Azithromycin is a widely used antibiotic that helps treat various bacterial infections. It is available in 250 mg and 500 mg doses and is commonly prescribed for respiratory infections, throat infections, ear infections, and certain sexually transmitted diseases.

Azithromycin works by stopping the growth of bacteria in the body. While effective, it may cause side effects like nausea or stomach upset. It is important to take the full course as advised by your doctor.

What is Azithromycin?

Azithromycin is an antibiotic effective against bacterial infections, including bronchitis, pneumonia, and infections of the skin, throat, sinuses, lungs, ears, and reproductive organs.

Azithromycin Tablet Uses

Azithromycin is an effective antibiotic used to treat a wide range of bacterial infections. It helps by stopping the growth of bacteria, allowing the body to recover. It is known for its convenient dosing schedule and is often prescribed when a short treatment course is preferred.

Conditions Azithromycin Tablet Treats

  • Throat infections (like tonsillitis and pharyngitis)
  • Ear infections (otitis media)
  • Respiratory infections (such as bronchitis and pneumonia)
  • Skin infections
  • Sinus infections
  • Sexually transmitted infections (like chlamydia)

Secondary Uses of Azithromycin

  • Used in combination therapy for certain types of malaria
  • May be prescribed for dental infections
  • Sometimes used for preventive treatment in people with weakened immune systems.

How Does Azithromycin Work?

Azithromycin is an antibiotic that works by stopping the growth of bacteria. It does this by blocking the bacteria's ability to make proteins, which are essential for their survival and multiplication. Without these proteins, the bacteria can't grow or spread, allowing your body's immune system to fight off the infection more effectively.

Azithromycin is especially useful because it'stays in the body for a longer time, which means fewer doses are needed compared to other antibiotics.

Azithromycin Dosage

Azithromycin is commonly taken once daily, with or without food. The dosage depends on the type and severity of the infection. For adults, a typical dose is 500 mg on the first day, followed by 250 mg once daily for the next 4 days. Your doctor may adjust the dose based on your condition, so always follow medical advice closely.

What Should I Do If I Miss a Dose?

If you forget to take a dose, take it as soon as you remember. If it's almost time for your next dose, skip the missed one. Do not double the dose to make up for the missed one.

What Happens If There Is an Overdose?

Taking too much azithromycin can lead to increased side effects or serious complications. If an overdose is suspected, seek medical help right away.

Symptoms of Overdose

  • Severe nausea or vomiting
  • Diarrhea
  • Stomach pain
  • Hearing problems
  • Irregular heartbeat

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What are the Side Effects of Azithromycin?

Azithromycin is generally well tolerated, but some people may experience side effects. Most are mild and go away on their own.

Common Side Effects

Serious but Rare Side Effects

  • Severe allergic reaction (rash, swelling, breathing difficulty)
  • Liver problems (yellowing of skin or eyes)
  • Irregular heartbeat or chest pain
  • Hearing changes (such as ringing in the ears)

If you notice any serious side effects, contact your doctor immediately. You can visit our General Medicine department for proper evaluation and treatment of side effects.

How to get rid of the side effects?

  • Nausea:Avoid eating spicy foods while taking Azithromycin. Try to have simple meals.
  • Diarrhea or Vomiting:Try drinking enough water to avoid dehydration. Drink a small sip of warm water if you're sick. Avoid using any other types of medicine for the treatment of diarrhea and vomiting.
  • Loss of appetite:Eat small meals every 2-3 hours.Try having nutritious snacks which are high in calories and protein.
  • Headaches:Drink plenty of water. If you are facing a severe headache, ask your doctor to prescribe you with pain killers.

Dizziness or Tiredness

  • Rise and sit'slowly if you feel dizzy while standing; lying down may further alleviate the symptoms.
  • Avoid smoking and alcohol consumption to manage dizziness effectively.
  • Azithromycin is utilised for lung infections in HIV patients.
  • Specifically, Azithromycin is prescribed for children to address ear and chest infections.
  • Azithromycin is available in various forms: Tablets | Capsules | Syrup | Eye drops

Precautions and Warnings

While azithromycin is effective and generally safe, its important to use it only under a doctors supervision. Certain individuals should avoid it or use it with caution to prevent complications.For medical advice and risk assessment, consult our General Medicine team at Medicover Hospitals

Who Should Avoid This Medicine?

  • People with a known allergy to azithromycin or other macrolide antibiotics
  • Individuals with a history of liver disease or jaundice caused by previous azithromycin use
  • Pregnant or breastfeeding women should use it only if prescribed by a doctor

Conditions Where Caution Is Needed

  • Liver or kidney disorders
  • Heart problems, especially irregular heartbeat or low potassium levels
  • Myasthenia gravis (a muscle condition)
  • People taking medications that affect heart rhythm

Are There Any Age Restrictions for Using Azithromycin?

