ZITHROMAX (azithromycin tablets and azithromycin for oral suspension) contain
the active ingredient azithromycin, an azalide, a subclass of macrolide antibiotics,
for oral administration. Azithromycin has the chemical name (2R,3S,4R,5R,8R,10R,11R,12S,13S,14R)-l3-[(2,6-dideoxy-3-C-methyl-3-O-methyl-α-L
ribo-hexopyranosyl)oxy]-2-ethyl-3,4,10-trihydroxy-3,5,6,8,10,12,14-heptamethyl-11-[[3,4,6-trideoxy-3-(dimethylamino)-β-D-xylo-hexopyranosyl]oxy]-l-oxa-6-azacyclopentadecan-15-one.
Azithromycin is derived from erythromycin; however, it differs chemically from
erythromycin in that a methyl-substituted nitrogen atom is incorporated into
the lactone ring. Its molecular formula is C38H72N2O12,
and its molecular weight is 749.0. Azithromycin has the following structural
formula:
Azithromycin, as the dihydrate, is a white crystalline powder with a molecular
formula of C38H72N2O12•2H2O
and a molecular weight of 785.0.
ZITHROMAX tablets contain azithromycin dihydrate equivalent to 600 mg azithromycin. The tablets are supplied as white, modified oval-shaped, film-coated tablets. They also contain the following inactive ingredients: dibasic calcium phosphate anhydrous, pregelatinized starch, sodium croscarmellose, magnesium stearate, sodium lauryl sulfate and an aqueous film coat consisting of hypromellose, titanium dioxide, lactose and triacetin.
ZITHROMAX (azithromycin) for oral suspension is supplied in a single dose packet containing azithromycin dihydrate equivalent to 1 g azithromycin. It also contains the following inactive ingredients: colloidal silicon dioxide, sodium phosphate tribasic, anhydrous; spray dried artificial banana flavor, spray dried artificial cherry flavor, and sucrose.
What are the possible side effects of azithromycin?
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.
Call your doctor at once if you have a serious side effect such as:
- diarrhea that is watery or bloody;
- chest pain, uneven heartbeats;
- nausea, stomach pain, low fever, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes); or
- fever, sore throat, and headache with a severe blistering, peeling, and red skin...
Read All Potential Side Effects and See Pictures of Zithromax »
What are the precautions when taking azithromycin (Zithromax)?
Before taking azithromycin, tell your doctor or pharmacist if you are allergic to it; or to other antibiotics (such as erythromycin, clarithromycin, telithromycin); or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.
Before using this medication, tell your doctor or pharmacist your medical history, especially of: liver disease, kidney disease, a certain muscle disease (myasthenia gravis).
Azithromycin may cause a condition that affects the heart rhythm (QT prolongation). QT prolongation can infrequently result in serious (rarely fatal) fast/irregular heartbeat and other symptoms (such as severe dizziness, fainting) that need medical attention right...
Read All Potential Precautions of Zithromax »
Last reviewed on RxList: 1/31/2011
This monograph has been modified to include the generic and brand name in many instances.