The most effective remedy for treating syphilis is benzatine penicillin, which should always be administered by injection and the dose varies depending on the stage of the disease.
In case of allergy to this medicine, other antibiotics such as tetracycline, erythromycin or ceftriaxone may be used, but penicillin is the most effective drug and is always the first choice. Before trying another antibiotic, you should choose to desensitize to penicillin in order to treat with the same medicine. Desensitization involves the application of small doses of penicillin until the body can refuse this medicine.
The treatment program should be done in accordance with your doctor’s instructions, but may include:
Doxycycline, 100 mg 2 times daily or
Tetracycline, 500 mg 4x/day or both for 14 days
2 injections of 1,200,000 IU of benzyine penicillin in two different places in the body.
Crystalline Penicillin G 100 to 150,000 IU / kg / EV / day, in 2 doses during the first week of life or in 3 doses for babies between 7 and 10 days; o Penicillin G Procaine 50,000 IU/kg/IM, once a day for 10 days;
o Penicillin G Benzatina – 50,000 IU/kg/IM, single dose
The test to see if the person is allergic to penicillin involves rubbing a small amount of this medicine into the skin and seeing if the place shows signs of reaction such as redness or itching. If these signs are present, the person is allergic.
This test should be done by a nurse in a hospital and usually done on the skin of the forearm.
Penicillin desensitization is indicated in cases of allergy to this medicine, especially in the treatment of syphilis during pregnancy and the treatment of neurosyphilis. This elimination of penicillin sensitivity should be done in the hospital and the use of pills is the safest way.
There is no indication for the use of antihistamines or steroids before taking penicillin as these medications do not prevent anaphylactic reaction and may mask your first signs by delaying treatment.
Immediately after the procedure, penicillin treatment should be initiated. If the person spends more than 28 days without any contact with this medicine, if necessary, re-check the signs of allergy and if they are present, desensitization should be resumed.
After the injection, symptoms such as fever, chills, headache, muscle and joint pains may occur 4 to 24 hours after the injection. To control these symptoms, your doctor may recommend taking an analgesic or antipyretic.
Syphilis cannot be treated with penicillin for Stevens-Johnson syndrome, toxic epidermal necrolysis and exfoliative dermatitis. In these cases, syphilis should be treated with other antibiotics.
Also watch the video below and find out what the disease is all about: