Treatment pack for Gonorrhoea

The most common STI's in the UK are Gonorrhoea and Chlamydia

They can both be treated very effectively with antibiotics.

The recommended treatment for gonorrhoea by the British Association for Sexual Health and HIV, BASHH, is an antibiotic injection. This treatment can be obtained from a sexual health clinic or your GP.

To find your nearest clinic you can click on the appropriate country specific links below:-

England

Scotland

Northern Ireland

Wales

The treatment that we offer is second line treatment for those who don’t want an injection or are unable to get to a sexual health clinic.

Sex without using a condom can increase your risk of getting a STI. Also, sex toys should be washed and covered with a new condom each time they are used.

If you have been diagnosed with gonorrhoea it’s necessary to inform any sexual partners, from the last 3 months, that they may also be at risk, so that they can be screened and have treatment if required. Also, to prevent infecting or re-infecting your partner with gonorrhoea you should both avoid any sexual contact, with or without a condom, until both of you have been treated.

We recommend that you take another STI test two weeks after your gonorrhoea treatment to make sure that you have been successfully treated. Therefore, we will send you a free test kit 14 days after you have taken the gonorrhoea treatment  to make sure that you are clear of the infection. All you have to do is message us at team@webmedpharmacy.co.uk, send us a message from your account or ring us on 0161 491 1899 and we will send you a free test kit worth £45 by Royal Mail first class post.

Please be aware that you have to message or phone us no more than 28 days after you have received your treatment pack as after that time the test will no longer be considered to be a "Test of Cure".

Please keep a record of the tracking number on the postage label of the test kit before you return it to the lab so that we, and you, can monitor its progress. If you don't keep a record of it and it gets lost in the post then we can't replace it.

Also, both men and women can get gonorrhoea in the rectum, throat, or eyes by having unprotected anal or oral sex with someone who is already infected. Furthermore, conjunctivitis may occur if infected vaginal fluid or semen comes into contact with the eyes. Usually no symptoms are experienced if the throat is infected but infection of the rectum may cause bleeding, pain, discharge or discomfort. We don't offer treatment for gonorrhoea in the  throat or eyes. If you suspect that you may have a throat or eye infection you should visit your local genitourinary medicine (GUM) clinic, also referred to as sexual health clinics, or your GP.

If you think you may have genital gonorrhoea you can buy a test kit using our fast, discreet, confidential service, to be used in the comfort of your own home.

You only have to provide a urine sample for men or a simple vaginal swab for women; it’s quick, easy and effective whist avoiding any potential embarrassment.

The test kits are posted in discreet, plain unmarked packaging with no indication of their contents.

The treatment for gonorrhoea that we prescribe is two tablets of Suprax(400mg) and four tablets of Azithromycin(2G). Both are taken together as a single dose.

Suprax 200mg tablets contain a medicine called cefixime. This belongs to a group of antibiotics called ‘cephalosporins’.

Suprax is used to treat bacterial infections.These include infections of the: • Ear • Nose, sinuses (such as sinusitis) • Throat (such as tonsillitis, pharyngitis) • Chest and lungs (such as bronchitis, pneumonia) • Urinary system (such as cystitis and kidney infections).

Azithromycin belongs to a group of medicines called macrolide antibiotics. Antibiotics are used to treat infections caused by bacteria.

Azithromycin is used for the treatment of bacterial infections that are sensitive to it, such as: • chest, throat or nasal infections (such as bronchitis, pneumonia, tonsillitis, sore throat (pharyngitis) and sinusitis) • ear infections • skin and soft tissue infections, with exception of infected burn wounds e.g. - infection of the tube that carries urine from the bladder (urethra) or the neck of the womb (cervix) caused by Chlamydia trachomatis.

The antibiotics prescribed are 2 Suprax (cefixime) 200mg tablets and 4 Azithromycin 500mg tablets, taken together as a single dose.

The tablets are best taken after food or a meal to reduce the likelihood of side-effects.

Do not take any medication for indigestion 2 hours before or after taking the antibiotics as this will reduce the effectiveness of the treatment.

