What is Zithromax: Uses, Warnings & Interactions

Updated Jan. 13, 2021  •  Published Dec. 31, 2020

Zithromax overview

BRAND NAMES:

  • Zmax, Zithromax, Zithromax Tri-Pak, Zithromax Z-Pak, Zmax, Amerinet Choice Zithromax, Zithromax, PremierPro Rx Azithromycin, Zithromax

Generic Names:

  • Azithromycin

Uses:

  • Treats infections caused by bacteria. This medicine is a macrolide antibiotic., Treats infections. This medicine is a macrolide antibiotic.

Therapeutic Classes:

  • Antibiotic, Antibiotic

Forms:

  • Injectable, Capsule, Liquid, Packet, Powder, Tablet

How it’s taken:

  • By mouth, By injection

What is Zithromax used for?

Zithromax is a prescription drug used to treat certain bacterial infections including pink eye and ear infections. It works to stop the bacteria from growing and spreading. Zithromax may also be used with other medications to treat other conditions as prescribed by your doctor.

What form(s) does Zithromax come in

  • Injectable

  • Capsule

  • Liquid

  • Packet

  • Powder

  • Tablet

What are common Zithromax doses?

  • Tablet 250MG

  • Tablet 500MG

  • Packet 1GM

  • Bottle 15ML of 100MG/5ML

  • Bottle 15ML of 200MG/5ML

  • Bottle 22.5ML of 200MG/5ML

  • Bottle 30ML of 200MG/5ML

  • Solution Reconstituted 500MG

Common Zithromax prescriptions

  • Zithromax
    15ml of 100mg/5ml bottle

  • Zithromax
    15ml of 200mg/5ml bottle

  • Zithromax
    2 tablets bottle

  • Zithromax
    22.5ml of 200mg/5ml bottle

  • Zithromax
    30ml of 200mg/5ml bottle

  • Zithromax
    4 tablets bottle

  • Zithromax
    6 tablets bottle

  • Zithromax
    1gm packet

  • Zithromax
    500mg solution reconstituted

  • Zithromax
    250mg tablet

  • Zithromax
    500mg tablet

  • Zithromax
    600mg tablet

How to take Zithromax

  • Oral liquid for multiple doses: Store at room temperature or in the refrigerator. Use it within 10 days of filling the prescription.

  • Your doctor will tell you how much medicine to use. Do not use more than directed.

  • Take all of the medicine in your prescription to clear up your infection, even if you feel better after the first few doses.

  • Read and follow the patient instructions that come with this medicine. Talk to your doctor or pharmacist if you have any questions.

  • Multiple dose (Zithromax® oral liquid or tablets): Oral routeYou may take this medicine with or without food. Shake the bottle well before you measure the medicine. Measure the oral liquid medicine with a marked measuring spoon, oral syringe, or medicine cup.

  • Single dose (Zmax® extended-release oral liquid or powder): Liquid: Take this medicine on an empty stomach at least 1 hour before you eat, or 2 hours after you eat.Call your doctor right away if you vomit within 1 hour after you take the medicine.You must take the liquid within 12 hours after the pharmacist gives it to you.Shake the bottle well before you measure the medicine. Measure your dose with a marked measuring spoon, cup, or syringe.Powder: Open 1 packet and pour all of the medicine into a glass with about 2 ounces (¼ cup) of water. Mix well and drink the medicine right away. Pour another 2 ounces of water into the same glass, and drink the remaining medicine.

  • Missed dose: If you are taking multiple doses, take the dose as soon as you remember. If it is almost time for your next dose, wait until then to take a regular dose. Do not use extra medicine to make up for a missed dose.

  • Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light.

  • Extended-release oral liquid: Do not refrigerate or freeze.

  • Oral liquid for 1 dose only: Store at room temperature. Do not store in the refrigerator or allow the medicine to freeze.

  • Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light.

  • Your doctor will tell you how much medicine to use. Do not use more than directed.

  • Multiple dose (Zithromax® oral liquid or tablets): Oral routeYou may take this medicine with or without food. Shake the bottle well before you measure the medicine. Measure the oral liquid medicine with a marked measuring spoon, oral syringe, or medicine cup.

  • Single dose (Zmax® extended-release oral liquid or powder): Liquid: Take this medicine on an empty stomach at least 1 hour before you eat, or 2 hours after you eat.Call your doctor right away if you vomit within 1 hour after you take the medicine.You must take the liquid within 12 hours after the pharmacist gives it to you.Shake the bottle well before you measure the medicine. Measure your dose with a marked measuring spoon, cup, or syringe.Powder: Open 1 packet and pour all of the medicine into a glass with about 2 ounces (¼ cup) of water. Mix well and drink the medicine right away. Pour another 2 ounces of water into the same glass, and drink the remaining medicine.

  • Take all of the medicine in your prescription to clear up your infection, even if you feel better after the first few doses.

  • Extended-release oral liquid: Do not refrigerate or freeze.

  • Oral liquid for multiple doses: Store at room temperature or in the refrigerator. Use it within 10 days of filling the prescription.

  • Oral liquid for 1 dose only: Store at room temperature. Do not store in the refrigerator or allow the medicine to freeze.

  • Read and follow the patient instructions that come with this medicine. Talk to your doctor or pharmacist if you have any questions.

  • Missed dose: If you are taking multiple doses, take the dose as soon as you remember. If it is almost time for your next dose, wait until then to take a regular dose. Do not use extra medicine to make up for a missed dose.

  • Injection routeYour doctor will prescribe your dose and schedule. This medicine is given through a needle placed in a vein. This medicine is given slowly, so the needle will remain in place for about an hour.

  • Injection routeA nurse or other health provider will give you this medicine.

