If you receive azithromycin powder for suspension Zithromax in the single-dose, 1-gram packet, you must first mix it with water before you take the medication.

If you receive azithromycin extended-release suspension Zmax as a dry powder, you must first add water to the bottle before you take the medication. Open the bottle by pressing down on the cap and twisting. Close the bottle tightly, and shake well to mix. Use the azithromycin extended-release suspension within 12 hours of receiving it from the pharmacy or after adding water to the powder. If you vomit within an hour after taking azithromycin, call your doctor right away.

Your doctor will tell you if you need to take another dose. Do not take another dose unless your doctor tells you to do so. You should begin to feel better during the first few days of treatment with azithromycin. If your symptoms do not improve, or get worse, call your doctor. Take azithromycin until you finish the prescription, even if you feel better. If you stop taking azithromycin too soon or skip doses, your infection may not be completely treated and the bacteria may become resistant to antibiotics. Azithromycin is also used sometimes to treat H. It is also used to prevent heart infection in people having dental or other procedures, and to prevent STD in victims of sexual assault.

Talk to your doctor about the possible risks of using this medication for your condition. This medication may be prescribed for other uses; ask your doctor or pharmacist for more information. Take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.

Azithromycin may cause other side effects. Call your doctor if you have any unusual problems while taking this medication. Keep this medication in the container it came in, tightly closed, and out of reach of children. Store azithromycin tablets, suspension, and extended-release suspension at room temperature and away from excess heat and moisture not in the bathroom.

Do not refrigerate or freeze the extended-release suspension. Discard any azithromycin suspension that is left over after 10 days or no longer needed.

Azithromycin 1 g Sus-GRE

Discard any unused extended-release azithromycin suspension after dosing is complete or 12 hours after preparation. Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them.

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Choose a degree. Get updates. Customizing antibiotic use to the specific organism s causing an infection is the gold standard, a task not easily accomplished. Preliminary laboratory identification of an organism can take up to 24 hours and often requires an additional 24 hours to determine the particular antibiotics the organism is sensitive to. While some "on the spot" diagnostic tests are available, their sensitivity and specificity vary considerably.

Most antibiotic prescribing is empiric — meaning based on patient symptoms coupled with some knowledge of the current pathogens in a community and the local antibiotic resistance patterns. This frequently requires initial antibiotic therapy cover all likely infective organisms using broad-spectrum antibiotics. This sort of shotgun approach can lead to development of antibiotic resistance in patients and across communities.

Dosing and Administration — Azithromycin dosing varies both by the condition and severity being treated. Usual adult dosing for most indications is milligrams orally on the first day as a single dose, followed by milligrams once daily thereafter. CAP dosing in adults is usually milligrams daily for seven to 10 days. Acute bacterial sinusitis recommended dosing is milligrams once daily for three days.

A single 1 gram oral dose is recommended for both chlamydia and chancroid infections. Patients allergic to amoxicillin who require endocarditis prophylaxis for invasive procedures like dental work can alternatively take milligrams of azithromycin 30 to 60 minutes before the procedure. A variety of other dosing schemes have been studied and are in use.

Oral dosing for children 6 months and older ranges from 5 to 30 milligrams per kilogram of patient weight depending on the indication and intended duration of therapy. Calculated pediatric doses should not exceed doses recommended for adults. Intravenous azithromycin is available and is dosed comparably to oral therapy, no faster than over 60 minutes. It should not be given as a bolus or intramuscular injection.

Azithromycin oral tablets can be taken with or without food; tolerability improves when taken with food or milk. Variations in peak concentrations of azithromycin were observed when taken with food or high fat meals, but were not clinically significant. Food does significantly impair absorption of azithromycin capsules; these should be taken one hour before or two hours after eating most oral azithromycin is manufactured in tablet form, not capsules. Extended release liquid suspension forms of azithromycin should be taken on an empty stomach one hour before or two hours after meals.

Additional antibiotic should be considered if vomiting occurs within 60 minutes of ingesting extended release suspension. As with all antibiotics, effectiveness depends on a fixed dosing schedule.

Azithromycin dosed daily should be taken at the same time each day; twice daily doses should be spaced at 12 hour intervals. Dose adjustments of azithromycin do not appear necessary in patients with mild to moderate renal or liver dysfunction, or the geriatric population. Prescribers are warned to use the drug cautiously in patients with renal or liver failure.

Azithromycin is not removed by hemodialysis.

Overdoses typically manifest side effects mentioned with higher dosing regimens. Treatment is supportive. As mentioned above, hemodialysis is not helpful. Within 48 hours, most patients with pneumonias will be afebrile. The liver is responsible for most metabolism of azithromycin. Antibiotics fall into three major classes according to their mechanism of action: cell walls, protein synthesis, or nucleic acid synthesis.