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Azihexal (Azithromycin)

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Azihexal is an antibiotic useful for the treatment of a number of bacterial infections. This includes middle ear infections, strep throat, pneumonia, traveler's diarrhea, and certain other intestinal infections. It may also be used for a number of sexually transmitted infections including chlamydia and gonorrhea infections. Along with other medications, it may also be used for malaria.

Other names for this medication:
Azicin, Azithromycin, Azitrix, Azitrotek, Azromax, Macromax, Macrozit, Medimacrol, Naxocina, Penalox, Ribotrex, Simpli, Talcilina, Texis, Tromix, Ultrabac, Ultreon, Zaret, Zedd, Zicho, Zifin, Zinfect, Zitrex, Zitroken, Zitromax

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Also known as: Azithromycin


Azihexal is in a group of drugs called macrolide antibiotics. Azihexal fights bacteria in the body. Azihexal is used to treat many different types of infections caused by bacteria, such as respiratory infections, skin infections, ear infections, and sexually transmitted diseases. Azihexal may also be used for purposes other than those listed in this medication guide.

To reduce the development of drug-resistant bacteria and maintain the effectiveness of Azihexal Tablets and other antibacterial drugs, Azihexal Tablets should be used only to treat infections that are proven or strongly suspected to be caused by susceptible bacteria. When culture and susceptibility information are available, they should be considered in selecting or modifying antibacterial therapy. In the absence of such data, local epidemiology and susceptibility patterns may contribute to the empiric selection of therapy.

Azihexal Tablets are a macrolide antibacterial drug indicated for the treatment of patients with mild to moderate infections caused by susceptible strains of the designated microorganisms in the specific conditions listed below.

Azihexal is an antibiotic used to treat bacterial infections of the nose, throat, lungs, bronchitis, ear, skin, soft tissues, and sexually transmitted genital and urinary infections.

Azihexal is a semi-synthetic macrolide antibiotic of the azalide class. Like other macrolide antibiotics, Azihexal 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.


Use Azihexal as directed by your doctor.

Take Azihexal by mouth with or without food. If stomach upset occurs, take with food to reduce stomach irritation.

Do not take an antacid that has aluminum or magnesium in it within 1 hour before or 2 hours after you take Azihexal.

Azihexal works best if it is taken at the same time each day.

To clear up your infection completely, use Azihexal for the full course of treatment. Keep using it even if you feel better in a few days.

Ask your health care provider any questions you may have about how to use Azihexal.


Seek emergency medical attention if you think you have used too much of this medicine. Symptoms of an Azihexal overdose may include nausea, vomiting, diarrhea, and stomach discomfort.


Keep the medicine in a cupboard, away from heat and direct sunlight.

You may need to keep liquid medicine in the fridge – check the instructions on the bottle. Make sure that the medicine doesn’t freeze.

Make sure that children cannot see or reach the medicine.

Keep the medicine in the container it came in.

Side effects

The most common side effects associated with Azihexal 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.


You should not use Azihexal Z-Pak if you are allergic to it, or if you have ever had:

jaundice or liver problems caused by taking Azihexal Z-Pak; or a severe allergic reaction to similar drugs such as clarithromycin, erythromycin, or telithromycin.

Azihexal Z-Pak oral should not be used to treat pneumonia in people who have:

cystic fibrosis; an infection after being in a hospital; an infection in the blood; a weak immune system (caused by diseases such as HIV/AIDS or cancer); or in older adults and those who are ill or debilitated.

Tell your doctor if you have ever had:

pneumonia; liver or kidney disease; myasthenia gravis; low levels of potassium in your blood; a heart rhythm disorder; or long QT syndrome (in you or a family member).

It is not known whether this medicine is effective in treating genital ulcers in women.

Tell your doctor if you are pregnant or breastfeeding. Taking Azihexal Z-Pak while breastfeeding may cause diarrhea, vomiting, or rash in the nursing baby.

Azihexal Z-Pak is not approved for use by anyone younger than 6 months old. This medicine should not be used to treat a throat or tonsil infection in a child younger than 2 years old.

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Early loading of sandblasted and acid-etched implants: a randomized-controlled double-blind split-mouth study. The phytoestrogen coumestrol is a naturally occurring antagonist of the human pregnane X receptor. Bilateral internal jugular venous thrombosis following successful assisted conception in the absence of ovarian hyperstimulation syndrome. Discovery of an efficient, practical, and flexible synthetic method to produce various important electron acceptors for low-cost organic photovoltaics (OPVs) is highly desirable. This study was undertaken to evaluate the inter-observer variance of grading cartilage lesions in a real life operation. The phosphene threshold of subjects with hallucinations was significantly lower than that of subjects without hallucinations. Because of the high standard oxidative potential of gold ionic species, AuCl4(-) in particular, Au fractals formed via various chemical or electrochemical approaches often have very coarse branches with diameters varying from tens of nanometers to submicrometers, even though extensive chemicals and/or complicated processes have been deployed to control the reduction kinetics.

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