Patient's question:
Detailed medical condition and consultation purpose: First follow-up question: I have taken tetracycline tablets for 20 days, but it hasn't worked at all. When I went to the hospital, the expert said, "You've taken so many medications, and we also found mycoplasma and chlamydia infections. Actually, it's not a big deal anymore. It's okay now, but I know in my heart that my condition is getting worse and worse. Please, everyone, what should I do?" Now my waist sides are very painful. Why is this happening? Even after taking so many medications, it's still like this. What should I do? Mycoplasma and chlamydia infections were still detected. Experts, please help me. Second follow-up question: Hello, could you please tell me that I was diagnosed with... by my provincial hospital.Doctor's answer:
Hello: Non-gonococcal urethritis can be completely cured, but it should be treated with treatment. Treatment should target the pathogen; if conditions do not allow, broad-spectrum antibiotics should be used. Gopla has found in clinical practice that due to resistance, the effectiveness of broad-spectrum antibiotics is decreasing.Cure criteria: Disappearance of symptoms, no urethral discharge, and no white blood cells in urine sediment smear.
Common Western medications for treating non-gonococcal urethritis are:
(1) Tetracycline: 0.5g each time, 4 times a day, at least for 7 days. Generally 2-3 weeks. Or tetracycline mixture (composed of 3 types of tetracycline, each tablet contains 69mg of demeclocycline hydrochloride, 115.5mg of chlortetracycline hydrochloride, and 115.5mg of tetracycline hydrochloride) 1-2 tablets, oral, 2 times a day, for 2-3 weeks. Tetracycline drugs have teratogenic effects on pregnant women, so they should be avoided.
(2) Doxycycline: 0.2g on the first day, 0.1g each time after, 2 times a day, for a total of 7-10 days.
(3) Azithromycin: 0.5g on the first day, 0.25g each time after, once a day, for a total of 5 days. Or 1g, taken as a single dose.
(4) Minocycline (dimethylamino tetracycline): 0.2g immediately, 0.1g each time, 2 times a day, for 7-10 days. Some patients may experience side effects such as dizziness, palpitations, stomach discomfort, nausea, and vomiting after taking it.
(5) Erythromycin: Oral 0.25g-0.5g per day, 3-4 times a day, for 7-10 days of treatment.
(6) Ro