Screening for Gonorrhoea and Chlamydia prior to treatment is recommended.

HIV testing is recommended if suspected/confirmed sexually transmitted infection.

Review clinical progress after 72hr of treatment

Drug details

Preferred option:

Ceftriaxone

PLUS

Doxycyline

and 

Metronidazole

 

1g IM single dose

 

100mg BD

 

400mg BD

 

single dose

 

14 days

If IM Ceftriaxone not

available or feasible:

Ofloxacin (consider safety issues)

and 

Metronidazole

 

 

400mg BD

 

400mg BD

 

 

14 days