{"id":10697,"date":"2019-02-20T14:39:11","date_gmt":"2019-02-20T14:39:11","guid":{"rendered":"https:\/\/www.doctorfox.co.uk\/news\/?p=10697"},"modified":"2026-01-26T15:48:01","modified_gmt":"2026-01-26T15:48:01","slug":"azithromycin-for-chlamydia-no-longer-first-choice-treatment","status":"publish","type":"post","link":"https:\/\/www.doctorfox.co.uk\/news\/azithromycin-for-chlamydia-no-longer-first-choice-treatment\/","title":{"rendered":"Azithromycin no longer best treatment for chlamydia"},"content":{"rendered":"<p class=\"last-updated entry-meta colour-grey\"><small>Last updated 26 January 2026<\/small><\/p>\n<div class=\"wp-block-image\"><figure class=\"alignright\"><img decoding=\"async\" src=\"\/news\/wp-content\/uploads\/2019\/02\/azithromycin.jpg\" alt=\"Azithromycin pack photo\" style=\"min-width:100%;\"><figcaption><p>You can no longer buy azithromycin online for chlamydia infections from <abbr title=\"Doctor\">Dr<\/abbr> Fox.<\/p><\/figcaption><\/figure><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Guidelines about chlamydia treatment were updated September 2018.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A 7-day course of <a href=\"\/chlamydia\/doxycycline-antibiotics.html\">doxycycline<\/a> is now the recommended first line antibiotic for chlamydia infections.<\/strong><br> <a class=\"button button--no-padding mt_20 mb_10\" href=\"\/chlamydia\/doxycycline-antibiotics.html\">Doxycycline for chlamydia<span class=\"button--pill icon-cart\"><\/span><\/a><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Have you recently tested positive for chlamydia?<\/li>\n\n\n\n<li>Do you need help and advice regarding treatment?<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">If so, read on \u2013 we can help!<\/p>\n\n\n\n<!--more-->\n\n\n\n<h2 class=\"wp-block-heading\" id=\"chlamydia-the-facts\">Chlamydia &#8211; the facts<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><em>Chlamydia trachomatis<\/em> remains the most common bacterial Sexually Transmitted Infection (STI) in the UK.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>In 2017, there were 203,116 cases of chlamydia diagnosed in England (<a href=\"https:\/\/www.gov.uk\/government\/statistics\/sexually-transmitted-infections-stis-annual-data-tables\">STI annual data tables<\/a>).<\/li>\n\n\n\n<li>126,000 of these were in young people aged 15\u201324 (<a href=\"https:\/\/www.gov.uk\/government\/news\/new-data-reveals-420000-cases-of-stis-diagnosed-in-2017\">PHE data 2017<\/a>).<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Young people are particularly at risk from chlamydia complications. They have much to lose, especially because they often have <a href=\"https:\/\/www.fpa.org.uk\/factsheets\/sexually-transmitted-infections\">no symptoms<\/a>, hence they are often unaware they have the infection. They may have been infected for long periods of time before it is diagnosed. In addition, young people are likely to have not yet tried for a pregnancy, and their future fertility is extremely important.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The <a href=\"https:\/\/www.nhs.uk\/Service-Search\/Chlamydia-free-online-tests-for-u-25s\/LocationSearch\/344\">National Chlamydia Screening Programme<\/a> aims to test all young people under the age of 25. The service is free and confidential. <a href=\"https:\/\/www.nhs.uk\/Service-Search\/Chlamydia-free-online-tests-for-u-25s\/LocationSearch\/344\">Click here<\/a> to find out more about the programme and if it is available in your area.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Alternatively you can be tested at a <a href=\"https:\/\/www.nhs.uk\/Service-Search\/Sexual-health-services\/LocationSearch\/1847\">Sexual Health Clinic<\/a>, at your <a href=\"https:\/\/www.nhs.uk\/using-the-nhs\/nhs-services\/gps\/gp-appointments-and-bookings\/\">GP surgery<\/a>, or you may prefer to <a href=\"\/chlamydia\/postal-test-kit.html\">purchase a chlamydia test online<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"what-if-my-chlamydia-test-is-positive\">What if my chlamydia test is positive?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">If you test positive to chlamydia, here\u2019s the good news! Chlamydia can be successfully treated. This means that after proper treatment, the infection will have completely disappeared from your body.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">However, it is extremely important you get treated without delay.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">You need the right advice, the right medication, and the right support.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"why-is-chlamydia-treatment-so-important\">Why is chlamydia treatment so important?