Syphilis Treatment Online

Yes. Syphilis can be cured with appropriate antibiotics. Penicillin G is the preferred treatment. Treatment can eliminate the infection, but it may not reverse damage caused by advanced syphilis.

Start your syphilis treatment evaluation online with a licensed healthcare provider. Your provider can review your symptoms, exposure, test results, and treatment history. The medication most commonly used to treat syphilis is given by injection, so treatment usually requires an in-person visit even when the initial evaluation takes place online.

Penicillin G is the preferred syphilis medication. For primary, secondary, and early latent syphilis, the standard treatment for most adults is benzathine penicillin G given as an intramuscular injection. The exact treatment depends on the stage of infection and whether there is neurologic, eye, or ear involvement.

Yes. Penicillin is the preferred antibiotic for syphilis and has been used successfully for decades. The specific form of penicillin, dose, and length of treatment depend on the stage and clinical presentation of the infection.

Penicillin G is the preferred antibiotic. Some nonpregnant people with a penicillin allergy may be treated with an alternative antibiotic such as doxycycline, depending on the stage of infection and their medical history. Alternative treatment requires appropriate follow-up and should be selected by a healthcare provider.

It depends on the stage. Primary, secondary, and early latent syphilis are generally treated in adults with one 2.4-million-unit intramuscular dose of benzathine penicillin G. Late latent syphilis or syphilis of unknown duration is generally treated with three 2.4-million-unit injections, given one week apart. Other forms of syphilis require different treatment.

Standard oral penicillin preparations are not recommended as substitutes for the injectable penicillin regimens used to treat syphilis. Do not use leftover antibiotics or try to choose a syphilis treatment based only on the medication name. The correct treatment depends on the stage of infection.

No. There is no over-the-counter medicine that cures syphilis. Syphilis requires evaluation and appropriate antibiotic treatment. OTC products may temporarily relieve individual symptoms, but they do not eliminate the infection.

Appropriate antibiotic treatment can cure the infection. However, treatment does not make you immune to syphilis. You can become infected again after treatment if you are exposed to the bacteria again. Follow-up blood testing helps your healthcare provider evaluate your response to treatment.

Possibly. Treatment may be recommended even before a positive blood test in some situations. For example, recent sexual partners of someone diagnosed with primary, secondary, or early latent syphilis may need presumptive treatment based on when the exposure occurred. A healthcare provider can determine whether testing, immediate treatment, or both are appropriate.

The timing depends on the stage of syphilis. For primary and secondary syphilis, clinical and blood-test follow-up is generally recommended at 6 and 12 months. Latent syphilis generally requires testing at 6, 12, and 24 months. Your provider may recommend a different schedule based on your medical history and risk of reinfection.

Some nonpregnant patients may be candidates for alternative antibiotics, depending on the stage of syphilis and their ability to complete follow-up. Pregnant patients with syphilis should receive penicillin because it is the only treatment with documented effectiveness for treating fetal infection and preventing congenital syphilis. Patients with a penicillin allergy may need penicillin desensitization before treatment.

Yes, and treatment should not be delayed. Penicillin G is the recommended treatment during pregnancy and is the only known effective antimicrobial for treating fetal infection and preventing congenital syphilis. A pregnant patient with syphilis should receive coordinated prenatal and syphilis care. Patients with a penicillin allergy may need desensitization so they can receive penicillin.

Get in-person evaluation when syphilis may involve the nervous system, eyes, or ears. Symptoms such as vision changes, hearing loss, severe headache, confusion, weakness, numbness, or other neurologic changes need additional evaluation. Pregnancy, suspected tertiary syphilis, complicated treatment histories, and certain medication allergies may also require specialist or in-person care.