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Amoxicillin , on the other hand, is a derivative of penicillin. Some people are allergic to macrolide antibiotics while others are allergic to penicillins. Also, Zithromax is useful in treating different types of infections in some cases. As a result, when deciding on a Z-Pak versus amoxicillin in treating an infection, a number of factors are important in the decision, including the likelihood of antibiotic resistance, the patient's medical history and allergy profile, and cost considerations.

Instead, it is necessary to get a prescription from a doctor or other licensed medical provider so that the Z-Pak can be dispensed by a qualified pharmacy.

Push Health can connect people who might need a Z-Pack or Zithromax with a medical provider to discuss obtaining a prescription if it is safe and appropriate to do so. Side effects of a Z-Pack Zithromax include an upset stomach, nausea, dizziness, rash, and vomiting.

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More severe side effects of Zithromax include cardiac arrhythmias and allergic reactions. People who are allergic to macrolides or ketolide drugs should not take Zithromax. Also, a Z-Pak is not recommended for people with a history of certain types of liver disease. Zithromax can also cause drug interactions with warfarin and nelfinavir. Questions regarding the side effects of taking a Z-Pak should be discussed with one's pharmacist and medical provider.

There may be new information. This information does not take the place of talking to your healthcare provider about your medical condition or your treatment.

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ZITHROMAX is a macrolide antibiotic prescription medicine used in adults 18 years or older to treat certain infections caused by certain germs called bacteria. These bacterial infections include: acute worsening of chronic bronchitis acute sinus infection community-acquired pneumonia infected throat or tonsils skin infections infections of the urethra or cervix genital ulcers in men ZITHROMAX is also used in children to treat: ear infections community-acquired pneumonia infected throat or tonsils Azithromycin should not be taken by people who cannot tolerate oral medications because they are very ill or have certain other risk factors including: have cystic fibrosis have hospital acquired infections have known or suspected bacteria in the blood need to be in the hospital are elderly have any medical problems that can lower the ability of the immune system to fight infections ZITHROMAX is not for viral infections such as the common cold.

Before you take ZITHROMAX, tell your healthcare provider if you: have pneumonia have cystic fibrosis have known or suspected bacteremia bacterial infection in the blood have liver or kidney problems have an irregular heartbeat, especially a problem called "QT prolongation" have a problem that causes muscle weakness myasthenia gravis have any other medical problems are pregnant or plan to become pregnant.

Tell your healthcare provider about all the medicines you take , including prescription and non-prescription medicines, vitamins, and herbal supplements. Especially tell your healthcare provider if you take: nelfinavir a blood thinner warfarin digoxin phenytoin an antacid that contains aluminum or magnesium Know the medicines you take.

Keep a list of your medicines and show it to your healthcare provider and pharmacist when you get a new medicine. Stop taking ZITHROMAX and get emergency medical help right away if you have any of the following symptoms of a severe allergic reaction: trouble breathing or swallowing swelling of the lips, tongue, face throat tightness, hoarseness rapid heartbeat faintness skin rash hives new onset of fever and swollen lymph nodes Stop taking ZITHROMAX at the first sign of a skin rash and call your healthcare provider.

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Liver damage hepatotoxicity. Call your healthcare provider right away if you have unexplained symptoms such as: nausea or vomiting loss of appetite stomach pain change in the color of your bowel movements fever weakness dark colored urine abdominal pain or tenderness yellowing of your skin or of the whites of your eyes itching unusual tiredness Stop taking ZITHROMAX and tell your healthcare provider right away if you have yellowing of your skin or white part of your eyes, or if you have dark urine. Serious heart rhythm changes QT prolongation and torsades de pointes.

Tell your healthcare provider right away if you have a change in your heartbeat a fast or irregular heartbeat , or if you feel faint and dizzy. This condition can cause an abnormal heartbeat and can be very dangerous. The chances of this happening are higher in people: who are elderly with a family history of prolonged QT interval with low blood potassium who take certain medicines to control heart rhythm antiarrhythmics Worsening of myasthenia gravis a problem that causes muscle weakness.

Call your healthcare provider right away if you have any worsening muscle weakness or breathing problems. Tell your healthcare provider right away if you have watery diarrhea, diarrhea that does not go away, or bloody stools.