Syndromic management of STIs

Question 1

Suppressive therapy for recurrent genital herpes

Answer 1

Valacyclovir 500mg once daily

Question 2

Venereal wart management (at-home)

Answer 2

Podophyllotoxin 0.5% gel BID for 3 days in a row per week (for up to 4 weeks)
Imiquimod 5% cream at bedtime 3x per week (for up to 16 weeks)

Question 3

Before treating cervical warts…

Answer 3

• make sure the results of pap test known

- do not use TCA or podophyllin

Question 4

Venereal wart management (provider based)

Answer 4

Cryo, weekly podophyllin 10-20%, Trichloroacetic acid weekly