Discount Prescription Drugs & Pain Medicine » Antibiotics » Zithromax (Azithromycin)
Zithromax (Azithromycin) is a macrolide antibiotic used to treat bacterial infections.
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About Zithromax (Azithromycin):
Product Type: Antibiotics
Brand name: Zithromax
Generic name: Azithromycin
What is the most important information I should know about Zithromax?
• Do not use Zithromax if you have ever had an allergic reaction to this medicine or similar drugs such as erythromycin (E-Mycin Ery-Tab E.E.S.) clarithromycin (Biaxin) or other macrolide antibiotics.
• There are many other medicines that can interact with Zithromax. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins minerals herbal products and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor. Keep a list with you of all the medicines you use and show this list to any doctor or other healthcare provider who treats you.
• Take this medication for the entire length of time prescribed by your doctor. Your symptoms may get better before the infection is completely treated. Zithromax will not treat a viral infection such as the common cold or flu.
• Take Zithromax on an empty stomach 1 hour before or 2 hours after meals.
• Do not take Zithromax at the same time as taking an antacid that contains aluminum or magnesium. This includes Rolaids Maalox Mylanta Milk of Magnesia Pepcid Complete and others. These antacids can make Zithromax less effective when taken at the same time.
What is Zithromax?
• Zithromax is in a group of drugs called macrolide antibiotics. Zithromax fights bacteria in the body.
• Zithromax is used to treat many different types of infections caused by bacteria such as respiratory infections skin infections ear infections and sexually transmitted diseases.
• Zithromax may also be used for purposes other than those listed in this medication guide.
What should I discuss with my healthcare provider before taking Zithromax?
• Do not use Zithromax if you have ever had an allergic reaction to this medicine or similar drugs such as erythromycin (E-Mycin Ery-Tab E.E.S.) clarithromycin (Biaxin) or other macrolide antibiotics.
• Before taking Zithromax tell your doctor if you have:
liver disease;
kidney disease;
a heart rhythm disorder; or
a history of Long QT syndrome.
• If you have any of these conditions you may not be able to use Zithromax or you may need a dosage adjustment or special tests during treatment.
• FDA pregnancy category B. This medication is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment.
• It is not known whether Zithromax passes into breast milk or if it could harm a nursing baby. Do not take this medication without telling your doctor if you are breast-feeding a baby.
How should I take Zithromax?
• Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts or take it for longer than recommended by your doctor. The dose and length of treatment with Zithromax may not be the same for every type of infection.
• Take each tablet or capsule with a full glass (8 ounces) of water.
• To use the oral suspension single dose packet: Open the packet and pour the medicine into 2 ounces of water. Stir this mixture and drink all of it right away. To make sure you get the entire dose add a little more water to the same glass swirl gently and drink right away.
• Zithromax capsules must be taken on an empty stomach. Take the capsule at least 1 hour before or 2 hours after eating a meal
• Zithromax tablets or powder oral suspension may be taken with or without food. Take the tablet or oral suspension with food if the medicine upsets your stomach.
• Do not take Zithromax at the same time as taking an antacid that contains aluminum or magnesium. This includes Rolaids Maalox Mylanta Milk of Magnesia Pepcid Complete and others. These antacids can make Zithromax less effective when taken at the same time.
• Shake the oral suspension (liquid) well just before you measure a dose. To be sure you get the correct dose measure the liquid with a marked measuring spoon or medicine cup not with a regular table spoon. If you do not have a dose-measuring device ask your pharmacist for one.
• Take this medication for the entire length of time prescribed by your doctor. Your symptoms may get better before the infection is completely treated. Zithromax will not treat a viral infection such as the common cold or flu.
• It is important to take Zithromax regularly to get the most benefit.
• Store this medication at room temperature away from moisture and heat. Throw away any unused liquid medicine after 10 days.
What happens if I miss a dose?
• Take the missed dose as soon as you remember. If it is almost time for your next dose skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.
What happens if I overdose?
