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Macrolides

Azithromycin

Also sold as: Zithromax, Azomax

Prescription neededMacrolides
Comes as:TabletCapsuleSuspension

Usual adult dose

Usual adult dose: 500 mg once a day for 3 days, or 500 mg on day 1 then 250 mg a day for 4 more days. Children: dose by weight — ask your doctor or pharmacist.

Your doctor may give you a different dose. Children's doses depend on weight.

Side effects

Common

  • nausea
  • stomach pain
  • diarrhoea
  • change in taste

Serious — get help

Stop taking it and see a doctor straight away if you notice:

  • severe allergic reaction
  • fast or irregular heartbeat or fainting
  • yellow eyes or skin
  • severe or bloody diarrhoea

Do not take it, or take care, if

  • Allergy to macrolide antibiotics
  • Heart rhythm problems (long QT)
  • Severe liver disease
  • Taking some heart-rhythm medicines (ask your doctor)

Interactions

Medicines that can react with this one.

Serious1 medicineDo not take these together unless your doctor says so.
  • Amiodarone

    Both can prolong the QT interval and cause dangerous heart rhythms.

Moderate3 medicinesTake together only with care. Ask your doctor or pharmacist.
  • Digoxin

    Can raise digoxin levels; watch for nausea, slow pulse or vision changes.

  • Hydroxychloroquine

    Both can prolong the QT interval; use together with caution.

  • Warfarin

    Can raise the effect of warfarin; INR should be checked.

Pregnancy

  1. A
  2. B
  3. C
  4. D
  5. X

Category B

No risk seen in animal studies, but there are few studies in pregnant women. Usually considered safe when needed.

Generic alternatives

Similar medicines your doctor or pharmacist may offer instead.

  • Clarithromycin
  • Erythromycin
Check with my other medicines

Always follow your doctor or pharmacistThis page is general information, not a prescription. Do not start, stop or change a medicine on your own.