Azithromycin Medication Guide

Summary or Key Points

Azithromycin is a versatile antibiotic used in treating various bacterial infections, including Streptococcal Infections, Chlamydia, Gonorrhea, Mycoplasma Pneumonia, Traveler’s Diarrhea, and Legionnaires’ Disease. It is known for its efficacy and well-tolerated side effect profile. This guide provides information on dosing, administration, and potential side effects. Always consult with a healthcare provider, such as our telemedicine professionals, before initiating or adjusting medication.

Names of Medication

US Brand Name: Zithromax (Generic name: Azithromycin)

In medicine, the term ‘generic name’ refers to the official, scientific name of a drug, which is the same no matter who makes it. In our guide, you’ll find the generic name in parenthesis next to the brand name.

Pharmacologic Category

Azithromycin is a part of the macrolide antibiotics group, along with drugs such as Erythromycin and Clarithromycin.

Dosing

NOTE: Always consult your healthcare provider or one of our telemedicine professionals before adjusting your dose.

• Streptococcal Infections: 500 mg on the first day, followed by 250 mg once daily for 4 days.
• Chlamydia: Single dose of 1 gram (1000 mg).
• Gonorrhea: Single dose of 2 grams (2000 mg).
• Mycoplasma Pneumonia: 500 mg on the first day, followed by 250 mg once daily for 4 days.
• Traveler’s Diarrhea (caused by E.coli): 500 mg once daily for 1-3 days.
• Legionnaires’ Disease: 500 mg once daily for at least 3 weeks.

Dosage Forms and Strengths

Azithromycin is available in the following forms and strengths:

• Tablets: 250 mg, 500 mg, 600 mg
• Powder for oral suspension: 100 mg/5 mL, 200 mg/5 mL
• Single-Dose Packet: 1 gram

Administration Instructions

Azithromycin can be taken with or without food. However, taking it with a meal can help reduce stomach upset. The oral suspension should be taken on an empty stomach, 1 hour before or 2 hours after meals. Be sure to complete the full course of therapy, even if you feel better before the medication is finished. Always consult one of our telemedicine professionals if you have any questions about taking this medication.

Adverse Reactions and Side Effects

While Azithromycin is generally well-tolerated, some side effects can occur. Always consult your healthcare provider or one of our telemedicine professionals if you experience any of the following:

• Common (may affect up to 1 in 10 people): Stomach pain, nausea, vomiting, diarrhea.
• Uncommon (may affect up to 1 in 100 people): Dizziness, headache, changes in sense of taste.
• Rare (may affect up to 1 in 1,000 people): Skin rash, yeast infections, anxiety.
• Very rare (may affect up to 1 in 10,000 people): Severe allergic reactions, kidney problems, irregular heartbeat.

Adverse Reactions and Side Effects (continued)

While rare, some side effects can be serious. If you experience any of the following, contact a healthcare provider or one of our telemedicine professionals immediately:

• Allergic reactions: Seek immediate medical attention if you experience symptoms such as difficulty breathing, severe skin rash, swelling of the face, lips, tongue, or throat.
• Heart problems: Azithromycin may cause a potentially fatal irregular heart rhythm in some patients, particularly those with pre-existing heart conditions. Symptoms to watch out for include palpitations, dizziness, or fainting.

Remember, this is not an exhaustive list of side effects. If you feel unwell or notice any other side effects, please consult your healthcare provider or connect with one of our telemedicine professionals right away.

Conclusion

Azithromycin is an effective antibiotic used to treat a variety of bacterial infections. This guide has provided an overview of its uses, dosing, potential side effects, and more. If you have any questions or concerns about Azithromycin or any other medication, our team of healthcare providers is available for consultation through our convenient telemedicine service. Your health and well-being is our top priority, and we’re here to help you understand and manage your medication effectively.

Contraindications

A contraindication’ is a reason or condition that makes a particular treatment or procedure potentially inadvisable. Here are some situations where taking Azithromycin might be contraindicated:

• Allergy to Azithromycin or similar drugs such as Erythromycin and Clarithromycin. An allergic reaction can cause severe symptoms such as difficulty breathing or skin rashes.
• Severe liver disease: Azithromycin is processed by the liver. If the liver is not functioning properly, the medication might not be metabolized and eliminated effectively, potentially leading to harmful effects.
• History of a certain type of irregular heartbeat (QT prolongation), as Azithromycin may increase the risk of developing this condition.

Drug to Drug Interactions

Azithromycin may interact with other medications, potentially affecting their function or increasing side effects. Some of these include:

• Warfarin (Coumadin, Jantoven): Azithromycin may increase the effect of warfarin, potentially leading to an increased risk of bleeding.
• Antacids containing magnesium or aluminum (e.g., Maalox, Mylanta): These can reduce the absorption of Azithromycin if taken at the same time, making the antibiotic less effective.

Azithromycin in Pregnancy

Generally, Azithromycin is considered safe to use during pregnancy. However, all medication use during pregnancy should be discussed with a healthcare provider or one of our telemedicine professionals to weigh the benefits and risks.

Azithromycin while Breastfeeding

Azithromycin is generally considered safe to take while breastfeeding. Small amounts can pass into breast milk, but it’s typically not enough to cause problems for the baby. As always, it’s important to discuss any concerns with a healthcare provider or our telemedicine team.

Estimated Cost of Medication

The estimated cost of a 30-day supply of Azithromycin without insurance, using a GoodRx coupon, is around $10-$15. However, prices can vary depending on the pharmacy and location.

Possible Alternatives

For each of the diseases mentioned earlier, there may be alternative treatments or lifestyle changes that could be beneficial. Remember, always discuss these alternatives with a healthcare provider or our telemedicine team before making any changes to your treatment plan.

• Streptococcal Infections: Penicillin is often a first-line treatment.
• Chlamydia: Doxycycline is another commonly used antibiotic.
• Gonorrhea: A combination of Ceftriaxone and Doxycycline is often used.
• Mycoplasma Pneumonia: Doxycycline or Fluoroquinolones may be used.
• Traveler’s Diarrhea: Hydration and dietary changes are first-line treatments. Antibiotics are only needed for severe cases.
• Legionnaires’ Disease: Fluoroquinolones or Tetracyclines may be used.

Recent Updates on Azithromycin Research

Research into Azithromycin and its uses is ongoing. Recent studies have explored its potential role in treating severe respiratory infections, including COVID-19. However, more research is needed to confirm its effectiveness in these areas. If you are interested in learning more about this research, or if you have any questions or concerns about Azithromycin or any other medication, our team of healthcare providers is available for consultation through our convenient telemedicine service.

Brief Legal Disclaimer

This article is for informational purposes only and not intended as medical advice. Always consult a healthcare professional for diagnosis and treatment. Reliance on the information provided here is at your own risk.
Brief Legal Disclaimer: This article is for informational purposes only and not intended as medical advice. Always consult a healthcare professional for diagnosis and treatment. Reliance on the information provided here is at your own risk.