Chlamydia and gonorrhoea are commonly found together and if you need to treat Chlamydia you can find the treatment here.

· We recommend that you take another STI test 14 days after the end of your treatment to make sure that the STI has been successfully treated. In fact, if you receive treatment from us for gonorrhoea, we will send you another test kit, free of charge, to make sure that you have eliminated the infection. The "test of cure" is to make sure you are clear of gonorrhoea only.

If you have been diagnosed with gonorrhoea it’s highly recommended to inform any sexual partners, from the last 3 months, that they may be at risk in order that they can be screened and have treatment if required.

· Please do not presume you have gonorrhoea based on your symptoms. You should be tested first to make sure you definitely have gonorrhoea before being treated. We can supply gonorrhoea test kits if you haven't already been diagnosed by an STI clinic.

Suprax

· Like all medicines, Suprax can cause side effects, although not everybody gets them. Tell your doctor straight away or go to the nearest hospital casualty department if you notice any of the following serious side effects – you may need urgent medical treatment:

· You have an allergic reaction. The signs may include: a rash, joint pain, swallowing or breathing problems, swelling of your lips, face, throat or tongue

· Blistering or bleeding of the skin around the lips, eyes, mouth, nose and genitals. Also, flu-like symptoms and fever. This may be something called ‘Stevens-Johnson syndrome.

· Severe blistering rash where layers of the skin may peel off to leave large areas of raw exposed skin over the body. The rash may appear especially on the palms or soles of your feet

More common side-effects are :-

• Feeling sick (nausea) or being sick (vomiting)

• Stomach pains, indigestion or wind

Azithromycin

Like all medicines, this medicine can cause side effects, although not everybody gets them.

If you have any of the following symptoms of a severe allergic reaction stop taking this medicine and tell your doctor immediately or go to the casualty department at your nearest hospital

• Sudden difficulty in breathing, speaking and swallowing

• Swelling of the lips, tongue, face and neck

• Extreme dizziness or collapse

• Severe or itchy skin rash, especially if this shows blistering and there is soreness of the eyes, mouth or genital organs. If you experience any of the following side effects contact your doctor as soon as possible

• Diarrhoea that is serious, lasts a long time or has blood in it, with stomach pain or fever. This can be a sign of a serious bowel inflammation. This is something that can rarely happen after taking antibiotics

• Yellowing of the skin or whites of the eyes caused by liver problems

• Inflammation of the pancreas, which causes severe pain in the abdomen and back

• Increased or reduced urine output, or traces of blood in your urine

• Skin rash caused by sensitivity to sunlight

• Unusual bruising or bleeding

• Irregular heart beat.

Other side effects include Very common (may affect more than 1 in 10 people)

• diarrhoea

• abdominal pain

The recommended first line treatment for gonorrhoea by the British Association for Sexual Health and HIV, BASHH, is an injection of ceftriaxone,usually in the buttock or the thigh.

We supply second line treatment for those who don’t like injections or either can’t get to a sexual health clinic or don’t want the embarrassment.

Out treatment pack has two tablets of Suprax 200mg (cefixime) and four tablets of Azithromycin 500mg. All six tablets are taken together as a single dose.

Cefixime belongs to a group of antibiotics called cephalosporins which are related to penicillin. It works by interfering with the ability of bacteria to form cell walls. The cell walls are vital to their survival and thus this causes the death of the bacteria and the subsequent elimination of the infection.

Azithromycin works by preventing protein synthesis in susceptible bacteria which inhibits their growth and therefore enables the body’s own immune system to eradicate the infection.

After having taken the single dose of the combination of the two antibiotics of Cefixime and Azithromycin it should clear up within 7 days although you may still experience some symptoms for up to another 7-14 days.

However, we recommend that you should avoid any sexual contact for at least 7 days.

We also suggest that you should get tested two weeks after taking the medication (not sooner than 14 days) to make sure the treatment has been successful.