• Seek emergency medical attention if you think you have used too much of this medicine.
• Symptoms of an Zithromax overdose may include nausea vomiting diarrhea and stomach discomfort.
What should I avoid while taking Zithromax?
• Antibiotic medicines can cause diarrhea which may be a sign of a new infection. If you have diarrhea that is watery or has blood in it call your doctor. Do not use any medicine to stop the diarrhea unless your doctor has told you to.
• Avoid exposure to sunlight or artificial UV rays (sunlamps or tanning beds). Zithromax can make your skin more sensitive to sunlight and sunburn may result. Use a sunscreen (minimum SPF 15) and wear protective clothing if you must be out in the sun.
What are the possible side effects of Zithromax?
• Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face lips tongue or throat.
• Stop using Zithromax and call your doctor at once if you have any of these serious side effects:
diarrhea that is watery or bloody;
chest pain uneven heartbeats; or
nausea stomach pain low fever loss of appetite dark urine clay-colored stools jaundice (yellowing of the skin or eyes).
• Continue using Zithromax and talk with your doctor if you have any of these less serious side effects:
mild nausea vomiting diarrhea constipation or stomach pain;
dizziness tired feeling or headache;
vaginal itching or discharge; or
mild itching or skin rash.
• Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
What other drugs will affect Zithromax?
• Do not take antacids that contain aluminum or magnesium within 2 hours of taking Zithromax.
• Before taking Zithromax tell your doctor if you are using any of the following drugs:
nelfinavir (Viracept);
digoxin (Lanoxin Lanoxicaps);
ergot medicine such as methysergide (Sansert) ergotamine (Ergostat Medihaler Cafergot Ercaf Wigraine) dihydroergotamine mesylate (D.H.E. Migranal Nasal Spray);
triazolam (Halcion);
carbamazepine (Carbatrol Tegretol);
cyclosporine (Neoral Sandimmune);
phenytoin (Dilantin);
cholesterol-lowering medicines such as lovastatin (Mevacor) atorvastatin (Lipitor) or cerivastatin (Baycol);
a calcium channel blocker such as diltiazem (Cartia XT Diltiazem Tiazac) felodipine (Plendil) nicardipine (Cardene) nifedipine (Procardia Adalat) nimodipine (Nimotop) verapamil (Calan Covera-HS);
HIV medicines such as indinavir (Crixivan) ritonavir (Norvir) saquinavir (Invirase);
alprazolam (Xanax) diazepam (Valium) midazolam (Versed) triazolam (Halcion);
theophylline (Theo-Dur Theolair Theochron);
warfarin (Coumadin);
pimozide (Orap); or
another antibiotic especially clarithromycin (Biaxin) or erythromycin (E-Mycin E.E.S Ery-Tab).
• If you are using any of these drugs you may not be able to use Zithromax or you may need dosage adjustments or special tests during treatment.