Azithromycin can be used in children, but the dosage is carefully adjusted by the doctor based on the child's weight and condition. It is not typically recommended for infants under 6 months unless specifically advised by a pediatrician. Elderly patients may also need monitoring due to a higher risk of heart rhythm issues.

Possible Interactions with Other Medications (Drug Interactions)

Azithromycin may interact with other medicines, affecting how it works or increasing the risk of side effects. Always inform your doctor about all medications you are taking, including over-the-counter drugs, supplements, or herbal products.

Overview of How This Medicine May Interact with Other Drugs

  • Can increase the effect of blood thinners like warfarin, which may raise the risk of bleeding
  • May interact with drugs that affect heart rhythm (like amiodarone or quinidine), increasing the risk of irregular heartbeat
  • Using antacids containing aluminium or magnesium can reduce the absorption of azithromycin if taken together.

Possible Impact When Combined with Supplements or Herbal Products

  • Herbal remedies that affect the heart or liver may increase the chance of side effects
  • Supplements like calcium or magnesium should not be taken at the same time, as they may interfere with absorption
  • Some immune-boosting herbs may affect how your body responds to antibiotics Discuss these with your doctor

How Should Azithromycin Be Stored?

Store azithromycin tablets or capsules in a cool, dry place away from heat and moisture. Keep it out of reach of children and pets.

Recommended Storage Temperature for Azithromycin

Keep at room temperature, ideally between 20°C and 25°C (68°F and 77°F). Avoid storing in humid areas, such as bathrooms.

What Happens If Azithromycin Is Not Stored Properly?

Improper storage can reduce the effectiveness of the medicine. Exposure to heat, moisture, or sunlight can cause the tablets to break down, making them less effective or unsafe to use. Always check the expiry date and storage instructions on the label.

Azithromycin vs Doxycycline

Azithromycin Doxycycline
Azithromycin is a Macrolide antibiotic Doxycycline is a Tetracycline antibiotic
Side effects of Azithromycin are Rash, nervousness, tongue discolouration and indigestion. Side effects of doxycycline are tooth discolouration and exaggerated sunburn.
It is used for the treatment of infections that are caused by bacteria, such as bronchitis, pneumonia and infections of skin, throat, sinuses, lungs, ears and reproductive organ It is used for the treatment of acne, syphilis, periodontal disease, non-gonoccal urethritis and cholera.
Azithromycin should not be taken with any other antibiotics without consulting a Doctor Doxycycline should not be taken with any other antibiotics without consulting of Doctor

Reference:

Azithromycin Azithromycin for Prevention of Exacerbations of COPD
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Frequently Asked Questions

Azithromycin is an antibiotic that fights bacteria. These medicines are used to treat different infections that are caused by bacteria such as bronchitis, pneumonia and infections of skin, throat, sinuses, lungs, ears and reproductive organs.

The side effects of Azithromycin are Diarrhea, Nausea, Abdominal pain, Vomiting, Headache, Dizziness, Fainting, Fever, Itching and lung infections.

Azithromycin is not evaluated for pregnant women. If a woman is using the drug during her pregnancy there is no such high risk of pregnancy loss, birth defects or any other problems. But to be on the safe side consult your Doctor before taking the medicine.

Azithromycin is an antibiotic that fights with bacteria. It is used to treat lung infection that affects people with human immunodeficiency virus(HIV).

Azithromycin is good for sore throat and throat infection as it fights bacteria.

Azithromycin is not used for curing fever. These are only used for treating different infections that are caused by bacteria such as bronchitis, pneumonia and infections of skin, throat, sinuses, lungs, ears and reproductive organs.

Azithromycin is not used for curing a cold. These are only used for treating different infections that are caused by bacteria such as bronchitis, pneumonia and infections of skin, throat, sinuses, lungs, ears and reproductive organs.

No, azithromycin is not a sulfa drug. Sulfonamide antibiotics are a sulfa drug.

Azithromycin is typically prescribed for a short duration, often three days, because it has a long half-life and stays in the body for an extended period, effectively treating infections with a shorter course of treatment. Additionally, shorter treatment durations help minimize the risk of antibiotic resistance and reduce the likelihood of side effects associated with prolonged use.


Disclaimer: The information provided is accurate and up-to-date to the best of our knowledge. However, it should not be considered a substitute for medical advice or consultation. We do not guarantee its completeness or accuracy. The absence of specific warnings does not mean a medicine is safe for all users. We are not responsible for any outcomes based on this information and strongly recommend consulting a doctor for any medical concerns or questions.

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