What would be a secondary treatment option for a male with Trichomonas?

In considering a secondary treatment option for a male with Trichomonas, the choice of Metronidazole 2 g once is particularly appropriate due to its efficacy against Trichomonas vaginalis, which is the causative agent of trichomoniasis. This medication is part of the first-line treatment for the condition, and the single-dose regimen of 2 grams is a convenient and effective option, ensuring adequate therapeutic levels to eradicate the infection.

While other options like albendazole and doxycycline have uses in treating various parasitic infections and bacterial STIs, respectively, they are not standard treatments for Trichomonas. Levofloxacin, an antibiotic primarily used for respiratory and urinary infections, would also not be effective against the parasite responsible for trichomoniasis.

Thus, the choice of Metronidazole 2 g once aligns with established clinical guidelines for treating Trichomonas and provides a reliable secondary treatment option for cases where initial treatments may not be suitable or have failed.