500 mg PO once, then 250 mg once daily for 4 days 2 g extended release suspension PO once 500 mg IV as single dose for at least 2 days; follow with oral therapy with single dose of 500 mg to complete 7-10 days course of therapy Infection of pharynx, cervix, urethra, or rectum: Ceftriaxone 250 mg IM once plus azithromycin 1 g PO once (preferred) or alternatively doxycycline 100 mg PO q12hr for 7 days CDC STD guidelines: MMWR Recomm Rep. June 5, 20(RR3);1-137 Agitation Allergic reaction Anemia Anorexia Candidiasis Chest pain Conjunctivitis Constipation Dermatitis (fungal) Dizziness Eczema Edema Enteritis Facial edema Fatigue Gastritis Headache Hyperkinesia Hypotension Increased cough Insomnia Leukopenia Malaise Melena Mucositis Nervousness Oral candidiasis Pain Palpitations Pharyngitis Pleural effusion Pruritus Pseudomembranous colitis Rash Rhinitis Seizures Somnolence Urticaria Vertigo Anaphylaxis Angioedema Anorexia Bronchospasm Constipation Dermatologic reactions Dyspepsia Elevated liver enzymes Erythema multiforme Flatulence Oral candidiasis Pancreatitis Pseudomembranous colitis Pyloric stenosis, rare reports of tongue discoloration Stevens-Johnson syndrome Torsades de pointes Toxic epidermal necrolysis Vomiting/diarrhea, rarely resulting in dehydration Neutropenia Elevated bilirubin, AST, ALT, BUN, creatinine Alterations in potassium Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS) Use with caution in abnormal liver function, hepatitis, cholestatic jaundice, hepatic necrosis, and hepatic failure have been reported, some of which have resulted in death; discontinue azithromycin immediately if signs and symptoms of hepatitis occur Injection-site reactions can occur with IV route In treatment of gonorrhea or syphilis, perform susceptibility culture tests before initiating azithromycin therapy; may mask or delay symptoms of incubating gonorrhea or syphilis. Bacterial or fungal superinfection may result from prolonged use Prolonged QT interval: Cases of torsades de pointes have been reported during postmarketing surveillance; use with caution in patients with known QT prolongation, history of torsades de pointes, congenital long QT syndrome, bradyarrhythmias, or uncompensated heart failure; also use with caution if coadministering with drugs that prolong QT interval or proarrhythmic conditions (eg, hypokalemia, hypomagnesemia); elderly patients may be more susceptible to drug-associated effects on QT interval Pneumonia: PO azithromycin is safe and effective only for community-acquired pneumonia (CAP) due to C pneumoniae, H influenzae, M pneumoniae, or S pneumoniae Cases of Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS) reported; despite successful symptomatic treatment of allergic symptoms, when symptomatic therapy was discontinued, allergic symptoms recurred soon thereafter in some patients without further azithromycin exposure; if allergic reaction occurs, the drug should be discontinued and appropriate therapy instituted; physicians should be aware that allergic symptoms may reappear when symptomatic therapy discontinued Endocarditis prophylaxis: Indicated only for high-risk patients, per current AHA guidelines Use caution in renal impairment (Cr Cl Because of the low levels of azithromycin in breastmilk and use in infants in higher doses, it would not be expected to cause adverse effects in breastfed infants (Lact Med; https://nih.gov/newtoxnet/lactmed.htm) Binds to 50S ribosomal subunit of susceptible microorganisms and blocks dissociation of peptidyl t RNA from ribosomes, causing RNA-dependent protein synthesis to arrest; does not affect nucleic acid synthesis Concentrates in phagocytes and fibroblasts, as demonstrated by in vitro incubation techniques; in vivo studies suggest that concentration in phagocytes may contribute to drug distribution to inflamed tissues Y-site: Amikacin, aztreonam, cefotaxime, ceftazidime, ceftriaxone, cefuroxime, ciprofloxacin, clindamycin, droperidol, famotidine, fentanyl, furosemide, gentamicin, imipenem, cilastatin, ketorolac, levofloxacin, morphine, piperacillin-tazobactam, ondansetron(? ), potassium chloride, ticarcillin-clavulanate, tobramycin The above information is provided for general informational and educational purposes only. Individual plans may vary and formulary information changes. Contact the applicable plan provider for the most current information. I told my kids that if they didnt take their medications then they would