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- Antibacterial (group of aminoglycosides)
- Second choice treatment of gonococcal infections
Forms and strengths, route of administration
- Powder for injection in 2 g vial, to be dissolved with the diluent supplied by the manufacturer (3.2 ml ampoule of water for injection with benzyl alcohol), for IM injection
Dosage and duration
Anogenital gonococcal infection and gonococcal conjunctivitis
- Adult: 2 g single dose (a dose of 4 g may be required, i.e. 2 g in each buttock)
Disseminated gonococcal infection
- Adult: 2 g every 12 hours for 7 days
Contra-indications, adverse effects, precautions
- May cause: nausea, dizziness, fever and chills, urticaria; pain at injection site.
- Pregnancy: CONTRA-INDICATED (safety is not established)
- Breast-feeding: no contra-indication for a single dose treatment
- Administer a concurrent anti-chlamydia treatment to patients with gonococcal infections (co-infections are frequent).
- Spectinomycin is poorly effective against pharyngeal gonococcal infections.
- For the treatment of neonatal gonococcal conjunctivitis, use cephalosporins.
- Shake well prior to withdrawal medication and use a 19G needle.
- Do not mix with other drugs in the same syringe.
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