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Instructions for use Zithromax

Azithromycin

Azithromycin

Bioavailability: 0-50%

ATC-Code: J01FA10

Protein binding: ≥ 50%

Metabolism: Liver

Metabolites:

Half-life: 11-14 hours

Excretion: Biliary

CAS number: 83905-01-5

PubChem-CID: 55185

Drug Bank: DB00207

ChemSpider: 10482163

UNII: J2KLZ20U1M

KEGG: D07486

Formula: C38H72N2O12

Molar mass: 748,98 g·mol−1

How does it work?

Zithromax is a broad-spectrum bacteriostatic antibiotic from the macrolide-azalide group. The active ingredient is called azithromycin. It has a broad spectrum of antimicrobial activity.

The mechanism of action of azithromycin is related to inhibition of microbial cell protein synthesis. By binding to the 50S subunit of the ribosome, it suppresses protein synthesis, slowing bacterial growth and reproduction.

In high concentrations it has a bactericidal effect.

How is it used?

The film-coated tablets Zithromax can be taken independently of or with meals with plenty of liquid. The dosage depends on an ailment and a severity of that ailment.

For the treatment of respiratory tract infections, otitis media and skin infections, the recommended total dose for adults and adolescents weighing more than 45 kg is 1.5 grams. This dose can be taken using either the 3-day regimen or the 5-day regimen.

In uncomplicated genital infections caused by Chlamydia trachomatis, the total dose is prescribed in the amount of 1 gram, which is applied at once.

In the case of genital infections caused by Neisseria gonorrhoeae, combined therapy with ceftriaxone (250 or 500 mg) is usually prescribed. The recommended dose of Zithromax is 1 or 2 grams.

For elderly patients, the recommended adult dose is prescribed. It should be borne in mind that such patients may be more prone to serious cardiac arrhythmia than adolescents or adults.

Side effects

Durchfall
Diarrhea

Kopfschmerzen
Headache,
Nervousness

Übelkeit
Vomit,
Nausea

Bauchschmerzen
Stomach pain

Blutarmut
Decreased number of certain white blood cells (neutropenia)

Schlaflosigkeit
Insomnia

Schwindel
Dizziness

Geschmacksstörungen
Taste disorders

Sehstörungen
Visual disturbances

Hitzewallungen
Hot flashes

Warnings and Precautions

Be careful if you have an intolerance to lactose

Zithromax is not recommended for patients with galactose intolerance, lactase deficiency or glucose-galactose malabsorption.

Beware of the liver problems

Patients suffering from severe liver diseases should take Zithromax with caution.

Other trade names

Ultreon InfectoAzit Azyter Azi-Teva Sumamed Azitromicina

Contraindications

Hypersensitivity to the ingredients

Pregnancy

Not safe

Alcohol

Alcohol consumption should be avoided

What happens if you miss the dose?

Do not take a double dose to make up for a forgotten dose. For the next dose, do not take more than the usual recommended amount.

Overdose

If you take more of this medicine than you should, it could cause serious side effects.

Interactions

There is a risk of significant interactions. Therefore, medical supervision is recommended.

Unwanted reactions

Dry mouth

Skin rash

Itching

Hives

Fatigue

Fever

Food

Food does not affect the effects of the drug.

Storage

This medicinal product does not require special storage conditions.

Frequently Asked Questions

What is Zithromax 250 used for?

Zithromax is used to treat a variety of bacterial infections. It is a macrolide type antibiotic. It stops bacteria from growing. This drug does not work for viral infections (such as colds, flu).

Can Zithromax be given for a cat?

Yes, Zithromax antibiotic can also be given to the cats. Zithromax is given orally at 5-10 mg/kg once a day for 3-5 days.

How fast does Zithromax work?

Zithromax antibiotic usually takes at least five days to take full effect. However, it can start to relieve the sore throat and other symptoms as early as the first day after ingestion.

What are the serious side effects of Zithromax?

The hearing changes (like hearing loss, deafness), eye problems (like droopy eyelids, blurred vision), difficulty speaking/swallowing, muscle weakness, signs of liver problems are among serious side effects of Zithromax.

Can you buy Zithromax with no prescription?

No. You cannot buy Zithromax with no prescription from your doctor. This antibiotic requires a prescription in all dosages and dosage forms.

What is Zithromax?

Zithromax belongs to the category of very effective antibiotics. It is able to fight various bacterial infections including sexually transmitted infections. The way this antibiotic works is to stop the growth of bacteria in the body. This strengthens the immune system and kills the bacteria intensively. It is even used to clear opportunistic infections in people with HIV.

