If you were diagnosed with Tularemia, please discuss your treatment with streptomycin or gentamicin.
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What is the treatment for tularemia?
Tularemia is treated with a drug called streptomycin. The drug is given intramuscularly, twice a day, for one to two weeks. Gentamicin is an alternative drug and may be given intravenously. Neither of these drugs is effective against meningitis because they do not penetrate from the bloodstream into the brain. In tularemic meningitis, it may be necessary to put gentamicin directly into the fluid that bathes the brain.
The oral medications doxycycline (Vibramycin) or tetracycline (Sumycin) may work but are less effective than streptomycin. The disease may relapse after treatment with these pills. Other drugs, such as ciprofloxacin (Cipro), are effective in the test tube but have not been widely used in patients. However, one outbreak in Spain with 142 patients showed good clinical outcomes with ciprofloxacin; fluoroquinolones may be useful in treating tularemia if additional studies show clinical effectiveness.