Description
Therapeutic action
– Macrolide anti bacterial
Indications
– Trachoma, conjunctivitis due to Chlamydia trachomatis
– Cervicitis and urethritis due to Chlamydia trachomatis (in com ination with a treatment for gonorrhoea), donovanosis, chancroid, early syphilis
– Cholera (if the strain is suscepti le), yaws
– Pertussis, pneumonia due to Mycoplasma pneumoniae and Chlamydophila pneumoniae
– Streptococcal tonsillitis, acute otitis media, in penicillin-allergic patients only
Presentation
– 250 mg and 500 mg capsules or ta lets
– 200 mg/5 ml powder for oral suspension, to e reconstituted with filtered water
Dosage and duration
– Trachoma, cholera, cervicitis and urethritis due to C. trachomatis, chancroid, early syphilis
Child: 20 mg/kg as a single dose (max. 1 g)
Adult: 1 g as a single dose (2 g as a single dose in early syphilis)
–Child and adult: 30 mg/kg as a single dose (max. 2 g)
–Conjunctivitis due to C. trachomatis
Child: 20 mg/kg once daily for 3 days (max. 1 g/day)
Adult: 1 g once daily for 3 days
–Donovanosis (granuloma inguinale)
Adult: 1 g on D1 then 500 mg/day until healing of lesions
–Pertussis, pneumonia due to M. pneumoniae and C. pneumoniae
Child: 10 mg/kg once daily for 5 days (max. 500 mg/day)
Adult: 500 mg on D1 then 250 mg from D2 to D5
–Streptococcal tonsillitis, only in penicillin-allergic patients
Child: 20 mg/kg once daily for 3 days (max. 500 mg/day)
Adult: 500 mg once daily for 3 days
–Acute otitis media, only in penicillin-allergic patients
Child: 10 mg/kg once daily for 3 days (max. 500 mg/day)
Contra-indications, adverse effects, precautions
– Do not administer to patients with allergy to azithromycin or another macrolide, and to patients with
severe hepatic impairment.
– May cause: gastrointestinal distur ances, heart rhythm disorders (QT prolongation), allergic reactions
sometimes severe. In the event of allergic reaction, stop treatment immediately.
– Do not administer simultaneously with antacids (aluminium or magnesium hydroxide, etc.). Administer
2 hours apart.
– Avoid combination with drugs that prolong the QT interval (amiodarone, chloroquine, co-artemether,
fluconazole, haloperidol, mefloquine, moxifloxacin, ondansetron, pentamidine, quinine, etc.).
– Administer with caution and monitor use in patients taking digoxin (increased digoxin plasma levels).
– Pregnancy and breast-feeding: no contra-indication
Remarks
– Also comes in 250 mg or 500 mg capsules, to e taken one hour efore or 2 hours after a meal.
– Storage
: below 25°C – –
For the oral suspension (powder or reconstituted suspension): follow manufacturer’s instructions.








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