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Zithromax is a semi-synthetic macrolide antibiotic chemically related to erythromycin which is active against majority of species of gram positive and gram negative microorganisms such as genus Staphylococcus; S. aureus, S. pneumoiane, S. pyogenes, S. agalactiae, Haemophilus influenzae and parainfluenzae, Moraxela catarrhalis, Bacteroides fragilis, Escherichia coli, Bordetella ssp., Borrelia burgdorferi, Haemophilus ducreui, Nisseria gonorrhoeae Chlamidia trachomati. In vitro it showed activity against Legionella pneumophila, Mycoplasma pneumoiae hominis, Helicobacter pylori, Toxoplasma gondii, Ureaplasma urealiticum.

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As a Macrolide antibiotic Zithromax inhibits bacterial protein synthesis and prevents bacteria from growth and propagation. It is used to treat infections of upper and low respiratory organs (tonsillitis, otitis, sinusitis, pneumonia), urogenital infections (urethritis, prostatitis, cervicitis, adnexitis caused by chlamydia, gonorrhea, early syphilis), intestinal infections, ulcer of stomach and duodenum.

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Take exactly as prescribed and do not discontinue your treatment even if you feel fine and your symptoms improved without permission of your doctor. Take Zithromax tablet with a big glass of water. To prepare a liquid suspension form one dose packet mix one packet with 2 ounces of water, shake and drink at once.

Do not use the suspension which was prepared longer than 12 hours ago. Tablets and suspension can be taken with or without food while capsules should be taken on an empty stomach 2 hours before or after a meal.Among side effects may be diarrhea or loose stools, nausea, abdominal pain, and vomiting, uneven heartbeats, loss of appetite, dark urine, clay-colored stools, jaundice, fever, rash, red skin, headache.

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You should call your doctor and inform about such symptoms or get immediate medical attention.Zithromax is not recommended to take with aluminum- or magnesium- based antacids, such as Mylanta or Maalox as they decrease its absorption in the intestine.

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