Cefixime
Treatment for Gonorrhea
Typical Dosage: 800 mg orally single dose
Effectiveness
88%
Safety Score
70%
Clinical Trials
10
Participants
20K
Comparative Safety Scale(Higher is safer)
Cyanideβ οΈ
Methπ
Cigarettesπ¬
Chemoβ’οΈ
AlcoholπΊ
Morphineπ
Antibioticsπ
Tylenolπ
Exerciseπ
Waterπ§
70
DangerousModerateSafe
Treatment Details
Dosage Range
800 mg orally single dose
Time to Effect
Rapid
Treatment Duration
Single oral dose
Evidence Quality
MODERATENumber Needed to Treat (NNT)
2(Treat 2 patients to see 1 additional successful outcome)
Confidence Score
75%confidence in effectiveness data
Health Economics
Annual Cost of Care
Drug Cost:$45
Monitoring:$350
Side Effect Mgmt:$5
Total Annual:$400
Cost-Effectiveness Analysis
Cost-Effectiveness Rating
MODERATEQALYs Gained
0.04
Outcome-Based Costs
Cost per Responder
$454.55
Cost per Remission
$454.55
Prescription Access Economics
Annual Societal Loss per Patient
$355
Cost of prescription-only barriers (visits, time, admin, price premium)
Physician Visit Cost
$300/year
Time Cost
$60/year
Travel + wait time
Insurance Admin Cost
$20/year
Prior auth, claims
Rx Price
$45/year
Potential OTC Price
$70/year
Estimated if OTC available
Early Treatment Benefit
+0.04 QALYs
From faster OTC access
Risk Assessment
Misuse Risk
LOWMissed Diagnosis Risk
MODERATECefixime Outcomes
for Gonorrhea
Efficacy Outcomes
Overall Effectiveness
+88%
Response Rate
+88%
Remission Rate
+88%
Common Side Effects
Diarrhea
+10%
Nausea
+5%
Abdominal pain
+5%
Headache
+2%
Sources:
WARNING: LIMITED TRIALS AVAILABLE
You can search for trials, but you probably can't join any because the 1% Treaty hasn't passed yet. Most trials are severely limited by lack of funding and bureaucratic barriers. Help change this!
Active Clinical Trials
1 active trial recruiting for Cefixime in Gonorrhea
Periodic Presumptive Treatment vs. doxyPEP for STI Control in Kenyan MSM
NCT06468462RECRUITINGPHASE4
2.9K participants
INTERVENTIONAL
Kisumu, Kenya +2 more
Started: Oct 29, 2025
Completed Clinical Trials
8 completed trials for Cefixime in Gonorrhea
The Pharmacokinetics of Extended Duration High-dose Cefixime for the Decreased Susceptibility of Neisseria Gonorrhoeae: A Phase I Pilot Study
NCT01949363COMPLETEDPHASE1
25 participants
INTERVENTIONAL
Baltimore, United States
Started: Dec 1, 2013
Cefixime / Azithromycin pK Study
NCT02708992COMPLETEDPHASE1
10 participants
INTERVENTIONAL
Durham, United States
Started: Apr 28, 2016
Cefixime Plus Doxycycline Compared to Ceftriaxone Plus Azithromycin for Treatment of Gonorrhoea
NCT06090565COMPLETEDPHASE4
161 participants
INTERVENTIONAL
Prague, Czechia +1 more
Started: Apr 1, 2021
Experimental Human Infection With Neisseria Gonorrhoeae
NCT03840811COMPLETEDPHASE1
27 participants
INTERVENTIONAL
Chapel Hill, United States
Started: Apr 23, 2017
Comparison of Efficacy of Two Combination Regimens for the Neisseria Gonorrhoeae and Chlamydia Coinfection
NCT05216744COMPLETEDPHASE2
125 participants
INTERVENTIONAL
Haiphong, Vietnam
Started: Jul 15, 2021
Efficacy of Immunization With 4C-MenB in Preventing Experimental Urethral Infection With Neisseria Gonorrhoeae
NCT05294588COMPLETEDPHASE2
65 participants
INTERVENTIONAL
Chapel Hill, United States
Started: Apr 18, 2022
Expedited Partner Therapy for MSM in Peru
NCT01720654COMPLETEDNA
165 participants
INTERVENTIONAL
Lima, Peru
Started: Aug 1, 2012
Washington State Community Expedited Partner Treatment (EPT) Trial
NCT01665690COMPLETEDPHASE4
33.2K participants
INTERVENTIONAL
Olympia, United States +1 more
Started: Jul 1, 2007