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Azithral (Azithromycin)

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Azithral is an antibiotic used to treat various types of bacterial infections of the respiratory tract, ear, nose, throat, lungs, skin, and eye in adults and children. It is also effective in typhoid fever and some sexually transmitted diseases like gonorrhea.

Other names for this medication:
Altezym, Azatril, Azenil, Azibiot, Azidraw, Azigram, Azilide, Azimed, Azimit, Azinix, Aziphar, Azithrex, Azithrus, Azitrim, Azitrin, Azitrox, Aziwok, Azomac, Bactexina, Bezanin, Clearsing, Doyle, Macromax, Momicine, Naxocina, Neozith, Ordipha, Penalox, Rarpezit, Ricilina, Sitrox, Sumamed, Talcilina, Tromic, Trozocina, Ultreon, Zibac, Zifin, Zimax, Zirocin, Zithrin, Zithrogen, Zithromac, Zitrolab, Zitrolid, Zitromax, Zival, Zomax

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Also known as: Azithromycin


Azithral is a semi-synthetic macrolide antibiotic of the azalide class. Like other macrolide antibiotics, Azithral inhibits bacterial protein synthesis by binding to the 50S ribosomal subunit of the bacterial 70S ribosome. Binding inhibits peptidyl transferase activity and interferes with amino acid translocation during the process of translation. Its effects may be bacteriostatic or bactericidal depending of the organism and the drug concentration. Its long half life, which enables once daily dosing and shorter administration durations, is a property distinct from other macrolides.

Azithral is the local analog (generic) of more famous drug Azithral that has the same active substance (ingredient) and in result the same therapeutic effect. The main difference is that Azithral is registered by a small local pharmaceutical company. The presence of the same active substance guarantees an identical pharmaceutical (therapeutic) effect on the body.

It is possible to buy Azithral only in the pharmacies of the country where it is produced. With us, you can buy its more famous analog Azithral, which is approved by the FDA and is sold worldwide. The same active substance guarantees the identity of the drugs and the identity of the pharmaceutical properties (they have only different names and packaging, in which they are sold).


Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed.

Azithral Z-Pak oral is taken by mouth. This medicine injection is given as an infusion into a vein, usually for 2 days before you switch to this medicine oral. A healthcare provider will give you this injection.

You may take Azithral Z-Pak oral with or without food.

Shake the oral suspension (liquid) before you measure a dose. Use the dosing syringe provided, or use a medicine dose-measuring device (not a kitchen spoon).

Use Azithral Z-Pak for the full prescribed length of time, even if your symptoms quickly improve. Skipping doses can increase your risk of infection that is resistant to medication. Azithral Z-Pak will not treat a viral infection such as the flu or a common cold.

Store at room temperature away from moisture and heat. Throw away any unused liquid medicine after 10 days.

Detailed Azithral dosage information


If you overdose Generic Azithral and you don't feel good you should visit your doctor or health care provider immediately. Symptoms of Generic Azithral overdosage: discomfort feeling in stomach, diarrhea, retching, nausea.


Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Do not refrigerate or freeze the extended-release oral liquid. After water has been added to the powder, use the dose within 12 hours and throw away any unused liquid after your dose.

You may store the oral liquid at room temperature or in the refrigerator. Do not freeze the bottle. Do not keep the oral liquid for more than 10 days. Throw away any unused liquid after all doses are completed.

Side effects

The most common side effects associated with Azithral are:

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Side effect occurrence does not only depend on medication you are taking, but also on your overall health and other factors.


Azithral is contraindicated in patients with known hypersensitivity to azithromycin, erythromycin, any macrolide or ketolide drug.

Azithral is contraindicated in patients with a history of cholestatic jaundice/hepatic dysfunction associated with prior use of azithromycin.

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