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Zithromax, Zithromax TRI-PAK, Zithromax Z-Pak, Zmax, |Zithromax Z-Pak

Zithromax Z-Pak

Generic Name: azithromycin (a zith row MY sin)
Brand Names: Zithromax, Zithromax TRI-PAK, Zithromax Z-Pak, Zmax

What is azithromycin?

Azithromycin is in a group of drugs called macrolide antibiotics. Azithromycin fights bacteria in the body.

Azithromycin is used to treat many different types of infections caused by bacteria, such as respiratory infections, skin infections, ear infections, and sexually transmitted diseases.

Azithromycin may also be used for purposes other than those listed in this medication guide.

What is the most important information I should know about azithromycin?

There are many other medicines that can interact with azithromycin. 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.

What should I discuss with my healthcare provider before taking azithromycin?

Before taking azithromycin, 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 azithromycin, or you may need a dosage adjustment or special tests during treatment.

How should I take azithromycin?

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 azithromycin may not be the same for every type of infection.

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.

Do not take azithromycin 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 azithromycin less effective when taken at the same time.

It is important to take azithromycin regularly to get the most benefit.

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?

Symptoms of an azithromycin overdose may include nausea, vomiting, diarrhea, and stomach discomfort.

What should I avoid while taking azithromycin?

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.

Azithromycin 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 azithromycin 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 azithromycin?

Before taking azithromycin, 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 azithromycin, or you may need dosage adjustments or special tests during treatment.

There are many other medicines that can interact with azithromycin. 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.

Where can I get more information?

• Your pharmacist has additional information about azithromycin written for health professionals that you may read.

What does my medication look like?

Azithromycin is available with a prescription under the brand name Zithromax. Other brand or generic formulations may also be available. Ask your pharmacist any questions you have about this medication, especially if it is new to you.

• Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
• Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ("Multum") is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum"s drug information does not endorse drugs, diagnose patients or recommend therapy. Multum"s drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.