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Zithromax (Azithromycin)

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Zithromax (Azithromycin) is a macrolide antibiotic used to treat bacterial infections.

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About Zithromax (Azithromycin):

Product Type: Antibiotics

Brand name: Zithromax Generic name: Azithromycin What is the most important information I should know about Zithromax? • Do not use Zithromax if you have ever had an allergic reaction to this medicine or similar drugs such as erythromycin (E-Mycin Ery-Tab E.E.S.) clarithromycin (Biaxin) or other macrolide antibiotics. • There are many other medicines that can interact with Zithromax. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins minerals herbal products and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor. Keep a list with you of all the medicines you use and show this list to any doctor or other healthcare provider who treats you. • Take this medication for the entire length of time prescribed by your doctor. Your symptoms may get better before the infection is completely treated. Zithromax will not treat a viral infection such as the common cold or flu. • Take Zithromax on an empty stomach 1 hour before or 2 hours after meals. • Do not take Zithromax at the same time as taking an antacid that contains aluminum or magnesium. This includes Rolaids Maalox Mylanta Milk of Magnesia Pepcid Complete and others. These antacids can make Zithromax less effective when taken at the same time. What is Zithromax? • Zithromax is in a group of drugs called macrolide antibiotics. Zithromax fights bacteria in the body. • Zithromax is used to treat many different types of infections caused by bacteria such as respiratory infections skin infections ear infections and sexually transmitted diseases. • Zithromax may also be used for purposes other than those listed in this medication guide. What should I discuss with my healthcare provider before taking Zithromax? • Do not use Zithromax if you have ever had an allergic reaction to this medicine or similar drugs such as erythromycin (E-Mycin Ery-Tab E.E.S.) clarithromycin (Biaxin) or other macrolide antibiotics. • Before taking Zithromax tell your doctor if you have: liver disease; kidney disease; a heart rhythm disorder; or a history of Long QT syndrome. • If you have any of these conditions you may not be able to use Zithromax or you may need a dosage adjustment or special tests during treatment. • FDA pregnancy category B. This medication is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. • It is not known whether Zithromax passes into breast milk or if it could harm a nursing baby. Do not take this medication without telling your doctor if you are breast-feeding a baby. How should I take Zithromax? • Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts or take it for longer than recommended by your doctor. The dose and length of treatment with Zithromax may not be the same for every type of infection. • Take each tablet or capsule with a full glass (8 ounces) of water. • To use the oral suspension single dose packet: Open the packet and pour the medicine into 2 ounces of water. Stir this mixture and drink all of it right away. To make sure you get the entire dose add a little more water to the same glass swirl gently and drink right away. • Zithromax capsules must be taken on an empty stomach. Take the capsule at least 1 hour before or 2 hours after eating a meal • Zithromax tablets or powder oral suspension may be taken with or without food. Take the tablet or oral suspension with food if the medicine upsets your stomach. • Do not take Zithromax at the same time as taking an antacid that contains aluminum or magnesium. This includes Rolaids Maalox Mylanta Milk of Magnesia Pepcid Complete and others. These antacids can make Zithromax less effective when taken at the same time. • Shake the oral suspension (liquid) well just before you measure a dose. To be sure you get the correct dose measure the liquid with a marked measuring spoon or medicine cup not with a regular table spoon. If you do not have a dose-measuring device ask your pharmacist for one. • Take this medication for the entire length of time prescribed by your doctor. Your symptoms may get better before the infection is completely treated. Zithromax will not treat a viral infection such as the common cold or flu. • It is important to take Zithromax regularly to get the most benefit. • Store this medication at room temperature away from moisture and heat. Throw away any unused liquid medicine after 10 days. What happens if I miss a dose? • Take the missed dose as soon as you remember. If it is almost time for your next dose skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose. What happens if I overdose? • Seek emergency medical attention if you think you have used too much of this medicine. • Symptoms of an Zithromax overdose may include nausea vomiting diarrhea and stomach discomfort. What should I avoid while taking Zithromax? • Antibiotic medicines can cause diarrhea which may be a sign of a new infection. If you have diarrhea that is watery or has blood in it call your doctor. Do not use any medicine to stop the diarrhea unless your doctor has told you to. • Avoid exposure to sunlight or artificial UV rays (sunlamps or tanning beds). Zithromax can make your skin more sensitive to sunlight and sunburn may result. Use a sunscreen (minimum SPF 15) and wear protective clothing if you must be out in the sun. What are the possible side effects of Zithromax? • Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face lips tongue or throat. • Stop using Zithromax and call your doctor at once if you have any of these serious side effects: diarrhea that is watery or bloody; chest pain uneven heartbeats; or nausea stomach pain low fever loss of appetite dark urine clay-colored stools jaundice (yellowing of the skin or eyes). • Continue using Zithromax and talk with your doctor if you have any of these less serious side effects: mild nausea vomiting diarrhea constipation or stomach pain; dizziness tired feeling or headache; vaginal itching or discharge; or mild itching or skin rash. • Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. What other drugs will affect Zithromax? • Do not take antacids that contain aluminum or magnesium within 2 hours of taking Zithromax. • Before taking Zithromax tell your doctor if you are using any of the following drugs: nelfinavir (Viracept); digoxin (Lanoxin Lanoxicaps); ergot medicine such as methysergide (Sansert) ergotamine (Ergostat Medihaler Cafergot Ercaf Wigraine) dihydroergotamine mesylate (D.H.E. Migranal Nasal Spray); triazolam (Halcion); carbamazepine (Carbatrol Tegretol); cyclosporine (Neoral Sandimmune); phenytoin (Dilantin); cholesterol-lowering medicines such as lovastatin (Mevacor) atorvastatin (Lipitor) or cerivastatin (Baycol); a calcium channel blocker such as diltiazem (Cartia XT Diltiazem Tiazac) felodipine (Plendil) nicardipine (Cardene) nifedipine (Procardia Adalat) nimodipine (Nimotop) verapamil (Calan Covera-HS); HIV medicines such as indinavir (Crixivan) ritonavir (Norvir) saquinavir (Invirase); alprazolam (Xanax) diazepam (Valium) midazolam (Versed) triazolam (Halcion); theophylline (Theo-Dur Theolair Theochron); warfarin (Coumadin); pimozide (Orap); or another antibiotic especially clarithromycin (Biaxin) or erythromycin (E-Mycin E.E.S Ery-Tab). • If you are using any of these drugs you may not be able to use Zithromax or you may need dosage adjustments or special tests during treatment. • There are many other medicines that can interact with Zithromax. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins minerals herbal products and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor. Keep a list with you of all the medicines you use and show this list to any doctor or other healthcare provider who treats you