If you purchase your treatment from Webmed, we will send you a FREE Test of cure kit worth £45, 14 days after treatment to make sure you are clear. We are the only online pharmacy to do this. All you have to do is message us at team@webmedpharmacy.co.uk or ring us on 0161 491 1899 and we will send you a test kit by Royal Mail first class post.

Please be aware that you have to message or phone us no more than 28 days after you have received your treatment pack as after that time the test will no longer be considered to be a "Test of Cure".

Yes, you can buy a combination of two antibiotics taken as a single dose. The antibiotics prescribed are 2 Suprax (cefixime) 200mg tablets and 4 Azithromycin 500mg tablets.

We must point out that the first line treatment for gonorrhoea, as recommended by the British Association for Sexual Health and HIV, BASHH, is Ceftriaxone, given as an injection in the buttock or the thigh.

However, this treatment is not available online. To receive the injection you will need to go to a sexual health clinic or make an appointment with your GP.

We will ask you to complete a simple medical questionnaire to make sure the treatment is safe and suitable for you.

Cefixime belongs to a group of antibiotics called cephalosporins which are related to penicillin. It works by interfering with the ability of bacteria to form cell walls. The cell walls are vital to their survival and thus this causes the death of the bacteria and the subsequent elimination of the infection.

Azithromycin works by preventing protein synthesis in susceptible bacteria which inhibits their growth and therefore enables the body’s own immune system to eradicate the infection.

Yes. Gonorrhoea can be treated at home by taking a combination of two antibiotics in a single dose, 6 tablets in total. It is best to take them with a large glass of water after a meal or food. This will mean that you are less likely to suffer from any side-effects.

The antibiotics are 2 Suprax (cefixime) 200mg tablets and 4 Azithromycin 500mg tablets.

You should avoid sexual contact for 7 days after taking the treatment. Don't forget both you and your partner should get treated to make sure you are both clear to avoid getting infected with gonorrhoea again.

In the vast majority of cases gonorrhoea can be cured. However, please be aware that you can be re-infected if you have unprotected sex with an infected partner.

Also, you may have seen or heard in the press recently of an antibiotic resistant strain of gonorrhoea, of which there has been a few cases reported in the UK. To prevent this situation escalating it’s very important that you have been positively diagnosed with gonorrhoea before obtaining the treatment.

Many STIs have similar symptoms so it’s important to be properly diagnosed and receive appropriate treatment.

No. Doxycycline is an antibiotic used to treat Chlamydia over a seven day course. See the Chlamydia section for treatment for Chlamydia.

The cost of our gonorrhoea treatment pack is £64. It includes the antibiotics of 2 Suprax (cefixime) 200mg tablets and 4 Azithromycin 500mg tablets. Plus, a FREE “Test of Cure” with a pre-paid envelope to post in any post box to the lab, which is worth £45.

Webmed Pharmacy is the only online pharmacy to offer a free test kit to make sure you are clear of infection after treatment.

Our online treatment has been found to be very effective. However, online treatments are considered to be second line and not as effective as first line treatment.

Second line treatment consists of a combination of two different antibiotics taken orally, in a single dose.

For first line treatment you would need to visit a sexual health clinic or book an appointment with your GP as this involves having and injection in the buttocks or thigh.

Webmed are the only online pharmacy to offer a FREE “test of cure” to make sure you are clear of infection. It is a simple test, urine sample for men and a swab for women, returned to the lab in a pre-paid envelope, which can be posted in any post box.

Of all the many patients Webmed Pharmacy have supplied with medication for gonorrhoea, who have been tested after taking the treatment, we are proud to say we have a 100% success rate of clearing up the infection.

The online treatment for urogenital and rectal gonorrhoea is the same for both men and women. It involves taking the antibiotics Suprax (cefixime) and Azithromycin.

The combination of the two antibiotics Suprax (Cefixime) and Azithromycin taken as a single dose will treat urogenital and rectal gonorrhoea in both women and men.

Gonorrhoea can cause bleeding between periods and/or heavier periods but the treatment itself should not have an effect. In fact, once you have got rid of the infection your cycle should return to normal.

