Only on the advice of a Medical Microbiologist, Infection Specialist, Genito-Urinary Medicine Specialist or Urologist for:
- First line for epididymitis with suspected Gram-negative enteric organisms plus Chlamydia trachomatis (low risk for gonorrhoea).
- Second-line for prostatitis/epididymitis in adults >35 years or low risk of Sexually Transmitted Diseases (STDs) (ciprofloxacin is first line).
- Second-line for prostatitis/epididymitis in adults <35 years or high risk of STDs where patient is unable to take doxycycline (doxycycline is included in both first- and second-line options at present).
- Second-line for pelvic inflammatory disease in adults.
Treatment may be initiated in primary care.
Not licensed for use in children.