Always use Azithromycin exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure.
Preparation of the suspension
By the pharmacist: your pharmacist should prepare the suspension. If you notice that this was not done, then you should go back to the pharmacy to have the suspension prepared.
By yourself: follow the instructions in the blue box of this leaflet.
See blue box information
Azithromycin suspension should be administered in one single daily dose, with or without food.
Shake the bottle well before you use the suspension.
The usual dose is:
Children and adolescents with a body weight above 45 kg, adults and the elderly
The total dose of azithromycin is 37.5 ml (1500 mg) over 3 days (12.5 ml (500 mg) once daily). As an alternative, the dose can be distributed over 5 days (12.5 ml (500 mg) as one single dose on the first day and then 6.25 ml (250 mg) once daily).
The dose for inflammation of the urethra or cervix caused by Chlamydia is 25 ml (1000 mg) in one single dose.
For sinusitis, treatment is aimed at adults and adolescents over 16 years of age.
Children and adolescents with a body weight under 45 kg
The azithromycin suspension should be measured as carefully as possible with the accompanying dosing syringe for children with a weight of 10 to 15 kg. For children who weigh more than 15 kg, the azithromycin suspension should be administered with the help of the dosing spoon according to the following plan:
|Weight ||3-day course ||5-day course
|10-15 kg ||0.25 ml/kg (10 mg/kg) once ||0.25 ml/kg (10 mg/kg) once on day 1, followed by
| ||daily on days 1 to 3 ||0.125 ml (5 mg/kg) once daily on days 2 to 5
|16-25 kg ||5 ml (200 mg) once daily on ||5 ml (200 mg) once on day 1, followed by 2.5 ml
| ||days 1 to 3 ||(100 mg) once daily on days 2 to 5
|26-35 kg ||7.5 ml (300 mg) once daily on ||7.5 ml (300 mg) once on day 1, followed by 3.75 ml
| ||days 1 to 3 ||(150 mg)) once daily on days 2 to 5
|35-45 kg ||10 ml (400 mg) once daily on ||10 ml (400 mg) once on day 1, followed by 5 ml
| ||days 1 to 3 ||(200 mg) once daily on days 2 to 5
|>45 kg ||Dose as with adults ||
For the treatment of tonsillitis/pharyngitis in children aged 2 years or more: Azithromycin in a single dose of 10 mg/kg or 20 mg/kg for three days, in which the maximum daily dose of 500 mg should not be exceeded.
For the treatment of sinusitis, limited data is available for the treament of children under 16 years of age.
Patients with kidney or liver problems:
You should tell your doctor if you have kidney or liver problems as your doctor may need to alter the normal dose.
A. Instructions for the syringe
Filling the syringe with medicine
- Shake the bottle before use and remove the cap.
- While the bottle is sitting on a firm, flat surface, hold it steady with one hand. With the other hand insert the tip of the syringe into suspension.
- Slowly pull back the plunger of the syringe so that the top edge of the black ring is level with the graduation line indicated on the syringe.
- If large bubbles can be seen in the syringe, slowly push the plunger back into the syringe. This will force the medicine back into the bottle. Repeat step 3 again.
- Remove syringe from bottle.
Giving the medicine using the syringe
- Make sure the child is supported in an upright position.
- Put the tip of the syringe carefully into the child's mouth. Point the tip of the syringe towards the inside of the cheek.
- Slowly push down the plunger of the syringe: Do not squirt it out quickly. The medicine will trickle into the child's mouth.
- Allow the child time to swallow the medicine.
- Replace the cap on the bottle. Wash the syringe as instructed below.
- Where daily doses of less than 5 ml have been given for three days, some suspension will remain in the bottle. This remaining suspension should be discarded.
Cleaning and storing the syringe
Pull the plunger out of the syringe and wash both parts by holding under warm running water or by immersing in sterilising solution used for baby's feeding bottles, etc.
Dry the two parts. Push the plunger back into the syringe. Keep it in a clean safe place with the medicine. After you have given the child the final dose of medicine, wrap the syringe in a sheet of newspaper and put it in the rubbish bin.
B. Instructions for the spoon
The spoon should not be used for children less than 3 years of age (less than 15 kg).
Giving the medicine using the plastic spoon
1. A plastic double-ended spoon is provided with the medicine. Check which end of the spoon and to which level gives the dose required. If you are unsure, check with your doctor or pharmacist. Multi-dosing spoon delivers doses as follows:
|2.5 ml ||(100mg) ||Small end ||brimful
|3.75 ml ||(150mg) ||Large end ||to graduation
|5 ml ||(200mg) ||Large end ||brimful
- Shake the bottle well and then remove the cap.
- Gently pour the medicine into the spoon as required to give the correct dose.
- Allow the patient to swallow the medicine slowly.
- Wash the spoon under warm, running water. Dry and store it with the medicine in a safe place.
WARNING: GIVE THE MEDICINE SLOWLY TO THE CHILD WHILE HE/SHE IS SUPPORTED IN AN UPRIGHT POSITION. THIS WILL AVOID THE RISK OF CHOKING.
If you use more Azithromycin than you should
If you (or someone else) have taken too much Azithromycin, contact your doctor or pharmacist immediately. An overdose is likely to cause reversible hearing loss, severe nausea (feeling sick), vomiting and diarrhoea.
Please take this leaflet, any remaining medicine and the container with you to the hospital or doctor so that they know which medicine was consumed.
If you forget to use Azithromycin
If you forget to take a dose, take that dose as soon as you remember, unless it is nearly time to take the next one. Do not take a double dose to make up for a forgotten dose.
If you stop taking Azithromycin
Do not stop taking your medicine without talking to your doctor first even if you feel better. It is very important that you keep taking Azithromycin for as long as your doctor has told you to, otherwise the infection may come back.
If you have any further questions on the use of this product, ask your doctor or pharmacist.