  • Your doctor may give you a few doses of this medicine until your condition improves, and then you may be switched to an oral medicine that works the same way. Talk to your doctor if you have any concerns about this.

  • Injection routeYour doctor will prescribe your dose and schedule. This medicine is given through a needle placed in a vein. This medicine is given slowly, so the needle will remain in place for about an hour.

  • Your doctor may give you a few doses of this medicine until your condition improves, and then you may be switched to an oral medicine that works the same way. Talk to your doctor if you have any concerns about this.

  • Injection routeA nurse or other health provider will give you this medicine.

Zithromax contraindications

  • This medicine is not right for everyone. Do not use it if you had an allergic reaction to azithromycin, erythromycin, or similar medicines, or you have a history of liver problems caused by azithromycin.

  • This medicine is not right for everyone. You should not receive it if you had an allergic reaction to azithromycin, erythromycin, or to similar medicines, or if you had liver problems from azithromycin.

Zithromax warnings

  • Tell your doctor if you are pregnant or breastfeeding, or if you have kidney disease, liver disease, heart disease, heart rhythm problems (such as QT prolongation), heart failure, or myasthenia gravis.

  • This medicine may cause the following problems: Serious skin reactionsLiver problemsInfantile hypertrophic pyloric stenosis (tube is too narrow where food passes out of the stomach) in newborn babiesHeart rhythm changes

  • This medicine can cause diarrhea. Call your doctor if the diarrhea becomes severe, does not stop, or is bloody. Do not take any medicine to stop diarrhea until you have talked to your doctor. Diarrhea can occur 2 months or more after you stop taking this medicine. Diarrhea may occur 2 months or more after you stop using this medicine.

  • Dark urine, pale stools, nausea, vomiting, loss of appetite, stomach pain, yellow skin or eyes

  • Double vision, muscle weakness

  • Fainting, dizziness, lightheadedness

  • Pain, redness, itching, burning, or swelling where the needle is placed

  • Severe diarrhea that may contain blood, black stools

  • Unusual tiredness or weakness

  • Tell your doctor if you are pregnant or breastfeeding, or if you have kidney disease, liver disease, heart disease, heart rhythm problems, heart failure, or myasthenia gravis. Tell your doctor if anyone in your family has heart rhythm problems.

  • This medicine may cause the following problems: Serious skin reactionsLiver problemsInfantile hypertrophic pyloric stenosisHeart rhythm problems

  • This medicine can cause diarrhea. Call your doctor if the diarrhea becomes severe, does not stop, or is bloody. Do not take any medicine to stop diarrhea until you have talked to your doctor. Diarrhea can occur 2 months or more after you stop taking this medicine. It may occur 2 months or more after you stop using this medicine.

  • Call your doctor if your symptoms do not improve or if they get worse.

  • Keep all medicine out of the reach of children. Never share your medicine with anyone.

  • Fast, pounding, or uneven heartbeat, chest pain

  • Severe diarrhea that may contain blood, stomach cramps, fever

Zithromax interactions

  • Zithromax® for multiple doses: Do not take an antacid that contains magnesium or aluminum at the same time you take Zithromax®. An antacid will affect how the medicine works. Antacids will not affect Zmax® for single dose.

  • This medicine can cause diarrhea. Call your doctor if the diarrhea becomes severe, does not stop, or is bloody. Do not take any medicine to stop diarrhea until you have talked to your doctor. Diarrhea can occur 2 months or more after you stop taking this medicine. It may occur 2 months or more after you stop using this medicine.

  • Call your doctor if your symptoms do not improve or if they get worse.

  • Keep all medicine out of the reach of children. Never share your medicine with anyone.

  • Some medicines can affect how azithromycin works. Tell your doctor if you are also using any of the following:Cyclosporine, digoxin, nelfinavir, or phenytoinBlood thinnerErgot medicineMedicine for a heart rhythm problem (including amiodarone, dofetilide, procainamide, quinidine, sotalol)

  • Some medicines can affect how azithromycin works. Tell your doctor if you are using any of the following: Cyclosporine, digoxin, nelfinavir, phenytoinBlood thinner medicine (including warfarin)Ergot medicineMedicine for a heart rhythm problem (including amiodarone, disopyramide, dofetilide, procainamide, quinidine, sotalol)

  • This medicine may cause the following problems: Heart rhythm changes, such as a fast, pounding, or uneven heartbeatLiver problemsSerious skin reactions

  • This medicine can cause diarrhea. Call your doctor if the diarrhea becomes severe, does not stop, or is bloody. Do not take any medicine to stop diarrhea until you have talked to your doctor. Diarrhea can occur 2 months or more after you stop taking this medicine. Diarrhea may occur 2 months or more after you stop using this medicine.

Zithromax side effects

Serious Side Effects

  • Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing

  • Dark urine, pale stools, nausea, vomiting, loss of appetite, stomach pain, yellow skin or eyes

  • Severe diarrhea that may contain blood, stomach cramps, fever

  • Feeling irritable or vomits after feeding (in babies)

  • Double vision, tiredness or weakness

  • Fainting, dizziness, lightheadedness

  • Fast, pounding, or uneven heartbeat, chest pain

  • Blistering, peeling, red skin rash

  • Dark urine, pale stools, nausea, vomiting, loss of appetite, stomach pain, yellow skin or eyes

  • Pain, redness, itching, burning, or swelling where the needle is placed

  • Chest pain, fast, pounding, or uneven heartbeat

  • Fainting, dizziness, lightheadedness

  • Trouble breathing

  • Double vision, muscle weakness

  • Blistering, peeling, red skin rash

  • Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing

  • Severe diarrhea that may contain blood, black stools

Less Serious Side Effects

  • Mild diarrhea, nausea, vomiting, stomach pain