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">If you are diagnosed with chlamydia, it is vitally important you get the right treatment promptly. You must take the medication correctly, and also make sure you follow specific advice about what to do, and what not to do, while taking the medication.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In the UK, doctors and other healthcare providers are advised to follow the evidence based treatment recommendations for chlamydia, published by <a href=\"https:\/\/www.bashh.org\">The British Association of Sexual Health &amp; HIV<\/a> (BASHH). These recommendations were <a href=\"http:\/\/updateonthetreatmentofchlamydiatrachomatisinfectionfinal16918.pdf\" title=\"\">updated<\/a> in September 2018, and are outlined in this article.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Treating chlamydia promptly and effectively, will reduce the risk of long complications.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Leaving chlamydia untreated, or partially treated, may result in <a href=\"https:\/\/www.nhs.uk\/conditions\/chlamydia\/complications\/\">serious health problems<\/a>.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Chlamydial infection, causes intense inflammation within certain body tissues \u2013 which become, red, swollen, and then scar tissue may develop. A range of unpleasant <a href=\"https:\/\/www.nhs.uk\/conditions\/chlamydia\/symptoms\/\">symptoms<\/a>, can then develop, as well as certain medical conditions.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"long-term-complications-of-chlamydia-in-females\">Long term complications of chlamydia in females<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">In women, a chlamydia test may be positive from a swab or urine test even though you have no symptoms. In 70% of women who test positive, chlamydia symptoms are <a href=\"https:\/\/www.fpa.org.uk\/factsheets\/sexually-transmitted-infections\">absent<\/a>. If left untreated, the infection may persist and then affect the pelvic organs \u2013 the uterus (womb), the Fallopian Tubes and ovaries.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Over time, if untreated, the pelvic tissues become scarred, and the tubes may become blocked. This is called <a href=\"https:\/\/www.nhs.uk\/conditions\/pelvic-inflammatory-disease-pid\/\">Pelvic Inflammatory Disease (PID)<\/a>.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>PID is associated with <a href=\"https:\/\/www.nhs.uk\/conditions\/pelvic-pain\/\">chronic pelvic pain<\/a> and <a href=\"https:\/\/www.healthline.com\/health\/pelvic-inflammatory-disease-pid#risks\">painful sex<\/a>. It is also a major cause of <a href=\"https:\/\/ivi-fertility.com\/blog\/how-does-chlamydia-affect-fertility\/\">infertility<\/a> and <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3213855\/\">ectopic pregnancy<\/a><strong>.<\/strong><\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>An <a href=\"https:\/\/www.nhs.uk\/conditions\/ectopic-pregnancy\/\">ectopic pregnancy<\/a> is a pregnancy which implants outside of the uterus. Most often the pregnancy develops within the Fallopian Tube. This is dangerous because the developing pregnancy causes the tube to stretch as it grows, meaning the tube is at risk of rupture. If this does occur, this is a life threatening emergency.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Chlamydia can affect the liver in women \u2013 causing <a href=\"https:\/\/patient.info\/doctor\/infectious-disease\/fitz-hugh-curtis-syndrome\" title=\"\">perihepatitis<\/a><strong>.<\/strong><\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>If you get chlamydia while you are pregnant there is an increased risk of <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3322049\/\">miscarriage<\/a>, <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3115062\/\">premature delivery<\/a> and a <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4837252\/\">low birth weight baby<\/a>. Your baby is also at risk of developing a <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/20061763\">sticky eye<\/a>, and\/or <a href=\"https:\/\/www.healthychildren.org\/English\/health-issues\/conditions\/chest-lungs\/Pages\/Chlamydia-pneumoniae-Infections.aspx\">pneumonia<\/a>.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"long-term-complications-of-chlamydia-in-males\">Long term complications of chlamydia in males<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">In men, chlamydia can be diagnosed from a urine test or swab, even if you have no symptoms. In 50% of men who test positive, chlamydia symptoms are <a href=\"https:\/\/www.fpa.org.uk\/factsheets\/sexually-transmitted-infections\">absent<\/a>. However if untreated, because chlamydia also causes inflammation in the male genital tract, this may result in the following.