Mycoplasma Genitalium Treatment Plan
This treatment plan reviews the risks and benefits of the treatment we recommend. Please make sure to read this as well as the manufacturer’s pamphlet that comes with the medicine. The manufacturer’s pamphlet contains the full information on interactions, side effects, and other information you should know about the medicine before you start.
INSTRUCTIONS:
For treatment of Mycoplasma Genitalium, the clinician would have prescribed one of the following treatment options for you;
Treatment Option 1:
One (1) Doxycycline 100mg tablet, orally, twice a day, for 7 days, followed by
Two (2) Azithromycin 500mg tablets, orally, as a single dose on day 8, then
One (1) Azithromycin 500mg tablet, orally, once a day, on day 9, 10, and 11.
Treatment Option 2:
One (1) Doxycycline 100mg tablet, orally, twice a day, for 7 days, followed by
One (1) Moxifloxacin 400mg tablet, orally, once a day, for 7 days.
These treatment plans can control the infection, which commonly transmits during sexual activity with an infected partner. If you are sexually active please disclose to your partner that they may need to seek treatment otherwise with continued sexual interaction re-infection may occur in either partner.
IMPORTANT NOTES REGARDING YOUR TREATMENT:
Avoid consuming alcohol for at least 72 hours after completing your treatment. Drinking alcohol while on antibiotics can increase the risk of side effects, interfere with the medication’s effectiveness, and delay recovery.
For your safety and the well-being of others, we strongly recommend that you refrain from all forms of sexual activity for at least seven (7) days.
ACTIVE INGREDIENTS:
These medicines contain the following active ingredients. If you are allergic to any of these components, similar components, or any of the other components listed in the manufacturer’s pamphlet, please do not take them.
Treatment Option #1:
- Doxycycline
- Azithromycin
Treatment Option #2:
- Doxycycline
- Moxifloxacin
ALLERGIES:
These medicines may cause an allergic reaction if you are allergic to similar medicines or components. If you are allergic to any of the following, please stop the treatment and see your doctor in person:
Treatment Option #1:
- Doxycycline
- Tetracyclines (Minocycline, Tetracycline)
- Azithromycin
- Erythromycin
- Other macrolide (eg, azalide or ketolide) antibiotics
- Pimozide
Treatment Option #2:
- Doxycycline
- Tetracyclines (Minocycline, Tetracycline)
- Moxifloxacin
- Other quinolone or fluoroquinolone antibiotics such as ciprofloxacin (Cipro), delafloxacin (Baxdela), gemifloxacin (Factive), levofloxacin (Levaquin), or ofloxacin
CONDITIONS:
We evaluate your health history and the specific health information you provide us; however, if anything changes and you develop or discover that one of these conditions applies to you, please stop taking this medicine and seek care in person:
- Pregnancy
- Central nervous system problems
- Liver problems
- Blood disorders
- Prolonged QTc syndrome
PREGNANCY AND BREASTFEEDING:
Because of the potential for complications, a decision should be made whether to discontinue nursing or to discontinue the medication(s), taking into account the importance of the drug(s) to the mother. This decision should be made with direction from your primary care physician or another source of local medical care.
EMERGENCY SIDE EFFECTS:
These medicines can cause dangerous and potentially life-threatening side effects. If any of the emergency side effects listed in the manufacturer’s pamphlet or those below happen to you, please stop taking the treatment and call 911 or seek immediate medical help in person:
- Hearing changes (such as decreased hearing, and deafness)
- Eye problems (such as drooping eyelids, and blurred vision)
- Difficulty speaking/swallowing
- Muscle weakness
- Fast/irregular heartbeat
- Severe dizziness
- Fainting
- Signs of liver problems (such as unusual tiredness, persistent nausea/vomiting, severe stomach/abdominal pain, yellowing eyes/skin, dark urine)
OTHER SIDE EFFECTS:
These medicines can also cause other side effects. If any of the other side effects listed in the manufacturer’s pamphlet or those below happen to you please stop taking the treatment and see your doctor in person:
- Upset stomach
- Diarrhea/loose stools
- Nausea
- Vomiting
- Abdominal pain
MEDICINES, SUPPLEMENTS, AND FOODS:
We evaluate your health history and the specific health information you provide us; however, if anything changes and you start or discover that you are taking any of the medicines, foods, or supplements listed below, consult with your physician or local care before you take the medicine. Some of these can cause dangerous interactions with the medicine we are prescribing you and we will help you evaluate that risk and decide on an appropriate treatment plan:
- HIV medications
- Birth control (all hormonal)
- Narcotic pain medications
- Anti-seizure medications
- Antipsychotic medications
ACCURATE INFORMATION:
We evaluate the specific health information you provide and make our recommendations based on it. If you incorrectly provide that information, we may misdiagnose or fail to diagnose conditions that you may have which could affect our recommendation for treatment.
TREATMENT FAILURE:
This treatment is not 100% effective. It may not work or may only partially resolve the condition for which you are seeking treatment. If it is an emergency, call 911 or seek immediate medical help in person.
MISDIAGNOSIS OR DELAYED DIAGNOSIS:
There is also a risk that we will misdiagnose or fail to diagnose conditions that you may have which could affect our recommendation for treatment. This risk exists with a doctor in person as well but they may have additional signs and symptoms to aid their evaluation. We use an evidence-based practice and guidelines as well as clinical decision support to try to minimize these risks.
ACCEPTING OR DECLINING OUR RECOMMENDATION:
We recommend this treatment because the potential benefits of treatment outweigh the risks. You should evaluate this information as well as the manufacturer’s pamphlet, and any input from your in-person healthcare team, or other information to decide if this treatment plan is appropriate for you. You are free to decline our treatment recommendations although, doing so may prolong symptoms and be associated with negative outcomes.
OTHER TREATMENTS:
We have based our recommendation on your specific case and medical guidelines, but there may be alternative treatments or strategies that may be helpful to you. Some may be more or less effective than what we provide. Some treatments may require an in-person exam or procedure which we can’t provide.
SHARE WITH YOUR IN-PERSON HEALTHCARE TEAM:
You can access your records anytime. We strongly recommend that you update your in-person doctor, pharmacist, and the rest of your healthcare team to let them know about any new medicines you are taking or other changes in your health.
