Sexually Transmitted Diseases
| Disease | Effect | Dose | Adverse Reactions |
| Syphilis | Skin rash Ulcers Mucocutaneous lesions lymphadenopathy | Penicillin G Benzamine penicillin | Mild rash, nausea, vomiting, overactive reflexes, muscle spasm. Stomach upset, diarrhea Skin rash, bruising, sore throat, muscle weakness, bloody diarrhea, swollen glands, joint pain, fast heartbeat, blurred vision, headache, and dizziness. |
| Chlamydial infection, | Cervicitis in women Urethritis in men Oropharyngeal and rectal infections Extra genital infections Ectopic pregnancy Infertility | azithromycin 1 g administered orally as a single dose doxycycline 100 mg administered twice a day orally for seven days | Nausea, abdominal pain, stomach upset, vomiting, and affect heart rhythm Difficulty swallowing, diarrhea, drug rash, headache, esophageal ulcer, facial redness, esophagitis, nausea |
| HIV AIDS | Sore throat Fatigue Flu-like symptoms Fever, weight loss, Recurrent infections Night sweats | Nucleoside Reverse Transcriptase Inhibitors : abacavir, didanosine (ddl), lamivudine (3TC) stavudine (d4T), zalcitabine (ddC), zidovudine (ZDV) | Sleep problems, general ill feeling, strange dreams, Nausea and vomiting, fever, chills, ear pain, and rash. Nausea, diarrhea, abdominal pain, headache, vomiting, fever and rash. Malaise, headache, tiredness, diarrhea, abdominal pain, coughing Nausea, headache, vomiting, loss of appetite, rash, difficulty falling asleep. Liver failure, inflammation of the pancreas, metabolic disturbance, and peripheral neuropathy. Liver problems, lactic acidosis, blood disorders, and myopathy. |
| Gonorrhea | Pain or burning sensation when urinating Slightly green, creamy, or watery vaginal discharge Heavier spotting or periods Sore throat Sharp pain in lower abdomen, vagina, or testicles Pain during sex Fever | Azithromycin 1g oral single dose Ceftriaxone, 1g intravenous muscle injection every 24 hours Cefotaxime, 1g intravenous injection every 8 hours | Abdominal pain, stomach upset, loose stool, vomit, and nausea Diarrhea, rash, upset stomach, dizziness, headache, nausea, blood clot. Swelling or pain on the tongue, a lump at the location on injection. Fever, vomiting, nausea, rash, abdominal pain, irritation, pain, inflammation, or hard lump at the injection site. |
| Chlamydia | Pain during sex Bleeding between periods Swollen or tender testicles Burning sensation or pain when urinating Abnormal vaginal discharge Pain, bleeding, or discharge around the anus Milky discharge or pus from the penis | Azithromycin Erythromycin doxycycline | Vomiting, diarrhea, abdominal pain, nausea, Abdominal pain, anorexia, vomiting, diarrhea Diarrhea, headache, esophagitis, drug rash, difficulty swallowing, hives, facial redness, and esophageal ulcer |
| Pelvic inflammatory disease | Pain during sex and during urination, pain in the lower abdomen, lower back, pelvis, or pelvis, fatigue, chills, fever, menstrual and leg cramps, nausea, or vomiting. | Cefotetan doxycycline | Loss of appetite, redness, swelling, soreness, or pain at the site of injection, stomach pain, vomiting or nausea, diarrhea, vaginal discharge or itching, and headache Diarrhea, esophagitis, difficulty swallowing, facial redness, drug rash, esophageal ulcer, hives |
| Genital Herpes | Tingling or itching around the anal or genital area Cracked, red, or raw areas around the genitals without itching, pain, or tingling Small blisters that break o cause pain Pain on sores during urination | Acyclovir Famciclovir valacyclovir | Diarrhea, agitation, dizziness, hair loss, stomach or intestinal irritation, headache, hair loss, muscle pain Stomach pain, diarrhea, headache, tired feeling, gas, nausea, sleepiness, dizziness, numbness or tingly feeling, skin rash or itching Headache, stomach pain, nausea, dizziness |
| Human Papillomavirus (HPV) | Common warts on hands or fingers Female genital warts Flat warts Male genital warts Plantar warts itching | Podofilox Imiquimod Podophyllin interferon Trichloroacetic acid(TCA) | Insomnia, pain during sex, unpleasant odor, cysts, vomiting or nausea, scarring, the foreskin does not retract, skin ulceration, blood in the urine Headache, tingling, pain, or swelling in the affected area, bumps, scabs, or blisters, scaling, dryness, or flaking of skin Stinging, severe burning, itching, easy bleeding or bruising, redness, swelling Chills, swelling or interactions on injection site, fever, vomiting, trouble sleeping, chills Swelling of area medicine is applied, burning, skin tenderness |
References
Cruickshank, H. (2019).Everything you need to know about sexually transmitted diseases (STDs). Healthline. Retrieved from https://www.healthline.com/health/sexually-transmitted-diseases
Healthy Children (2015) Medications for sexually transmitted infections. Healthy Children Organization. Retrieved from https://www.healthychildren.org/English/health-issues/conditions/sexually-transmitted/Pages/Medications-for-Sexually-Transmitted-Infections.aspx
Penyakit, B.K., Malaysia, K.K.(2015). MYCDCGP – Malaysian Guidelines In The Treatment of Sexually Transmitted Infection. Malaysia: BKPKKM