What key warnings should I know about before taking this medicine?

This medicine does not mix well with many medicines. Serious reactions may occur. Check all medicines with healthcare provider.

Reasons not to take this medicine

• If you have an allergy to azithromycin or any other part of this medicine.

• Tell healthcare provider if you are allergic to any medicine. Make sure to tell about the allergy and how it affected you. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other symptoms involved.

What is this medicine used for?

• This medicine is used to prevent or treat a variety of bacterial infections.

How does it work?

• Azithromycin works to injure the bacteria and fight the infection.

How is it best taken?

• To gain the most benefit, do not miss doses.

• Use prescription as directed, even if feeling better.

Zithromax®:

• Take this medicine with or without food. Take with food if it causes an upset stomach.

• A liquid (suspension) is available if you cannot swallow pills. Shake well before use.

• Empty single dose liquid (suspension) packet in / cup of water. Mix well and drink. Rinse with more water and drink.

• Those who have feeding tubes can also use the liquid. Flush the feeding tube before and after medicine is given.

• Stop tube feeding for 2 hours before giving this medicine. Restart tube feeding 1 hour after giving.

Zmax®:

• Take liquid (suspension) on an empty stomach. Take 1 hour before or 2 hours after meals.

Injection (I.V.):

• This medicine is given as a shot into a vein.

Eye solution:

• For the eye only.

• Wash hands before and after use.

• Take out contact lenses before using medicine. Lenses can be replaced 15 minutes after medicine is given. Do not put contacts back in if eyes are irritated or infected.

• Do not touch the container tip to the eye, lid, or other skin.

• Tilt head back and drop medicine into eye.

• After using medicine, keep your eyes closed. Apply pressure to the inside corner of the eye. Do this for 3-5 minutes. This keeps the medicine in your eye.

• Separate each eye medicine by 5 minutes.

What do I do if I miss a dose? (does not apply to patients in the hospital)

• Use a missed dose as soon as possible.

• If it is almost time for the next dose, skip the missed dose and return to your regular schedule.

• Do not use a double dose or extra doses.

What are the precautions when taking this medicine?

• If you have kidney disease, talk with healthcare provider.

• If you have liver disease, talk with healthcare provider.

• If you have myasthenia gravis, talk with healthcare provider.

• Check medicines with healthcare provider. This medicine may not mix well with other medicines.

• Tell healthcare provider if you are pregnant or plan on getting pregnant.

• Tell healthcare provider if you are breast-feeding.

What are some possible side effects of this medicine?

• Belly pain.

• Nausea or vomiting. Small frequent meals, frequent mouth care, sucking hard, sugar-free candy, or chewing sugar-free gum may help.

• Diarrhea. Yogurt, Bifidobacterium bifidum, or Lactobacillus acidophilus may help. These products are available at health food stores or in some pharmacies.

• Eye: Short-term discomfort after use.

What should I monitor?

• Change in condition being treated. Is it better, worse, or about the same?

Reasons to call healthcare provider immediately

• If you suspect an overdose, call your local poison control center or emergency department immediately.

• Signs of a life-threatening reaction. These include wheezing; chest tightness; fever; itching; bad cough; blue skin color; fits; or swelling of face, lips, tongue, or throat.

• Severe nausea or vomiting.

• Severe diarrhea, even after medicine is stopped.

• Sudden change in vision, eye pain, or irritation.

• Fast heartbeat.

• Dark urine or yellow skin or eyes.

• Zmax®: If you vomit within 1 hour of taking this medicine.

• Any rash.

• No improvement in condition or feeling worse.

How should I store this medicine?

Zithromax®:

• Store liquid (suspension) or tablets at room temperature. Throw away any unused portion of suspension after 10 days.

• Protect tablets from moisture. Do not store in a bathroom or kitchen.

Zmax®:

• Store at room temperature.

• Use within 12 hours of making.

Azasite™:

• After opening, store at room temperature. Throw away after 14 days.

Injection:

• Store as directed by healthcare provider.

General statements

• If you have a life-threatening allergy, wear allergy identification at all times.

• Do not share your medicine with others and do not take anyone else's medicine.

• Keep all medicine out of the reach of children and pets.

• Most medicines can be thrown away in household trash after mixing with coffee grounds or kitty litter and sealing in a plastic bag.

• Keep a list of all your medicines (prescription, natural products, supplements, vitamins, over-the-counter) with you. Give this list to healthcare provider (doctor, nurse, nurse practitioner, pharmacist, physician assistant).

• Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or in Canada to Health Canada's Canada Vigilance Program at 1-866-234-2345.

• Talk with healthcare provider before starting any new medicine, including over-the-counter, natural products, or vitamins.