Right Decisions
DGRefHelp - NHS Dumfries & Galloway
Sexual health
Sexually transmitted infections (STIs)
Back
Syphilis
Preparation Instructions for Extencilline 2.4MU

Please update your RDS mobile app to version 4.7.1

We are pleased to advise that deep linking capability, enabling users to directly download individual mobile toolkits, has now been released on the RDS mobile app. When you install the update, you will see that each toolkit has a small QR code icon the header area beside the search icon – see screenshot below. Clicking on this icon will open up a window with a full-size QR code and the alternative of a short URL for sharing with users. Instructions are provided.

You may need to actively install the update to install RDS app version 4.7.1 to see this improvement. Installing this update is also strongly recommended to get the full benefits of the new contingency arrangements – specifically, that if the RDS website should fail, you will still be able to download new mobile app toolkits.

To check your current RDS version, click on the three dots bottom right of the RDS app screen. This takes you to a “More” page where you will see the version number. To install latest updates:

On iPhones – go to the Apple store, click on your profile icon top right, scroll down to see the apps waiting to be updated and update the RDS app.

On Android phones – these can vary, but try going to the Google Play store, click on your profile icon top right, click on “Manage apps and device”, select and update the RDS app.

Please get in touch with ann.wales3@nhs.scot with any questions.

Preparation Instructions for Extencilline 2.4MU

DGRefHelp - NHS Dumfries & Galloway

NHS Dumfries and Galloway

To reduce the pain experienced by patients receiving benzathine and procaine penicillin injections, 1% lidocaine (lignocaine) can be used as an alternative diluent to water for injections (unlicensed indication).

Benzathine Dose: 2.4 Mega units IM weekly for up to 3 weeks.
Presentation: Powder for suspension for injection.
Reconstitute the vial with 8 ml of 1% lidocaine hydrochloride BP solution. Split the resultant suspension into two equal volumes.
The suspension should be administered by deep intramuscular injection in two different sites.

Contraindications

Allergy to penicillin or lignocaine.
Concomitant anticoagulant therapy.
Bleeding diathesis (e.g. Haemophilia).

Precautions
For patients with penicillin allergy, cross reactivity to other beta-lactams such as cephalosporins should be taken into account.

Last reviewed: 30/09/2022

Next review date: 30/09/2024

Author(s): West of Scotland Managed Clinical Network in Sexual Health Clinical Guidelines Group .

Version: 7.1

Approved By: West of Scotland Managed Clinical Network in Sexual Health