Oral cefixime is no longer first-line for gonorrhea

October 2012

Oral cefixime is no longer first-line for gonorrhea...due to increasing resistance.

This means no more preferred regimens with just ORAL drugs.

Use ceftriaxone 250 mg IM PLUS azithromycin 1 g for most patients with gonorrhea. Combining two drugs will hopefully slow resistance.

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Table of Contents

Hypertension debate about when to start drugs in patients with MILD hypertension
STIs Oral cefixime is no longer first-line for gonorrhea
Diabetes you'll hear MORE controversy about using pioglitazone (Actos) for type 2 diabetes
Infectious Diseases This will be the worst year yet for West Nile virus
Vaccines New virus strains in the 2012-2013 influenza vaccine
Statins whether statins increase the risk of cataracts
Overactive Bladder Myrbetriq (meer-BEH-trick, mirabegron) for overactive bladder
Respiratory & Allergy The new OTC bronchodilator Asthmanefrin (racepinephrine) will be promoted as an alternative to Primatene Mist (epinephrine)
Respiratory & Allergy whether inhaled corticosteroids inhibit growth in kids or increase fracture risk in seniors
Antipsychotics whether it makes sense to use more than one antipsychotic for schizophrenia
Depression more emphasis on treating depression in cardiac patients
Substance Use Disorder Patients are abusing Suboxone (buprenorphine/naloxone) tabs
Hepatitis C hepatitis C testing for ALL baby boomers