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Generic Name: Azithromycin

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Zithromax capsules and suspension contain the active ingredient azithromycin, which is a type of drug called a macrolide antibiotic. Azithromycin is indicated to treat infections caindicated by bacteria.

Azithromycin works by preventing bacteria from producing proteins that are essential to them. Without these proteins the bacteria cannot grow, replicate and increase in numbers. Azithromycin therefore stops the spread of infection and remaining bacteria are killed by the body's immune system or eventually die.

Azithromycin is a broad-spectrum antibiotic that is active against a wide variety of bacteria that cause a wide variety of infections. Azithromycin may be indicated to treat infections of:
- Ears;
- Skin or soft tissue;
- The upper or lower airways;
Azithromycin is also be indicated to treat the sexually-transmitted infection chlamydia.

To make sure the bacteria causing an infection are susceptible to azithromycin your doctor may take a tissue sample, for example a swab from the throat or skin.

Azithromycin is indicated for the treatment of infections including those of the chest, skin and ear. Azithromycin is also indicated for some types of stomach ulcer.

Even if your condition improves Azithromycin is important to complete the indicated course or your infection could come back.

The most common side effects are:
- Being sick;
- Diarrhoea;
- Feeling sick;
- Indigestion or heartburn;
- Tummy pain;

Azithromycin is indicated to treat a variety of bacterial infections; it works by killing bacteria that cause the infection.


Azithromycin is an antibiotic related to erythromycin. Azithromycin is indicated for adults to treat certain mild to moderate skin infections; upper and lower respiratory tract infections, including:
- Worsening of chronic obstructive pulmonary disease;
- Tonsillitis;
- Sinus infections;
- Pneumonia;;
- Pharyngitis (strep throat);
sexually transmitted infections of the cervix or urinary tract; and genital ulcer disease in men.
In children, Azithromycin is indicated to treat:
- Tonsillitis;
- Strep throat;
- Pneumonia;
- Middle ear infection;

There is a possibility of rare but very serious reactions to Azithromycin, including:
- Serious skin diseases;
- Angioedema (swelling of the face lips and neck that impedes speaking swallowing and breathing);
- Anaphylaxis (a violent even fatal allergic reaction);
If you develop these symptoms, stop taking Azithromycin and call your doctor immediately.


Azithromycin is a semi-synthetic macrolide antibiotic chemically related to erythromycin and clarithromycin (Biaxin). Azithromycin is effective against a wide variety of bacteria organisms, such as:
- Streptococcus pneumoniae;
- Staphylococcus aureus;
- Mycoplasma pneumoniae;
- Mycobacterium avium;
- Hemophilus influenzae;
Azithromycin is unusual in that it stays in the body for quite a while, allowing for once a day dosing and for shorter treatment courses for most infections.

Azithromycin, like all macrolide antibiotics, prevents bacteria from growing by interfering with their ability to make proteins. Due to the differences in the way proteins are made in bacteria and humans, the macrolide antibiotics do not interfere with humans' ability to make proteins.


Bacterial infection of the lungs and airways (chest or lower respiratory tract infection, eg pneumonia, bronchitis)
Bacterial infections of the nasal passages, sinuses or throat (upper respiratory tract infection, eg:
- Tonsillitis;
- Pharyngitis;
- Sinusitis)
Bacterial infections of the middle ear (otitis media)
Bacterial infections of the skin or soft tissue

Azithromycin is effective against susceptible bacteria causing infections of:
- Bronchitis;
- Laryngitis;
- Pneumonia;
- Sinuses;
- The middle ear;
- Throat infections;
- Tonsillitis;
Azithromycin is also effective against certain sexually transmitted infectious diseases, such as: nongonococcal urethritis and cervicitis.