have to get them with a needle. Kids may hate medicine but they hate needles a lot worse, and it was no lie. Scarlet fever is not seen so much anymore but many kids died from it in our grandparents days, before the 1930's, when the first antibiotics came out. Now children get antibiotics before it reaches scarlet fever. I used to tell mine they had 2 choices, they took there med willing, or I dumped it down their throats, there was no option of not taking it. They used to quarentine kids for strep to prevent whole villages of kids from dying. Mix it with sugar or whatever you have to do to get him to take it. In the days before antibiotics, strep throat and scarlet fever were dread illnesses because children died from them. Your child will continue to get sick and develop a high fever and a rash then he will have to be hospitalized for intravenous antibiotics. Before antibiotics, children who didnt die could be left blind because the illness could attack the optic nerve or it could permanently weaken the lungs. A syringe filled with the liquid, squirts it back in their mouths enough to make them swallow it. Not if he truly has strep throat, he has to be treated with an antibiotic. If not most pharmacies have flavoring you can put in it. If he won't take it then you'll have to call the dr and get him to order something he will take. And yes, he will need to take the Zithromax to cure the strep throat. My son's Zithromax is flavored but the chemical aftertaste after it is swallowed is the most gosh awful taste you could ever imagine. Best wishes to you and family, pledge As a teacher, Pledge is right. Think about what will happen when he is 13 or even younger.
Zithromax is one of the country’s most popular antibiotics, treating millions of adult and pediatric patients. However a number of these patients have reportedly experienced serious antibiotic reactions, including an extreme allergic reaction called Stevens Johnson Syndrome (SJS). Zithromax side effects have long been a concern for parents who opt for the convenient and powerful medication. Stevens Johnson Syndrome, one possible side effect, is known for leaving permanent skin scarring and being one of the deadliest antibiotic reactions a patent can suffer from Zithromax. SJS is often characterized by the red or purple skin lesions that cause the infected skin to detach from the body, exposing internal tissue and muscle to possible infection. This is a potentially fatal condition with patients often needing intensive treatment to survive. While there are other medications that can cause Stevens Johnson Syndrome, it is currently unknown which medications cause them or why SJS only affects certain patients. Azithromycin is indicated for the treatment of the following infections when known or likely to be due to one or more susceptible microorganisms (see section 5.1): - bronchitis - community-acquired pneumonia - sinusitis - pharyngitis/tonsillitis (see section 4.4 regarding streptococcal infections) - otitis media - skin and soft tissue infections - uncomplicated genital infections due to Chlamydia trachomatis and Neisseria gonorrhoeae. Considerations should be given to official guidance regarding the appropriate use of antibacterial agents. Zithromax Suspension can be taken with or without food. Children over 45 kg body weight and adults, including elderly patients: The total dose of azithromycin is 1500 mg which should be given over three days (500 mg once daily). In uncomplicated genital infections due to Chlamydia trachomatis, the dose is 1000 mg as a single oral dose. For susceptible Neisseria gonorrhoeae the recommended dose is 1000 mg or 2000 mg of azithromycin in combination with 250 mg or 500 mg ceftriaxone according to local clinical treatment guidelines. For patients who are allergic to penicillin and/or cephalosporins, prescribers should consult local treatment guidelines. Paediatric population: In children under 45 kg body weight: Zithromax Suspension should be used for children under 45 kg.
Establishes the medication azithromycin Zithromax, Zithromax Tri-Pak, Zithromax Z-Pak, Zmax, a drug that is effective against susceptible bacteria causing infections, and certain sexually transmitted infectious diseases. Tonsillitis is a common infection, especially in kids. Tonsillitis is caused by viruses and bacteria like the flu and. Nov 3, 2017. Using just 1 drug instead of 2 could go a long way in curbing azithromycin use.