Zithromax helps against the following bacteria:

  • staphylococci
  • streptococci
  • pneumococci
  • spirochetes
  • chlamydia
  • Trichomonas
  • Neisseria gonorrhoeae
  • Legionella
  • mycoplasma
  • Shigella
  • salmonella
  • enterococci
  • Pseudomonas aeruginosa
  • pneumococci

In addition, the drug can be used in diseases whose bacteria are sensitive to the active ingredient azithromycin. These diseases include:

  • bronchitis
  • tonsillitis
  • lung infection
  • otitis media
  • urethritis
  • sinusitis
  • Gonorrhea
  • Scarlet fever
  • cervicitis
  • Erysipelas and other infectious diseases caused by bacteria.

In which strength and dosage form can you buy Zithromax online?

The antibiotic Zithromax is available in film-coated tablets of 250 milligrams. One can also buy Zithromax 500mg film-coated tablets. The film-coated tablets are suitable for adults and adolescents weighing more than 45 kg. Zithromax tablets can be taken with or without food, but with plenty of water. Do not take Zithromax 500 mg/250 mg at the same time as an anti-heartburn medicine that contains aluminum or magnesium. This medicine lowers the amount of the active substance azithromycin in the blood.

This medication is also available as 200 mg/5 ml dry juice powder for oral suspension. The dry juice is available for children and young people weighing less than 45 kg.

Zithromax price without insurance

You can buy Zithromax in the dosage of 250 mg and 500 mg on the German market. Due to the drug price regulation applicable in Germany, the prices for Zithromax 500 mg/ 250 mg in stationary pharmacies can only vary minimally. Depending on the online provider and dosage, the price for Zithromax is between €10.11 and €20.83 for 3 pieces.

To buy Zithromax online cheaply, use our comparison portal for medicines and pharmacies.

How does Zithromax interact with alcohol?

The alcohol does not seem to affect the effectiveness of Zithromax antibiotic. However, alcohol consumption can cause temporary liver damage in some people. This can make the side effects of this drug more difficult. Alcohol dehydrates the body, which increases the risk of developing or worsening side effects. These side effects include vomiting, nausea, diarrhea, headache and stomach pain.

In rare cases, the antibiotic Zithromax itself can also cause liver damage and lead to more severe side effects. Therefore, everything that puts additional stress on the liver should be avoided, including alcohol consumption during treatment with Zithromax.

What should be considered while taking Zithromax 500 mg/ 250 mg?

The antibiotic Zithromax does not work against all bacteria that cause infectious diseases. Using an incorrectly selected or incorrectly dosed antibiotic can lead to complications.

Patients may have sun allergy during treatment with Zithromax. Therefore, direct sunlight and tanning beds should be avoided while taking this medication and for at least 7 days afterward.

Zithromax tablets should be taken with caution in cardiovascular diseases. Caution should also be exercised when taking other medications at the same time.

Tell your doctor or pharmacist if you

  1. suffer from heart muscle disease, an irregular or slow heartbeat or long QT syndrome;
  2. are taking or using antiarrhythmics, antidepressants, antibiotics or antipsychotics or other medications;
  3. allergic to drugs.

Elderly patients may be more sensitive to the effects of the drug on the heart. Therefore, they should be careful when taking this antibiotic.

If patients have liver problems, they should only take Zithromax antibiotic under strict medical supervision.

If you get symptoms of hepatitis (inflammation of the liver) such as weakness, feeling unwell, loss of appetite, feeling or being sick, tiredness, jaundice and discolored stools, contact your doctor immediately.

Tell your doctor if you experience severe persistent diarrhea during or after treatment with Zithromax. In this case, the drug should be discontinued.

During treatment with Zithromax Antibiotikum, you should avoid medication containing ergotamine. Do not take Zithromax at the same time as antacids. Tell your doctor if you are taking medicines that suppress the immune system (immunosuppressants), anticoagulants (blood thinners), cardiac glycosides (such as digoxin and colchicine), or medicines for migraines, allergies, HIV infection, or tuberculosis.

This preparation contains lactose and is therefore not indicated for patients with galactose intolerance, glucose-galactose malabsorption or lactase deficiency.

Resources

  1. Healthline.com : Effects of Mixing Azithromycin and Alcohol
  2. D. Schneider, F. Richling: Checklist Drugs A–Z. 2006-2007. 4th edition. Thieme, Stuttgart 2006. p. 180.
  3. Wikipedia: trade names for azithromycin
Reviews

Buy Zithromax Online

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I received Zithromax for bronchitis in the form of a 3-day treatment. Already a few hours after the first tablet I noticed an improvement. After the first day of taking it, I felt much better and my state of health was no longer comparable to the days before. The only thing that was a bit uncomfortable was vomiting, which only happened 3 times and about 2-3 hours after taking the pill. After the 3-day treatment, my symptoms were almost gone.

11.11.2021

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