The first line treatment for gonorrhoea as recommended by the British Association for Sexual Health and HIV, BASHH, is an injection of Ceftriaxone, given into the buttock or the thigh. To receive the injection you will need to go to a sexual health clinic or make an appointment with your GP.

The second line treatment is a single dose of two different antibiotics tablets taken orally together. The antibiotics prescribed are 2 Suprax (cefixime) 200mg tablets and 4 Azithromycin 500mg tablets. Webmed Pharmacy is the only online pharmacy to offer a FREE “test of cure” to be done 14 days after taking the medication to make sure you are clear of infection.

We will ask you to complete a simple medical questionnaire to make sure the treatment is safe and suitable for you.

Gonorrhoea can be contracted by having unprotected sex with an infected person. If you are concerned that you have put yourself at risk then you should wait 14 days before taking a test as it may take this amount of time before the infection can be detected.

Gonorrhoea, is caused by the bacterium Neisseria gonorrhoea and is the second most common bacterial sexually transmitted infection (STI) in the UK.

The number of gonorrhoea diagnoses increased by 15% between 2012 and 2013. The infection is sometimes referred to as "The Clap". New diagnoses continued the sharp rise seen in recent years, exceeding 29,000 cases in England alone during 2013. Men and women can both be screened by using the test kits available from us and if necessary, can be supplied treatment after completing a short medical questionnaire. The treatment will be discreetly delivered the next day in a very convenient 1 hour time slot.

About 50% of women and 10% of men are unaware that they’re infected as they don’t experience any obvious symptoms and this means that the infection can go untreated until the disease has progressed. This can lead to serious long term health problems and infertility.

If symptoms are experienced, they usually occur about 10 days after being infected and the most common are listed below.

· Burning sensation/pain when urinating

· Inflammation of the foreskin

· An unusual discharge from the tip of the penis that may be green, yellow or white.

· Tenderness or pain in the testicles

· Burning sensation/pain when urinating

· Bleeding between periods and/or heavier periods

· A change in vaginal discharge which may be thick and green or yellow in colour.

· Lower abdominal discomfort

· Bleeding after sex

If you order a STI kit from us at Webmed Pharmacy by 4pm Monday to Friday, you will receive it the next working day delivered by DPD*, for all mainland UK except the Scottish Highlands. There is no additional cost for postage unless you wish it to be delivered on a Saturday or Sunday where there is a small charge of £4.

The kits are posted in discreet plain unmarked packaging with no indication of their contents. You will then send your sample, in the pre-paid envelope; to The Doctors Laboratory (TDL) in London or Manchester. They are the largest independent providers of clinical laboratory diagnostic services in the UK. Once the lab has received your sample, your results will be available 2-3 days later.

Please keep a record of the tracking number on the test kit before you return it to the lab so that we, and you, can monitor its progress. If you don't keep a record of it and it gets lost in the post then we can't replace it.

We will contact you by your chosen method, email or SMS to let you know that there is a message in your “in box” via your secure login at Webmed Pharmacy to get the results.

If your test is positive for Chlamydia we will ask that you complete a simple medical questionnaire that our Doctor can assess for your suitability and, if approved, be prescribed the oral antibiotics to treat the infection.

If positive for gonorrhoea we can signpost you to your nearest sexual health clinic or supply treatment if it’s suitable and safe for you.

If you or your partner have already tested positive for a STI by using a home test kit from another site or from visiting a sexual health clinic then you may still complete our simple medical questionnaire that our Doctor can assess for your suitability and, if approved, you can be prescribed oral antibiotics to treat the infection.

*For the Scottish Highlands, we use Royal Mail Special Delivery guaranteed by 1pm next day for most post codes. Full postal details are available if you go to the “Delivery” tab. **The Doctors Laboratory (TDL) www.tdlpathology.com

Our treatment pack for Gonorrhoea includes two antibiotics - Suprax (cefixime) and Azithromycin:

Download the Suprax Patient Information Leaflet
Download the Azithromycin Patient Information Leaflet