Azithromycin — Uses, Dosage, Side Effects & Safety

Azithromycin is a commonly prescribed antibiotic people know as Z‑Pak or generic azithro. Doctors use it for many infections: bronchitis, sinusitis, ear infections, some skin infections and sexually transmitted infections like chlamydia. It fights bacteria, not viruses, so it won’t help a cold or flu.

Common Azithromycin Doses

There are a few typical dosing patterns you’ll see. For respiratory infections a common option is a 5‑day course: 500 mg on day 1, then 250 mg once daily on days 2–5 (the Z‑Pak). Another common plan is 500 mg once daily for 3 days. For uncomplicated chlamydia, many guidelines used a single 1 g dose, but local recommendations can change, so check with your clinician. Always follow the exact dose and length your prescriber sets.

Take azithromycin exactly as directed. You can usually take it with or without food. If you feel better before the course ends, don’t stop early unless your doctor tells you — stopping antibiotics too soon can let bacteria survive and become resistant.

Safety Tips & Warnings

Azithromycin is generally well tolerated, but watch for signs of trouble. Common side effects include nausea, stomach pain, loose stools, and headache. If you get severe diarrhea, blood in stool, jaundice (yellow skin or eyes), severe rash, or swelling of face or throat, seek medical help right away — these can be signs of serious reactions.

Azithromycin can affect heart rhythm in some people, especially if you already take other drugs that lengthen the QT interval (certain antipsychotics, antiarrhythmics, some antidepressants) or have low potassium/magnesium. Tell your doctor about all medicines and supplements you take. People with severe liver disease should use caution — discuss alternatives with your provider.

Antibiotic stewardship matters. Don’t pressure a clinician for azithromycin for a likely viral illness. Using antibiotics when not needed increases resistance and makes future infections harder to treat.

Thinking of buying azithromycin online? Many countries require a prescription. If you choose an online pharmacy, pick a reputable, licensed source that asks for a prescription and shows clear contact info. Avoid sites that sell antibiotics without any prescription — the product quality and legality are often questionable.

Pregnancy and breastfeeding: azithromycin is sometimes used during pregnancy when necessary, but discuss risks and benefits with your clinician. The same goes for breastfeeding — check with your health provider if you have concerns.

If you’re unsure whether azithromycin is right for your symptoms, ask your GP or pharmacist. Small checks — allergy history, other medicines, heart issues — can change the safest choice. When used correctly, azithromycin can be effective and convenient, but it needs responsible use to stay that way.

8 June 2025 Ian Glover

Zithromax: Uses, Side Effects, Dosage, and Key Safety Tips

Zithromax, known as azithromycin, is a popular antibiotic used for various bacterial infections. This article covers what it treats, how it works, common side effects, real-world tips for use, and what to expect during treatment. Learn important safety information, how to take Zithromax for best results, and answers to questions people often ask before starting this medication.