Side effects

Abdominal pain;
Abnormal heart beats (arrhythmias);
Abnormal liver tests;
Abnormal reaction of the skin to light usually a rash (photosensitivity);
Allergic reactions;
Allergic skin reactions;
Anxiety and agitation;
Awareness of your heartbeat (palpitations);
Decrease in the number of platelets or white blood cells in the blood;
Disturbances of the gut such as diarrhoea constipation indigestion nausea vomiting or abdominal pain;
Hearing distubances;
Indigestion and heartburn;
Liver or kidney disorders;
Loose stools;
Loss of appetite;
Nausea (feeling sick);
Pain in the joints (arthralgia);
Pins and needles (paraesthesia);
Seizures (convulsions);
Sleepiness (somnolence);
Thrush infections;
Tummy pain;
Vomiting (being sick);
Weakness or loss of strength (asthenia);


Capsules (red): 250 milligrams;
Suspension: 100 and 200 milligrams/teaspoon.



Pneumonia, Chronic Obstructive Pulmonary Disease, Tonsillitis, Strep Throat, and Skin Infections

The usual dose of Azithromycin is 500 milligrams in a single dose the first day. This is followed by 250 milligrams once daily for the next 4 days. Alternatively, patients with chronic obstructive pulmonary disease may be indicated 500 milligrams a day for 3 days.

Sinus Infection

The usual dose of Azithromycin is 500 milligrams once a day for 3 days.

Genital Ulcer Disease

The usual dose is a single gram (1,000 milligrams) one time only.

Sexually Transmitted Diseases

The usual dose is a single 2-gram (2,000 milligrams) dose.


Middle Ear Infection

For children aged 6 months and up, treatment may be given three ways. One option is a single dose of 30 milligrams per 2.2 pounds of body weight. Another option is a dose of 10 milligrams per 2.2 pounds given each day for 3 days. Azithromycin can also be given over a period of 5 days, starting with a dose of 10 milligrams per 2.2 pounds on the first day and continuing with daily doses of 5 milligrams per 2.2 pounds for the next 4 days.

Sinus Infection

For children aged 6 months and up, the usual dose is 10 milligrams of Azithromycin suspension per 2.2 pounds of body weight given once daily for 3 days.


For children aged 6 months and up, the usual dose is 10 milligrams of Azithromycin suspension per 2.2 pounds of body weight in a single dose the first day, followed by 5 milligrams per 2.2 pounds for the next 4 days.

Strep Throat and Tonsillitis

For children aged 2 years and up, the usual dose is 12 milligrams per 2.2 pounds of body weight once daily for 5 days.

Azithromycin should be taken at least one hour before or two hours after meals since Azithromycin may bind to food and not be absorbed from the intestine. For most infections, azithromycin is taken once daily for a relatively short course of treatment (usually five days). The first dose is often a "double dose," twice as much as the remainder of the doses given. For acute bacterial sinusitis, azithromycin way be taken once daily for three days. Zmax usually is given as a single 2 gm dose.


In some countries Azithromycin may also be known as:
- 3Z;
- Aruzilina;
- Arzomicin;
- Arzomidol;
- Atromicin;
- Azacid;
- Azatill;
- Azee;
- Azeltin;
- Azi;
- Azibact;
- Azidromic;
- Azigram;
- Azimakrol;
- Azitral;
- Azitrin;
- Azitrogal;
- Azitrolan;
- Azitromax;
- Azitromicil;
- Azitron;
- Azitrona;
- Azitrox;
- Binozyt;
- Biozitrom;
- Clearsing;
- Cronopen;
- Doyle;
- Ems-Max;
- Fabramicina;
- Goxil;
- Hemomycin;
- Koptin;
- Mac Azi;
- Macromax;
- Merckazitro;
- Misultina;
- Naxocina;
- Neblic;
- Nifostin;
- Novozitron;
- Orobiotic;
- Pefloden;
- Ribotrex;
- Saver;
- Selimax;
- Siftromin;
- Sitrox;
- Sumamed;
- Talcilina;
- Tanezox;
- Toraseptol;
- Triamid;
- Tritab;
- Trozocina;
- Trozyman;
- Truxa;
- Vectocilina;
- Vinzam;
- Zentavion;
- ZI-Factor;
- Zimicina;
- Zithrogen;
- Zitroneo;
- Zival;