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. 2013 Aug 27;30(4):203–210. doi: 10.5114/pdia.2013.37029

Table 4.

Treatment of late latent syphilis and syphilis of unknown duration

Drug Dose, administration Treatment duration Level of evidence
Benzathine penicillin 2.4 million units 1× week, IM 3 consecutive weeks III
Procaine penicillin 600 000 units once daily, IM 17–21 days III
Alternatives
Doxycycline 200 mg once daily, PO 21–28 days IV
Tetracycline 500 mg 4× daily, PO 28 days IV
Erythromycin 500 mg 4× daily, PO 28 days IV