Medicines / Macrolides

Azithromycin

Rx onlyWHO Essential

Antibiotic often given as a short course.

Macrolide antibiotic.

Generic name

Azithromycin

Drug class

Macrolides

ATC code

Pregnancy

Ask your doctor

Prescription

Required

Last updated

2026-01-15

Available forms

TabletSuspensionInjection

Uses

  • Chest infection
  • Throat infection
  • Ear infection
  • Some STIs

How it works

Stops bacteria from making the proteins they need to survive.

Medical: Binds bacterial 50S ribosome, inhibiting protein synthesis.

Common brand names

US

Zithromax, Z-Pak

India

Azithral, Azee

Typical dosage

adults500 mg once daily for 3 days (typical).
children10 mg/kg once daily.

Educational only. Never adjust dosage without medical guidance.

Side effects

Very common

Common

  • · Diarrhea
  • · Nausea
  • · Abdominal pain

Rare

Serious

  • · QT prolongation
  • · Liver problems

Warnings

  • Caution with heart rhythm disorders

Interactions

Medicine

Warfarin, Statins, Antiarrhythmics

Where you usually see it

GP clinicsTravel medicine kits

Timeline

  1. 1988

    Introduced.

Fun facts

  • · Often called the 'Z-Pak' in the US for its 5-day pack.

Conditions it treats

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Frequently asked

Why is the course so short?

It stays in the body longer than most antibiotics.

Educational use only.This information is for educational purposes only and should not replace professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare professional before starting, stopping, or changing any medication.