• There are many other medicines that can interact with Zithromax. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins minerals herbal products and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor. Keep a list with you of all the medicines you use and show this list to any doctor or other healthcare provider who treats you
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Do not use any other over-the-counter cold allergy or pain medication without first asking your doctor or pharmacist. Many medicines available over the counter contain aspirin or other medicines similar to anaprox (such as ibuprofen or ketoprofen). If you take certain products together you may accidentally take too much of this type of medication. Read the label of any other medicine you are using to see if it contains aspirin ibuprofen or ketoprofen. Do not drink alcohol while taking anaprox. Alcohol can increase the risk of stomach bleeding caused by anaprox. Avoid exposure to sunlight or artificial UV rays (sunlamps or tanning beds). Naproxen can make your skin more sensitive to sunlight and sunburn may result. What should I discuss with my healthcare provider before taking anaprox? Taking an NSAID can increase your risk of life-threatening heart or circulation problems including heart attack or stroke. This risk will increase the longer you use an NSAID. Do not use this medicine just before or after having heart bypass surgery (also called coronary artery bypass graft or CABG). NSAIDs can also increase your risk of serious effects on the stomach or intestines including bleeding or perforation (forming of a hole). These conditions can be fatal and gastrointestinal effects can occur without warning at any time while you are taking an NSAID. Older adults may have an even greater risk of these serious gastrointestinal side effects. Do not use this medication if you are allergic to anaprox or if you have a history of allergic reaction to aspirin or other NSAIDs. Before taking anaprox tell your doctor if you are allergic to any drugs or if you have: • a history of heart attack stroke or blood clot; • heart disease congestive heart failure high blood pressure; • a history of stomach ulcers or bleeding; • liver or kidney disease; • asthma; • polyps in your nose; • a bleeding or blood clotting disorder; or • if you smoke. If you have any of these conditions you may not be able to use anaprox or you may need a dosage adjustment or special tests during treatment. FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Taking anaprox during the last 3 months of pregnancy may result in birth defects. Do not take anaprox during pregnancy unless your doctor has told you to. Naproxen can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Do not give this medicine to a child younger than 2 years old without the advice of a doctor. How should I take anaprox? Take this medication exactly as directed on the label or as it has been prescribed by your doctor. Do not use the medication in larger amounts or use it for longer than recommended. EC-Naprosyn is a slower-acting form of anaprox and this brand should be used only for treating arthritis or ankylosing spondylitis. Follow your doctor's instructions. Do not crush chew or break an extended-release or enteric-coated tablet. Swallow the pill whole. The extended-release pill is specially made to release medicine slowly in the body. Breaking the pill would cause too much of the drug to be released at one time. The enteric-coated pill has a special coating to protect your stomach. Breaking the pill could damage this coating. Shake the oral suspension (liquid) well just before you measure a dose. To be sure you get the correct dose measure the liquid with a marked measuring spoon or medicine cup not with a regular table spoon. If you do not have a dose-measuring device ask your pharmacist for one. If you take anaprox for a long period of time your doctor may want to check you on a regular basis to make sure this medication is not causing harmful effects. Do not miss any scheduled visits to your doctor. Store anaprox at room temperature away from moisture and heat. What happens if I miss a dose? Since anaprox is sometimes taken as needed you may not be on a dosing schedule. If you are taking the medication regularly take the missed dose as soon as you remember. If it is almost time for your next dose skip the missed dose and take the medicine at your next regularly scheduled time. Do not take extra medicine to make up the missed dose. What happens if I overdose? Seek emergency medical attention if you think you have used too much of this medicine. Symptoms of a anaprox overdose may include nausea vomiting stomach pain confusion drowsiness black or bloody stools coughing up blood shallow breathing fainting or coma. What should I avoid while taking anaprox? Do not use any other over-the-counter cold allergy or pain medication without first asking your doctor or pharmacist. Many medicines available over the counter contain aspirin or other medicines similar to anaprox (such as ibuprofen or ketoprofen). If you take certain products together you may accidentally take too much of this type of medication. Read the label of any other medicine you are using to see if it contains aspirin ibuprofen or ketoprofen. Do not drink alcohol while taking anaprox. Alcohol can increase the risk of stomach bleeding caused by anaprox. Avoid prolonged exposure to sunlight. Naproxen may increase the sensitivity of the skin to sunlight. Use a sunscreen and wear protective clothing when exposure to the sun is unavoidable. Naproxen side effects Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face lips tongue or throat. Stop taking anaprox and seek medical attention or call your doctor at once if you have any of these serious side effects: • chest pain weakness shortness of breath slurred speech problems with vision or balance; • black bloody or tarry stools; • coughing up blood or vomit that looks like coffee grounds; • swelling or rapid weight gain; • urinating less than usual or not at all; • nausea stomach pain low fever loss of appetite dark urine clay-colored stools jaundice (yellowing of the skin or eyes); • fever sore throat and headache with a severe blistering peeling and red skin rash; • bruising severe tingling numbness pain muscle weakness; or • fever headache neck stiffness chills increased sensitivity to light purple spots on the skin and/or seizure (convulsions). 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