydia. The infection is most common amongst those under the age of 25, although it can be contracted at any age if they are sexually active. Gonorrhoea is caused by bacteria called Neisseria Gonorrhoeae and can be passed from one person to another through the sexual fluid produced by the penis and vagina. This means it’s possible for the infection to be transmitted without penetration or ejaculation. Gonorrhoea can be contracted in a variety of ways, including:

  • Unprotected sex (this can be vaginal, anal or oral)
  • Sharing sex toys that haven’t been washed between users
  • Your genitals coming into contact with another person’s genitals

Gonorrhoea isn’t something that can be caught through casual contact, such as holding hands or kissing, nor can it be transmitted by sharing household items like, towels, baths or cutlery.

Gonorrhoea can infect the cervix, the urethra, the rectum, and also the throat and eyes in rare cases.

Gonorrhoea Symptoms

The symptoms of gonorrhoea usually develop with 10 days of being infected, however they can take months in certain cases. In around 10% of men and up to 50% of women, gonorrhoea will have no obvious symptoms meaning you may have had the condition for some time without knowing or seeking treatment.

In women who display the symptoms of gonorrhoea, they may include:

  • Thick, green or yellow vaginal discharge
  • Pain or burning when urinating
  • Lower abdominal pain or tenderness
  • Bleeding in between periods or after sex
  • Heavier periods

In men who display the symptoms of gonorrhoea, they may include:

  • White, yellow, or green discharge from the tip of the penis
  • Pain or burning when urinating
  • Inflammation of the foreskin
  • Sore or tender testicles

Gonorrhoea infection of the eyes or rectum will cause discomfort, pain and discharge in the affected area. Gonorrhoea of the throat normally shows no symptoms.

Gonorrhoea Diagnosis

Gonorrhoea is diagnosed by taking an STI test. You can be tested within a few days of suspected infection but you may have to wait up to 2 weeks to ensure the test results are accurate.

When you do not need to be tested for gonorrhoea:

  • You have already had a positive test result for gonorrhoea
  • There is a high chance you have gonorrhoea and you cannot wait for a test result
  • A sexual partner has tested positive for gonorrhoea

When you should be tested for gonorrhoea:

  • You think you or your partner have symptoms of gonorrhoea
  • You test positive for a different STI such as chlamydia
  • There is a chance you have gonorrhoea and you are pregnant
  • You have had unprotected sex with a new partner
  • Your partner has had unprotected sex with a different partner

It can take up to two weeks to receive the results of a gonorrhoea test.

Gonorrhoea test for women

The test for gonorrhoea in women usually involves a doctor or nurse taking a swab from the vagina or cervix. If infection is suspected in the urethra, a swab can also be taken from here. In some cases women can take a sample herself using a swab or a tampon. Women do not normally need to give a urine sample to test for gonorrhoea as the results are less accurate than a vaginal swab.

Gonorrhoea test for men

In men, a urine sample is the most common way to diagnose gonorrhoea, although a swab may also be used to take a sample of any discharge coming from the penis.

You should not urinate for at least two hours before providing a urine sample as this can dislodge and wash away bacteria giving the chance of a false negative result.

Gonorrhoea Treatment

You can buy gonorrhoea antibiotics from THE Medical Online Doctor if you meet one of the following criteria:

  • You have already had a positive test result for gonorrhoea
  • There is a high chance you have gonorrhoea and you cannot wait for a test result
  • A sexual partner has tested positive for gonorrhoea

Gonorrhoea treatment from THE Medical Online Doctor will treat both gonorrhoea and chlamydia infections.

Gonorrhoea treatment is a one-off combination of antibiotic tablets, Suprax (cefixime) 200mg and azithromycin 500mg. The dose consists of 2 Suprax (cefixime) 200mg tablets and 2 azithromycin 500mg tablets to be taken immediately. If taken straight away you should notice that the gonorrhoea treatment helps to clear your symptoms within 3 days. Any pain or tenderness present may take up to two weeks to clear; this is not a sign of failed treatment. Women who experienced abnormal bleeding should notice that this clears up by the time they get their next period.

You and your partner should not have sex until you have been successfully treated to prevent you re-infecting each other or passing the infection on to others.

If you wish to take an STI test to confirm your gonorrhoea treatment was successful, you should wait at least a week. This will allow time for your treatment to be effective and any remaining bacteria to leave your system meaning your test results will be as accurate as possible.

Chlamydia often occurs at the same time as gonorrhoea, gonorrhoea treatment from the Online Doctor combines two antibiotic treatments that will cure 95% of gonorrhoea and chlamydia infections.

Gonorrhoea Prevention

There are measures you can take which will help guard against gonorrhoea and other sexually transmitted diseases. These include:

  • Using a condom during penetrative sex. This applies to both vaginal and anal intercourse.
  • During oral sex use a condom to cover the penis.
  • If using sex toys, don’t share them with others without first washing the toy or covering it with a fresh condom.
  • If performing oral sex on the female genitals, or when rubbing female genitals together, make use of a device called a dental dam. A dental dam is a thin piece of latex or plastic used to cover the female genitals.

*RRP is based on the highest price found for a comparable online service found on 04/09/14.

THE Medical Online Doctor service is owned and operated by Total Health Ethos Limited (Company Reg. 6170784). All orders are fulfilled by our pharmacy partners, BSM Healthcare Ltd (Company Reg. 08515600) and Red Label Medical Ltd (Company Reg. 08676338). All information that appears on this website is intended for information purposes only and should be used to supplement, not replace, your relationship with your local healthcare professionals. You should consult your doctor if you think you may have a health problem or before you start taking a new medicine. Please ensure you always read the information leaflets supplied with any medicinal products. For more information see our policies and terms and conditions at the bottom of every page. © 2017 Total Health Ethos Limited. All rights reserved.
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