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Phac considers the higher doses of cefixime and ceftriaxone safe for use in pregnant women with gonorrhea.

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the antibacterial effect of cefixime results from inhibition of mucopeptide synthesis in the bacterial cell wall.

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single-dose cephalosporin regimens other than ceftriaxone 125 mg im and cefixime 400 mg orally that are safe and highly effective against uncomplicated urogenital and anorectal gonococcal infections include ceftizoxime 500 mg, administered im , cefoxitin 2 g, administered im with probenecid 1 g orally , and cefotaxime 500 mg, administered im .
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