Hi Shannoni treat lots of rectal CT and use Azithromycin 1 gram given in the office. I have had one patient recently with refractory rectal CT that in spite of being treated twice without cure and him denying any new sexual contact I treated with Doxy and he cleared. Patients who have had rectal pain I go to Doxy right away and always considering that if it's LGV Doxy for 21 days is needed. CDC recommends either Azithro 1 gm, or Doxy 100mg bid for 7 days as treatment for uncomplicated rectal CT.
I will await other opinions to see what others do.
---1231 were treated with azithromycin and 249 treated with doxycycline.---407/1231 of azithromycin group re-tested AND 88 still had the infection---95/249 of doxycycline group re-tested AND 8 still had the infection.