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.healthline.com\/health\/std\/chlamydial-urethritis-male\">Urethritis<\/a> \u2013 pain within the penis and on passing urine, often with discharge<\/li>\n\n\n\n<li><a href=\"https:\/\/patient.info\/doctor\/epididymo-orchitis-pro\">Epididymo-orchitis<\/a> \u2013 painful, swollen testicles<\/li>\n\n\n\n<li><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5671967\/\">Prostatitis<\/a> \u2013 a painful, swollen, prostate gland<\/li>\n\n\n\n<li>Chlamydial infection also <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/29065772\">affects male fertility<\/a>. Semen is poorer quality, and as it is packed full of inflammatory cells, sperm have less ability to swim freely.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"long-term-complications-of-chlamydia-in-males-and-females\">Long term complications of chlamydia in males and females<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Chlamydia can affect the eye, and cause <a href=\"https:\/\/www.college-optometrists.org\/guidance\/clinical-management-guidelines\/conjunctivitis-chlamydial.html\">conjunctivitis<\/a><strong>. <\/strong>This is a major cause of blindness in under developed countries.<\/li>\n\n\n\n<li>Chlamydia also affect the joints, causing a painful arthritis called Sexually Acquired Reactive Arthritis (SARA).<\/li>\n\n\n\n<li><a href=\"https:\/\/www.everydayhealth.com\/rheumatic-diseases\/diagnosing-reiters-syndrome.aspx\">Reiter&#8217;s syndrome<\/a> is a medical condition which is often precipitated by an episode of chlamydial infection. Patients develop a triad of symptoms: urethritis, uveitis, and arthritis.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>If you are diagnosed with chlamydia, don\u2019t ignore it \u2013 you must seek help without delay.<\/strong><\/p>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity\"\/>\n\n\n\n<a id=\"bashh\"><\/a>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"what-are-the-new-recommendations-for-treating-chlamydia\">What are the new recommendations for treating chlamydia?<\/h2>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"alignright is-resized\" style=\"margin-left:40px;\"><a href=\"https:\/\/www.bashh.org\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/assets.doctorfox.co.uk\/news\/uploads\/2019\/02\/BASHH_Logo.jpg\" alt=\"British Association for Sexual Health and HIV logo\" class=\"wp-image-10698\" width=\"146\" height=\"176\" style=\"min-width:100%;\"><\/a><\/figure><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Chlamydia is a bacterial infection and is treated with antibiotics. The advice about how best to treat chlamydia was updated in September 2018 by the <a href=\"https:\/\/www.bashh.org\/guidelines\">British Association of Sexual Health &amp; HIV<\/a> (BASHH).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The <a href=\"https:\/\/www.bashhguidelines.org\/media\/1191\/update-on-the-treatment-of-chlamydia-trachomatis-infection-final-16-9-18.pdf\">updated advice<\/a> is summarised as follows &#8211;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"first-choice-chlamydia-treatment\">First line chlamydia treatment<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong><a href=\"\/chlamydia\/doxycycline-antibiotics.html\">Doxycycline 100mg<\/a>, twice a day, for 7 days.<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">If however you are <strong>pregnant or breastfeeding<\/strong>, you are not permitted to take doxycycline.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"second-choice-chlamydia-treatment\">Second line chlamydia treatment<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Azithromycin 1g, immediately, then 500mg each day, for 2 days.<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"alternative-chlamydia-treatment-options\">Alternative chlamydia treatment options<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The following are alternative possible options, if the first and second choice treatments are unsuitable:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Erythromycin 500mg, twice a day, for 10\u201314 days<\/strong><\/li>\n\n\n\n<li><strong>Ofloxacin 200mg, twice a day, for 7 days<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">These treatment options are not available from Dr Fox \u2013 please visit your GP or local Sexual Health or GUM clinic, or telephone <a href=\"https:\/\/111.nhs.uk\/\">NHS 111<\/a>.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"why-change-advice-about-chlamydia-treatment\">Why change advice about chlamydia treatment?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">In the past, chlamydia was often treated with a single dose of the antibiotic <a href=\"https:\/\/bnf.nice.org.uk\/drug\/azithromycin.html\" title=\"https:\/\/www.medicines.org.uk\/emc\/files\/pil.3034.pdf\">azithromycin<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Azithromycin was felt to be a good first choice, because taking just the 1mg dose results in very good antibiotic levels in the blood stream for several days, without the need to take further tablets.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Azithromycin taken as a single dose, was also ideal, because it was easier for patients to take all their treatment at once. The alternative treatment option, was a 7-day course of doxcycline, but in fact, many people never finish a 7-day course of antibiotics.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In a clinic setting, the doctor\/nurse would often watch you swallow the azithromycin tablets there and then, meaning this ensured the complete regime had been taken.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"what-s-changed\">What&#8217;s changed?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Having reviewed the up-to-date medical evidence, <em>The British Association of Sexual Health &amp; HIV<\/em> (BASHH) issued <a href=\"https:\/\/www.bashhguidelines.org\/media\/1191\/update-on-the-treatment-of-chlamydia-trachomatis-infection-final-16-9-18.pdf\">a statement<\/a> in September 2018, with new advice about treating chlamydia.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"in-summary\">In summary:<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">There is concern about <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4518511\/\">treatment failures from azithromycin<\/a>. Although it\u2019s difficult to be certain, one reason for this is because the chlamydia bacteria are becoming resistant to the antibiotic effect of azithromycin.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">There are also some additional, new factors to consider.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">3%\u201315% of those diagnosed with chlamydia, will also be infected with another organism called Mycoplasma genitalium. This infection has been known about for some time, but it is only recently that a commercial test has become available.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">New BASHH 2018 Guidelines, were recently issued about testing for M. Genitalium in the UK, but testing is not yet available in the majority of sexual health clinics.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">To address this problem, it is important that any antibiotic used to treat chlamydia, is likely to also treat mycoplasma.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Mycoplasma is frequently resistant to azithromycin and other similar, related antibiotics.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">It is not uncommon for women who have had chlamydia diagnosed from the cervix\/vagina, to <strong>also have chlamydia in their rectum<\/strong> \u2013 <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/27235696\">even in the absence of having anal sex<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This could be due to finger spread, or simply be because after sex, infected sperm drips down the genital area towards the anus and rectum.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The single dose azithromycin regime has been shown to be ineffective at treating rectal chlamydia. This is important as if the infection is not properly treated, chlamydia may remain in the rectum, and act as a reservoir for further infections.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Doxycycline for 7 days, is however an effective treatment for rectal chlamydia. By using doxycycline as a first choice in anyone testing positive for chlamydia at any site, this has the additional benefit that it will cover a rectal chlamydia infection, if this is inadvertently present.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If you are known to have rectal chlamydia, you should take a 7-day course of doxycycline, and then also have a test of cure (repeat chlamydia test), no sooner than 3 weeks after finishing treatment.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">It is important to <strong>wait for 3-5 weeks after completing treatment before you are retested<\/strong>, as the test detects dead organisms, and you may still test positive in the immediate weeks after treatment. If tested too early, this may cause confusion if the tests is still positive, but is likely to be a false positive test.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">It is not routine practice to test for chlamydia in the rectum. This is usually only done if there are rectal symptoms, high risk anal sex, or sexual assault.