Refer patient to Sexual Health Service.
NHSG Sexual Health Briefing Note on changes to Sexual Health Guidelines (intranet link only)
First Line
Doxycycline
(not suitable for those under 12 years)
100mg 2 x daily
for 7 days
Alternative
Azithromycin
1g single dose (1 hour before or 2 hours after food)
followed by 500mg daily for a further 2 days
In pregnancy or breastfeeding: azithromycin is the most effective option but is an unlicensed indication.
Doxycycline is contraindicated in pregnancy.
For children - seek specialist advice from Sexual Health.