Azithromycin is an antibiotic medication that belongs to the class of drugs called macrolides. It is commonly available as “azithromycin 500 mg tablet”, which is used to treat various bacterial infections, including respiratory tract infections, skin and soft tissue infections, sexually transmitted infections, and certain types of eye infections. Understanding the uses and potential side effects of azithromycin is essential for ensuring its proper and safe usage.

How Does Azithromycin Work?

Azithromycin works by inhibiting the growth of bacteria, thereby preventing their reproduction and spread in the body. It specifically targets and kills bacteria, but it is important to note that it is ineffective against viral infections, such as the common cold or flu. Azithromycin is commonly prescribed for bacterial infections that are susceptible to its action.

Common Uses and Benefits

Azithromycin is commonly used to treat a range of bacterial infections, including:

1. Respiratory tract infections

Azithromycin effectively treats infections such as bronchitis (inflammation in the airways), pneumonia, and sinusitis (inflammation of the sinus).

2. Skin and soft tissue infections

Azithromycin can be used to treat skin infections like cellulitis and impetigo.

3. Sexually transmitted infections

Azithromycin is used to treat certain sexually transmitted infections (STIs) like chlamydia and gonorrhoea. Chlamydia and gonorrhoea are bacterial infections that can be transmitted through sexual contact. Azithromycin kills, Chlamydia trachomatis and Neisseria gonorrhoeae, the bacteria responsible for these infections, thus helping clear the infection and prevent further spread.

4. Eye infections

Azithromycin is sometimes prescribed to treat certain eye infections like conjunctivitis (pink eye).

It is essential to consult a healthcare provider for a proper diagnosis and to determine whether azithromycin is the appropriate treatment option for a specific infection. 

Precautions and Considerations While Taking Azithromycin

Before taking azithromycin, it is important to consider the following:

1. Medical conditions

Individuals with certain medical conditions may require special attention or dosage adjustments when taking azithromycin. Inform your doctor about your medical history before taking azithromycin. These conditions include:

• Previous blood disorders, like leukaemia
• Previous heart rhythm irregularities
• Kidney problems
• Liver problems
• Myasthenia gravis (weakness in skeletal muscles)
• Uncommon or allergic response to antibiotics, foods, dyes, or preservatives
• Currently pregnant or attempting to conceive
• Currently breastfeeding

2. Allergic reactions and interactions

Some individuals may be allergic to azithromycin or other macrolide antibiotics. Inform healthcare providers about any known allergies or other medications currently being taken to avoid potential interactions.

Azithromycin Tablets Dosage and Proper Usage

Each azithromycin tablets ip 500 mg tablet contains 500 milligrams of azithromycin. The medication is typically taken consecutively for 3 days, one tablet each day. However, while using the medicine, it is essential to follow these guidelines:

1. Oral administration: Azithromycin is usually taken orally with a glass of water.

2. Prescription label directions: It is crucial to carefully read and follow the directions provided on the prescription label or as instructed by the healthcare provider.

3. Food intake: Azithromycin can be taken with or without food. If it upsets your stomach, take it with your meal.

4. Dosage: Take the dosage recommended by the doctor at regular intervals and do not exceed the dose.

5. Completing the full course: It is important to complete the full course of medication as prescribed, even if the symptoms improve before the course is completed. This helps ensure the complete eradication of the bacteria and reduces the risk of antibiotic resistance.

Azithromycin Tablet Uses in Children

Children can take azithromycin, but they need guidance from a healthcare professional. The doctor will consider the child's age and medical condition to decide the right dosage and duration to take the medicine. It's important to talk to a doctor before taking azithromycin to avoid overdose or potential side effects.

Missed Dose and Overdosage

If you forget to take a dose of azithromycin, take it as soon as you remember. But if it's almost time for your next dose, skipping the missed dose is better. Don't take extra or double doses to make up for the missed one. If you accidentally take too much azithromycin, seek medical help right away.

Monitoring and Potential Side Effects

While taking azithromycin, paying attention to any changes or symptoms you experience is
essential. If something doesn't feel right, seeing a doctor quickly is best. Some of the common side effects of the azithromycin 500 mg tablet are: 

• Diarrhoea
• Nausea
• Stomach pain
• Vomiting 

Some of the severe side effects of azithromycin include:

• Allergic reactions
• Heart rhythm changes
• Liver injury
• Rash with fever and swollen lymph nodes
• Skin blistering or peeling
• Severe diarrhoea with fever
• Vaginal itching

If you experience any of the aforementioned symptoms, discontinue your medication and consult your doctor immediately. 

Storage and Expiration

To store Azithromycin tablets correctly, follow the instructions given.  

• Make sure to keep them out of reach of children and pets to avoid accidents. 
• Keep them at room temperature in a dry and cool place, away from moisture and heat. 
• When the medication reaches its expiration date, it's important to throw away any unused tablets. 

Takeaway

Azithromycin is an effective medicine for treating bacterial infections. To use it correctly, you should talk to a healthcare provider, take the right amount as prescribed, and finish the entire course of medication. Let your healthcare provider know if you experience any side effects after taking the medication.

Explore Azithromycin Tablet

FAQs

Can azithromycin interact with other medications I'm taking?

Azithromycin may interact with certain medications, so it's important to inform your healthcare provider about all the medicines you are taking.

How long does it take for azithromycin to start working?

Azithromycin usually begins working within a few days, but it's important to complete the full course of medication as prescribed.

Can azithromycin be used during pregnancy?

Pregnant women should consult their healthcare provider before taking azithromycin to assess the potential risks and benefits.

Can azithromycin be used for long-term treatment?

Azithromycin is typically prescribed for short-term treatment courses. Long-term use should be done under the guidance of a healthcare professional.

Can Azithromycin be used in elderly patients?

Azithromycin can be used in elderly patients with appropriate dosage adjustments based on their kidney and liver function. It is important to consult a healthcare provider for personalised guidance.

Medically reviewed by Dr Sonia Bhatt.