Table 3.
Treatment of primary, secondary and early latent syphilis
| Drug | Dose, administration | Treatment duration | Level of evidence |
|---|---|---|---|
| Benzathine penicillin | 2.4 million units, IM | Single dose | Ib |
| Procaine penicillin | 600 000 units once daily, IM | 10–14 days | IIb |
| Alternatives | |||
| Doxycycline | 200 mg once daily, PO | 14 days | III |
| Tetracycline | 500 mg 4× daily, PO | 14 days | III |
| Erythromycin | 500 mg 4× daily, PO | 14 days | IV |
| Azithromycin* | 2 g, PO | Single dose | Ib |
| Ceftriaxone* | 500 mg once daily, IM | 10 days | Ib |
See the text