Azithromycin belongs to the group of broad-spectrum antibiotics, with sensitivity to campylobacter, all types of streptococci, bordetella, mycoplasma, ureaplasma, anaerobic microflora.
Release form and composition
The composition of Azithromycin includes the active ingredient azithromycin dihydrate and auxiliary components - lactose, povidone, magnesium stearate, colloidal silicon dioxide. Available in the form of capsules 250 and 500 mg in a package of 3, 6 and 10 pieces.
Indications for use
Indications for use Azithromycin is a wide range of infectious diseases. The drug is used to treat infections of the upper respiratory tract and upper respiratory tract: tonsillitis, sinusitis, tonsillitis, otitis media, scarlet fever. Azithromycin is also used for infections of the lower respiratory tract: pneumonia (atypical and bacterial), bronchitis. In addition: soft tissue infections, skin infections: erysipelas, impetigo, dermatosis. Another application of Azithromycin is the fight against urinary tract infections: urethritis (gonorrheal and non-gonorrhea), cervicitis, Lyme disease.
The instructions for Azithromycin indicate that this drug should not be taken by people who are hypersensitive to macrolide antibiotics. Very carefully prescribe the drug to patients with impaired liver and kidneys. Pregnant and lactating women should be prescribed Azithromycin only if the possible therapeutic effect exceeds the potential risk. With great caution, you can take the drug to patients with allergic reactions in history.
Dosing and Administration
In accordance with the instructions for Azithromycin, before starting a course of treatment, it is desirable to determine the sensitivity of the pathogenic microflora to the drug. Azithromycin should be taken one hour before meals or two hours after meals once a day. When treating infections of the upper and lower respiratory tract, soft tissues, skin infections, the dosage is 500 mg on the first day of treatment and 250 mg for the next four days, or 500 mg each for three days. The instructions for azithromycin indicate that during the treatment of infections of the urogenital tract, you must take 2 capsules of the drug at 500 mg at a time. For the treatment of Lyme disease at the initial stage, 1 g is prescribed on the first day and 500 mg in the next four days.
Children are prescribed the drug based on body weight. Children weighing more than 10 kilograms are prescribed 10 mg per 1 kg of weight on the first day and 5 mg per 1 kg of weight in the next four days. With a course of treatment of three days, it is prescribed 10 mg per 1 kg of weight of the child once a day for all three days.
The side effects of Azithromycin are not many and they occur infrequently. Abdominal pain, vomiting, diarrhea, flatulence may occur. Allergies such as skin rashes and a transient increase in liver enzyme activity are rare.
When using Azithromycin with antacids, you must take a break of two hours. Only under the supervision of a physician can you take the drug to people with severe disorders of the liver, kidneys and cardiac arrhythmias. In some patients, a hypersensitivity reaction may persist even after discontinuation of the drug. In this case, you should consult a doctor.
If azithromycin is used by a nursing woman, breastfeeding should be discontinued for the duration of the treatment. Children under 12 years old can not take the drug in the dosage in which it is available. Therefore, it is necessary to replace the drug with its analogues. Alcohol does not affect the digestibility of Azithromycin, but aggravates the course of any disease, so for the period of treatment should be abandoned or reduce the number of consumed alcoholic beverages.
If the patient missed a dose of medication, it is necessary to take it as soon as possible. All subsequent doses are taken at intervals of 24 hours.
If for some reason the use of Azithromycin is not suitable for the patient, you can use the analogues of the drug: Azitsit, Azatral, Zitrotsin, Azivok, Sumamed, Hemomitsin, Sumamoks. All analogues of Azithromycin have a different amount of active ingredient, which is important for calculating the daily dosage.
Terms and conditions of storage
Azithromycin is stored in a dark dry place at a temperature not higher than 25 degrees for three years.