AntibioticPrescription only

Azithromycin

Tablet or syrup

Quick Summary

Azithromycin stops bacteria making proteins. It stays in the body a long time, so courses are short.

Chest infections
Typhoid
Sexually transmitted infections
Scrub typhus

Medical Uses

Chest infections: Some pneumonias and bronchitis.
Typhoid: In some cases.
Sexually transmitted infections: Such as chlamydia.
Scrub typhus: An alternative to doxycycline.

How it's taken

Take it once a day as prescribed.

Take it for the full course, even if you feel better, unless your doctor tells you otherwise. Don't share antibiotics or keep leftovers.

Your doctor decides the right dose for you and how long to take it.

Your doctor decides the right dose for you. Follow their instructions and the label.

Common Side Effects

Diarrhoea

And tummy pain.

Nausea

And vomiting.

Hearing changes

Rarely.

Interactions

Heart rhythm medicines

Can affect heart rhythm.

Antacids

Take at a different time.

Critical Warnings

Heart rhythm

Can cause abnormal rhythm in people at risk.

Severe or bloody diarrhoea

Can be a sign of a serious bowel infection. Contact a doctor.

Severe allergic reaction

Black Box Warning: Swelling of the face or throat, difficulty breathing or a widespread rash: get emergency help.

Antibiotic resistance

Using antibiotics when they aren't needed makes them less effective for everyone.

Sources and further reading

Last updated 21 October 2026. For more detail, see these trusted health organisations.

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