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"follow-treatment-advice-make-sure-chlamydia-is-properly-treated\">Follow treatment advice \u2013 make sure chlamydia is properly treated<\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Take the antibiotic treatment given to you, as directed, and without delay.<\/li>\n\n\n\n<li>Do not miss out doses.<\/li>\n\n\n\n<li>Finish the course.<\/li>\n\n\n\n<li>No sex on treatment \u2013 not even sex with a condom. This is because the condom does not give 100% protection from STI\u2019s and it is still possible, until the full 7 days have elapsed, to transmit the infection, or become reinfected.<\/li>\n\n\n\n<li>Any current <a href=\"https:\/\/www.yorsexualhealth.org.uk\/sexually-transmitted-infections-stis\/Chlamydia\/what-about-sexual-partners\/\">sexual partners<\/a> should be treated as they are contacts. This applies to all sexual partners in the past 3 months.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">However, the sexual partner may opt to be tested for chlamydia and wait for their results. If they do this, there should be no sexual activity while waiting to be tested, until their results are available, and then for the time period to complete treatment, if they test positive.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In many ways, including the fact no tests are 100% accurate, it is preferable for both of you to be treated, and the easiest option, is to take your antibiotics both at the same time. This is called <a href=\"https:\/\/patient.info\/doctor\/chlamydial-genital-infection\">epidemiological treatment<\/a>, and is good medical practice.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If all the tablets were taken correctly and there has been no sex on treatment, there is no need to repeat the chlamydia test (test of cure).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">However <a href=\"\/chlamydia\/postal-test-kit.html\">a test of cure<\/a> should be performed if:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>there is chlamydia in the rectum,<\/li>\n\n\n\n<li>it chlamydia is treated in pregnancy,<\/li>\n\n\n\n<li> it chlamydia is treated with erythromycin,<\/li>\n\n\n\n<li>if you have symptoms when diagnosed with chlamydia, and these symptoms have not resolved, or<\/li>\n\n\n\n<li>if any of the rules about taking treatment were not followed.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">If a test of cure is taken, you should wait at least 3-5 weeks from completing treatment to do the test.<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>All patients with a positive chlamydia test, and any contacts are recommended to have a full STI screen, including <a href=\"https:\/\/www.nhs.uk\/conditions\/hiv-and-aids\/diagnosis\/\">an HIV test<\/a>.<\/li>\n\n\n\n<li>HIV positive patients who test positive to chlamydia are treated in the same way.<\/li>\n\n\n\n<li>Do continue taking your usual method of contraception \u2013 for example \u2013 there is no need to stop taking your pill while you are on treatment.<\/li>\n\n\n\n<li>Young people aged 25 and under are advised to have another chlamydia test in 3\u20136 months.<\/li>\n\n\n\n<li>If you are female, and test positive to chlamydia, and have symptoms suggestive of <a href=\"https:\/\/www.nhs.uk\/conditions\/pelvic-inflammatory-disease-pid\/\">PID<\/a> such as lower abdominal\/pelvic pain, pain having sex, or bleeding during or after sex \u2013 the treatment regime is different. You must see a doctor for an assessment and they will give you further advice.<\/li>\n<\/ol>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"taking-doxycycline-to-treat-chlamydia\"><strong>Taking doxycycline to treat chlamydia<\/strong><\/h3>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignright\"><img decoding=\"async\" src=\"https:\/\/www.doctorfox.co.uk\/imgs-products\/doxycycline.jpg\" alt=\"\"\/><\/figure>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\">Dose: <a href=\"https:\/\/www.medicines.org.uk\/emc\/files\/pil.13082.pdf\" title=\"\">Doxycycline<\/a>, one 100mg capsule twice a day for 7 days.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Your doctor or other health professional will assess your suitability for doxycycline \u2013 or an alternative.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"taking-doxycycline\">Taking doxycycline<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Swallow the capsules whole \u2013 do not break, chew, or crush the capsules.<\/li>\n\n\n\n<li>If you take it with food you are less likely to feel sick.<\/li>\n\n\n\n<li>Stay upright while swallowing it \u2013 ie standing, or sitting \u2013 not lying down.