What medications are recommended for treating chlamydia infections during pregnancy?

The recommended medications for treating chlamydia infections during pregnancy include azithromycin and doxycycline. Azithromycin, administered as a single dose of 1 gram, is commonly used because it is effective and well-tolerated. Doxycycline, while effective, is generally avoided in pregnancy due to the potential risk of adverse effects on the developing fetus, particularly in the later stages of pregnancy. However, azithromycin remains the preferred option for treating chlamydia in pregnant individuals due to its efficacy and safety profile.

Other options provided are not appropriate for treating chlamydia. Amoxicillin and clotrimazole do not target chlamydia bacteria, and while trimethoprim and metronidazole are antibiotics, they are not the first-line treatments for this specific infection in pregnancy. Fields like cephalexin and nitrofurantoin are used for different types of bacterial infections, typically related to urinary tract infections, and are not effective for chlamydia. Thus, the focus remains on azithromycin, supporting its position as a safe and effective treatment for chlamydia during pregnancy.