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.

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

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Table of Contents

Infectious Diseases This will be the worst year yet for West Nile virus
Overactive Bladder Myrbetriq (meer-BEH-trick, mirabegron) for overactive bladder
Diabetes you'll hear MORE controversy about using pioglitazone (Actos) for type 2 diabetes
Hypertension debate about when to start drugs in patients with MILD hypertension
Vaccines New virus strains in the 2012-2013 influenza vaccine
Antipsychotics whether it makes sense to use more than one antipsychotic for schizophrenia
STIs Oral cefixime is no longer first-line for gonorrhea
Depression more emphasis on treating depression in cardiac patients
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
Substance Use Disorder Patients are abusing Suboxone (buprenorphine/naloxone) tabs
Education and Training how and why you need to get an e-Profile ID to meet the new CE reporting requirements