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What should I discuss with my healthcare provider before taking Anafranil? • Do not take Anafranil if you have taken a monoamine oxidase inhibitor such as isocarboxazid (Marplan) phenelzine (Nardil) or tranylcypromine (Parnate) within the last 14 days. • Before taking Anafranil tell your doctor if you have liver disease kidney disease asthma thyroid disease diabetes stomach or intestinal problems high blood pressure or heart disease had a heart attack in the last 6 weeks an enlarged prostate or difficulty urinating glaucoma or seizures. • You may not be able to take Anafranil or you may require a dosage adjustment or special monitoring during therapy if you have any of the conditions listed above. • While you are taking Anafranil you may need to be monitored for worsening symptoms of depression and/ or suicidal thoughts at the start of therapy or when doses are changed. This concern about the increased risk of suicidal thoughts or behaviors may be greater if you are 18 years of age or younger and are taking Anafranil. In patients younger than 18 years the period of risk may extend beyond start of therapy or when doses are changed. Your doctor may want you to monitor for the following symptoms: anxiety panic attacks difficulty sleeping irritability hostility impulsivity severe restlessness and mania (mental and/ or physical hyperactivity). These symptoms may be associated with the development of worsening symptoms of depression and/ or suicidal thoughts or actions. Contact your healthcare provider if you develop any new or worsening mental health symptoms during treatment with Anafranil. Do not stop taking Anafranil. • Anafranil is in the FDA pregnancy category C. This means that it is not known whether Anafranil will harm an unborn baby. Do not take Anafranil without first talking to your doctor if you are pregnant or could become pregnant during treatment. • Anafranil passes into breast milk and may affect a nursing baby. Do not take Anafranil without first talking to your doctor if you are breast-feeding a baby. How should I take Anafranil? • Take Anafranil exactly as directed by your doctor. If you do not understand these directions ask your pharmacist nurse or doctor to explain them to you. • Take each dose with a full glass (8 oz) of water. • Anafranil may be taken several times a day or in one daily dose (usually at bedtime). Follow your doctor's instructions. • Grapefruit and grapefruit juice may interact with Anafranil. The interaction could lead to potentially dangerous effects. Discuss the use of grapefruit and grapefruit juice with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor. • It may be 4 weeks or more before you start to feel better but do not stop taking Anafranil without first talking to your doctor. • Store Anafranil at room temperature away from moisture and heat. What happens if I miss a dose? • Take the missed dose as soon as you remember. If it is almost time for the next regularly scheduled dose skip the missed dose and take the next one as directed. Do not take a double dose of this medication unless otherwise directed by your doctor. What happens if I overdose? • Seek emergency medical attention. • Symptoms of a Anafranil overdose include seizures confusion drowsiness agitation hallucinations and low blood pressure (dizziness fatigue fainting). What should I avoid while taking Anafranil? • Use caution when driving operating machinery or performing other hazardous activities. Anafranil may cause drowsiness or dizziness. If you experience drowsiness or dizziness avoid these activities. • Dizziness is likely to occur when you rise from a sitting or lying position. Rise slowly to prevent dizziness and a possible fall. • Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while you are taking Anafranil. • Grapefruit and grapefruit juice may interact with Anafranil. The interaction could lead to potentially dangerous effects. Discuss the use of grapefruit and grapefruit juice with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor. • Do not stop taking Anafranil suddenly. This could cause symptoms such as nausea headache and malaise. 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