<\/li>\n\n\n\n<li> The most common side effects are headaches, and nausea.<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"special-precautions\">Special precautions<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Stay out of sunlight while taking the tablets as it\u2019s possible to get skin rashes.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Do not take doxycycline if:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>You are under 12 years old as it can stain your teeth.<\/li>\n\n\n\n<li>You are pregnant.<\/li>\n\n\n\n<li>You are allergic to it.<\/li>\n\n\n\n<li>You have kidney or liver disease.<\/li>\n\n\n\n<li>Or if you have\n<ul class=\"wp-block-list\">\n<li>Oesophagitis<\/li>\n\n\n\n<li>Lupus<\/li>\n\n\n\n<li>Myasthenia gravis<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Do not drink alcohol with doxcycline.<\/p>\n\n\n\n<p><a class=\"button button--no-padding\" href=\"\/chlamydia\/\">Chlamydia treatment <span class=\"button--pill icon-cart\"><\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">It is now possible to purchase a <a href=\"\/chlamydia\/doxycycline-antibiotics.html\">7-day course of doxycycline<\/a> from Dr Fox online. This is safe, quick and convenient. In the light of this new advice, Dr Fox has now discontinued selling single dose 1g azithromycin for chlamydia infection but offers a 3 day course for those allergic or intolerant to doxycycline.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"any-further-advice\">Any further advice?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">You may <strong>feel very distressed<\/strong> after an STI diagnosis, and need psychological support. The <a href=\"https:\/\/www.nhs.uk\/Service-Search\/Sexual-health-information-and-support\/LocationSearch\/734\">Sexual Health Advisor<\/a> at your local Sexual Health Clinic is there to help you.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The most important thing about being diagnosed with chlamydia \u2013 is to try not to get it again! Find out more about how to <a href=\"https:\/\/www.bashh.org\/public\/safer-sex-advice\/\">practice safer sex<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Always <strong>check that any new partner has been tested <\/strong>before you have any sexual contact. If this isn\u2019t possible, at least <strong>use barrier contraception<\/strong> \u2013 <a href=\"https:\/\/sexwise.fpa.org.uk\/stis\/how-use-condoms\">a condom<\/a> (male and female condoms are available free of charge from sexual health clinics) \u2013 before each and every sexual encounter.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Do remember however that although <strong>condoms greatly reduce the risk of transmitting STI\u2019s<\/strong>, they do not remove the risk completely, and even couples who always use condoms, can get STI\u2019s. It\u2019s very important to get tested for STI\u2019s preferably before you have sex with any new partner.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Last updated 26 January 2026 You can no longer buy azithromycin online for chlamydia infections from Dr Fox. Guidelines about chlamydia treatment were updated September 2018. A 7-day course of doxycycline is now the recommended first line antibiotic for chlamydia infections. Doxycycline for chlamydia If so, read on \u2013 we can help!<\/p>\n","protected":false},"author":1,"featured_media":10710,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[27,19],"tags":[],"class_list":["post-10697","post","type-post","status-publish","format-standard","has-post-thumbnail","category-chlamydia","category-sexual-health"],"acf":[],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 4.9.9 - aioseo.com -->\n\t<meta name=\"description\" content=\"UK guidelines for chlamydia treatment updated Sept 2018. 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A 7-day course of doxycycline now recommended antibiotic for chlamydia infections - available to buy online.","og:url":"https:\/\/www.doctorfox.co.uk\/news\/azithromycin-for-chlamydia-no-longer-first-choice-treatment\/","article:published_time":"2019-02-20T14:39:11+00:00","article:modified_time":"2026-01-26T15:48:01+00:00","twitter:card":"summary","twitter:title":"Azithromycin no longer first choice treatment for chlamydia - Dr Fox","twitter:description":"UK guidelines for chlamydia treatment updated Sept 2018. A 7-day course of doxycycline now recommended antibiotic for chlamydia infections - available to buy online."},"aioseo_meta_data":{"post_id":"10697","title":"Azithromycin no longer first choice treatment for chlamydia - Dr Fox","description":"UK guidelines for chlamydia treatment updated Sept 2018. 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