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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.

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.

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.

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.