Message ID:  1010 Public Message Priority:  Advisory

Idaho Health Alert Network
Health Message Details

From:   Health District 7 - Eastern Idaho Public Health (PHD7)
Sent:   1/30/2013 9:55:45 AM
To:   District Director (PHD7), Epidemiologist (PHD7), Family Health Director (PHD7), Community Health Director (PHD7), Environmental Health Director (PHD7), BT Program Manager (PHD7), Immunization Program Coordinator (PHD7), Food Program Coordinator (PHD7), Public Information Officer (PHD7), Primary Care Provider (PHD7), Specialist, Non-Primary Care (PHD7), Nurse (PHD7), Other Medical (PHD7), Veterinarian (PHD7), Dentist (PHD7), Pharmacy (PHD7), Other Agency/Business (PHD7), First Responder (PHD7), Political (PHD7), Other Public Health (PHD7), Media (PHD7), Board of Health (PHD7), Cardiology (PHD7), City Clerks (PHD7), Contract Physcians / Pharmacists (PHD7), County Clerks (PHD7), County Commissioners (PHD7), Dermatology (PHD7), Emergency Medicine (PHD7), Family Medicine (PHD7), Gastroenterology (PHD7), General Practice (PHD7), Hospital Administration (PHD7), Internal Medicine (PHD7), Laboratories (PHD7), Legislators (PHD7), Licensed Practical Nurse (PHD7), Mayors (PHD7), Medical Assistants (PHD7), Medical Reserve Corp (PHD7), Mental Health (PHD7), Military Public Health (PHD7), Neighboring Out-of-State Jurisdictions (PHD7), Neurology (PHD7), Nurse Practitioner (PHD7), Nursing Homes (PHD7), OB / GYN (PHD7), Oncology (PHD7), Ophthalmology (PHD7), Orthopedics (PHD7), Other (PHD7), Pathology (PHD7), Pediatrics (PHD7), Physician Assistant, Primary Care (PHD7), Podiatry (PHD7), Psychiatry / Psychology (PHD7), Public Health Nurse (PHD7), Pulmonary (PHD7), Radiology (PHD7), Registered Nurse (PHD7), Satellite Offices (PHD7), Surgeons (PHD7), Urology (PHD7), Ambulance Services (PHD7), Animal Control (PHD7), Coroners (PHD7), Emergency Department Administration (PHD7), Emergency Managers (PHD7), Emergency Medical Services (PHD7), Fire Departments (PHD7), HAZMAT (PHD7), Infection Control Practitioners (PHD7), Law Enforcement (PHD7), Administration (PHD7), Nurses (PHD7), School (PHD7), Assisted Living Facilities (PHD7), Businesses (PHD7), Chamber of Commerce (PHD7), Correctional Facilities (PHD7), Day Care Facilities (PHD7), Institutions of Higher Learning (PHD7), Morticians (PHD7), Newspapers (PHD7), Radio (PHD7), Television (PHD7), Infectious Disease Physician (PHD7)
Subject:   Doxycycline Shortage

PHIN Specific Data
Severity: Minor Delivery Time: 15 Minutes
PHIN Status: Actual Message Type: Alert
Sensitivity: Non Sensitive Acknowledgement: No

 

Doxycycline Shortage


The Food and Drug Administration (FDA) reported a shortage of doxycycline on January 18, 2013. Doxycycline is a recommended therapy for some sexually transmitted infections and syndromes including chlamydia, nongonococcal urethritis, epididymitis and pelvic inflammatory disease.  It is also an alternative therapy for syphilis in patients with a penicillin allergy. Doxycycline tablets/capsules are currently available in limited supplies. For additional information about the availability of doxycycline, visit the FDA Drug Shortage Website. Other CDC recommended and additional alternative regimens are listed below and outlined in the 2010 STD Treatment Guidelines.


Chlamydia and Nongonococcal urethritis
Azithromycin 1 g orally in a single dose


Gonorrhea
Ceftriaxone 250 mg IM in a single dose
PLUS
Azithromycin 1 g orally in a single dose


Syphilis (penicillin allergic)


Primary or secondary syphilis
Tetracycline 500 mg orally four times daily for 14 days


Late latent syphilis
Tetracycline 500 mg orally four times daily for 28 days


Epididymitis
Ceftriaxone 250 mg IM in a single dose
PLUS
Tetracycline 500 mg four times daily for 10 days


Pelvic Inflammatory Disease*
Ceftriaxone 250 mg IM in a single dose
PLUS
Clindamycin 450 mg orally four times daily for 14 days
WITH OR WITHOUT
Metronidazole 500 mg orally twice a day for 14 days


*see STD Treatment Guidelines for additional regimens


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