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Antibiotics & STI Treatment treatments

Explore information about Antibiotics & STI Treatment. An independent doctor decides whether a prescription is appropriate. Dispensing and delivery depend on a valid prescription, the available route and an independent licensed pharmacy.

About antibiotics and STI treatments

Sexually transmitted infections (STIs) and other community-acquired bacterial infections account for a significant share of European primary-care antibiotic prescribing. Chlamydia trachomatis is the most frequently reported bacterial STI in the EU, with the European Centre for Disease Prevention and Control (ECDC) reporting hundreds of thousands of confirmed cases annually. Gonorrhoea and syphilis incidence has also risen across many member states in recent years.

Current European guidance recommends doxycycline (100 mg twice daily for seven days) as first-line treatment for uncomplicated chlamydia. Azithromycin (single 1 g dose) is an alternative in selected circumstances, not an interchangeable first-line option. Gonorrhoea is generally treated with ceftriaxone in a clinical setting; alternatives such as cefixime require an individual assessment against current guidance. Erythromycin, azithromycin and ofloxacin are not general substitutes: the infection, pregnancy status, contraindications and antimicrobial resistance determine the appropriate treatment. These examples are not instructions for self-treatment.

Beyond STIs, broad-spectrum antibiotics such as amoxicillin and doxycycline are also prescribed for selected respiratory, skin, and urinary tract infections — always following clinical assessment that confirms a bacterial cause and rules out simpler symptomatic management.

All antibiotic prescribing on Prescrivia is decided by independent doctors. Patients are encouraged to discuss partner notification, retesting, and prevention as part of any STI consultation.

Prescrivia is a technology intermediary. It does not provide medical services, prescribe, employ doctors, or sell or dispense medicines. Licensed pharmacies are responsible for dispensing. An assessment does not guarantee a prescription.

Availability, dispensing and delivery depend on the country, clinical assessment, pharmacy and applicable law. A Spanish-language page does not establish eligibility for supply in Spain.

Frequently asked questions

What conditions are covered under antibiotics and STI treatment?
This category covers bacterial infections that may be treated with prescription antibiotics following independent doctor review, including sexually transmitted infections (chlamydia, gonorrhoea, syphilis, non-gonococcal urethritis), uncomplicated urinary tract infections, and selected respiratory or skin infections. Suspected serious infections require in-person evaluation.
Can antibiotics be prescribed online?
Antibiotics are prescription-only medicines in all EU member states and require a clinical assessment before prescribing. Through Prescrivia, an independent doctor reviews your assessment and may issue a prescription where treatment is clinically appropriate. The doctor may also decline to prescribe if in-person evaluation, swab testing, or partner notification is needed first.
Are STI treatments confidential?
See the Privacy Policy for data recipients, service providers, and safeguards.
When does antibiotic treatment require in-person assessment?
Severe symptoms (high fever, sepsis signs, vomiting), suspected pelvic inflammatory disease, treatment failure after a full course, recurrent infections, pregnancy, complex drug interactions, or symptoms requiring swab/blood testing all warrant in-person evaluation rather than online prescription.
Why is antibiotic stewardship important?
Inappropriate antibiotic use drives bacterial resistance and reduces the effectiveness of these medicines for everyone. Independent doctors prescribe in line with European antimicrobial stewardship guidance: only when clinically indicated, at the right dose, and for the shortest effective duration.

Intermediary notice: Prescrivia connects patients with independent doctors and licensed pharmacies. We do not provide medical advice, employ doctors, or sell medicines. All medical decisions are made by independent healthcare professionals, and prescription-only medicines require a valid prescription. Treatment is not guaranteed — whether a prescription is issued depends on an independent doctor's clinical assessment.

Written by Prescrivia Editorial. Medical information sourced from European Medicines Agency (EMA), European Centre for Disease Prevention and Control (ECDC), World Health Organization (WHO), and published clinical data.

Clinical and language review of this edition is pending.

This content is informational only and does not constitute medical advice.

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Prescrivia is not a doctor or pharmacy — it is a technology platform. Any prescription decision is made by an independent doctor; medicines are dispensed by licensed pharmacies only where available.