Syphilis treatment
The treatment consists of drug therapy and alternative medicine. Drug therapy is mainly through nicotine in all stages of the disease. At primary or secondary level, penicillin G is administered with a dose of 2.4 million units by one dose.
In the latent phase, the treatment depends on duration. In the early latent disease, one dose of penicillin G is administered with a dose of 2.4 million units of muscle. In the later latent phase, the patient is given a total dose of benzicillin G, 7.2 million units, 3 doses, 2.4 million units each. Among doses one week.
In addition, penicillin G is used to treat syphilis and is given for 14 days and is used in combination with propenecid, which inhibits penicillin production by renal units, thereby increasing the concentration of penicillin in the blood, and penicillin is the most appropriate treatment for the disease in pregnant women.
Alternatives to penicillin in case of penicillin sensitivity are tetracycline, erythromycin, and ceftrixone.
As for the interactions that occur during treatment, they include three reactions or interactions, the first is anaphylaxis and the doctor must be prepared for this serious situation, the second is the interaction
(Jarisch-Herxheimer reaction) is a sharp reaction followed by treatment and consists of high temperature, headache, fatigue, fatigue and muscle pain, and disappears within 24 hours, and this interaction is common in people with primary or secondary syphilis or those with AIDS and rare In trigeminal or latent syphilis.
In pregnant women, this interaction may lead to fetal distress or premature labor, and it increases the symptoms and symptoms of the nervous system, eyes, heart and larynx. Patients with these prednisone are recommended to have 10-20 mg By mouth every 8 hours and for 3 days to avoid and prevent this reaction from happening and then start treatment after 24 hours of giving the first dose of prednisone, and in the case of interaction therapy is to be using painkillers and antihypertensives such as acetaminophen. The third is the reaction of procaine (Procaine reaction) and is caused by the injection of procaine Penicillin (a type of penicillin) through the error of the vein and not the muscle and may lead to direct death after injection, and may be symptoms of hallucinations and convulsions and these symptoms are short-term, and to prevent this interaction Or reaction We must make sure that we are in the muscle and not in the blood vessel by aspiration before giving the dose.