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Azithromycin antibiotics to treat Chlamydia
Azithromycin - Antibiotics to Treat Chlamydia
Azithromycin is an antibiotic that’s highly effective at treating chlamydia trachomatis, otherwise known as chlamydia, which is the most common sexually transmitted infection in the UK. Taken as a three-day course, Azithromycin clears up most chlamydia infections within 7 days.
Available in tablet or oral suspension form, Azithromycin can be bought from our online pharmacy following a thorough yet simple medical questionnaire, and can be delivered quickly and discreetly to a UK location of your choice.
- Suitable for age:18 years +
- Maximums per order:Azithromycin 500mg Tablets1Azithromycin 200mg/5ml Suspension1
- Consultation required?YesThis treatment requires an online consultation for review by our medical team. The decision to supply the specific treatment and quantity requested will be based on whether our medical team are satisfied that it will be safe, appropriate, and effective.
- Generic Treatment?YesThis is a generic medicine and manufacturer of the treatment supplied may vary from the treatment image above, depending on availability. Please contact us once you've placed your order if you require a specific brand and we will do our best to accommodate your request.
Azithromycin Tablets & Suspension Summary
Type of medicine | Antibiotic |
Works by | Stops the growth of bacteria |
Active ingredient | Azithromycin dihydrate |
Strength | 500 mg tablets, 200 mg/5 ml oral suspension |
Effective within | 3 - 7 days |
Pack size | 4 tablets, 60 ml bottle |
Manufacturer | Accord, Aurobindo Pharma - Milpharm, Sandoz |
Generic | Yes |
Use with alcohol | In moderation |
We stock 2 different variants of Azithromycin Tablets & Suspension
Azithromycin (Chlamydia) Information
What is Azithromycin?
Azithromycin is an antibiotic that fights bacteria and is used to treat a wide variety of bacterial infections, including the sexually transmitted infection chlamydia. By preventing the bacteria responsible for causing the infection from growing, Azithromycin can clear your chlamydia completely within 7 days.
It’s easy to order Azithromycin online; to place an order, you just need to complete a brief medical questionnaire. One of our doctors will then review your order and approve it in order to prescribe Azithromycin for the treatment of your sexual infection.
What is Azithromycin used for?
As a broad-spectrum antibiotic, Azithromycin is effective against a large variety of different bacterial infections. There are many uses for Azithromycin: it can be prescribed to treat infections in the skin, ears, soft tissue, and airways, as well as travellers’ diarrhoea, while it is also highly effective at treating the sexually transmitted disease chlamydia.
If you think you may have chlamydia, it’s best to get tested first: you can order an at-home chlamydia test kit online (remember that not everyone who has chlamydia shows symptoms), while the National Chlamydia Screening Programme (NCSP) also offers free testing at pharmacies for those under 25.
The test can be taken at any time, but if you have engaged in unprotected sex within two weeks before taking the test, you may want to take a further test at a later time. The test is normally a simple urine or swab test.
How does Azithromycin work?
Azithromycin is a type of antibiotic known as a macrolide-type antibiotic. These antibiotics work by stopping protein production in bacteria, preventing them from growing and replicating. This means that a bacterial infection can no longer spread and the immune system will eventually kill it off.
The dosage of Azithromycin to treat chlamydia has been recently updated in the UK. It consists of two 500mg tablets (or 25ml of suspension) taken at the same time followed by one tablet (or 12.5ml of suspension) on each of the following two days. Doxycycline, the first-line treatment for chlamydia, is normally prescribed in a longer course of one capsule taken twice daily for a week.
How quickly does Azithromycin clear chlamydia?
Taken over a 3-day course, Azithromycin tablets will normally clear up a chlamydia infection completely within one week. The treatment gets to work quickly — taking around 2 to 3 hours to start working — and you should start to feel better after a few days. However, it’s important to finish the full three-day course even if you believe your symptoms have cleared up before this.
Azithromycin alternatives
There are two antibiotic treatments for chlamydia available in the UK: Azithromycin and Doxycycline. They combat the infection in the same way, by preventing the bacteria from reproducing, and both treatments are considered to be up to 95% effective at clearing a chlamydia infection within 7 days. However, there are some differences between the two drugs.
What’s the difference between Azithromycin and Doxycycline?
Both Azithromycin and Doxycycline are antibiotics which are prescribed to treat bacterial infections such as chlamydia. However, Doxycycline is typically recommended as the first-line treatment for chlamydia due the decreased likelihood of bacterial resistance, and is taken over a 7-day course whereas Azithromycin is taken for 3 days.
Azithromycin is recommended as the most effective alternative chlamydia treatment when Doxycycline is considered unsuitable.
How to take Azithromycin for chlamydia treatment
If you’ve been prescribed Azithromycin for chlamydia, you should start your course of treatment as soon as possible. Read the patient information leaflet inside the packaging before taking Azithromycin, and always take it as prescribed by your doctor or pharmacist.
To take Azithromycin tablets:
- Take two Azithromycin 500mg tablets as a single dose, then a 500mg tablet once daily for two days.
- Swallow the tablet(s) whole with plenty of water.
- Do not have sex for SEVEN days after treatment.
- Take another chlamydia test after 14 days to confirm successful treatment.
To take Azithromycin oral suspension:
- Shake the bottle well before use.
- Carefully measure the correct amount using a measuring cup or spoon.
- Take 25ml suspension orally as a single dose, then 12.5ml suspension once daily for two days.
- Do not have sex for SEVEN days after treatment.
- Take a chlamydia test again after 14 days to confirm successful treatment.
Azithromycin ingredients
Each Azithromycin tablet contains the active ingredient azithromycin dihydrate 500mg.
Each tablet also contains:
Core: croscarmellose sodium (E468), magnesium stearate (E572), microcrystalline cellulose (E460), silicium dioxide, (E551), poloxamer, povidone (E1201), talc, and waterfree lactose. Coating: hypromellose (E464), hydroxypropyl cellulose, macrogol and titanium dioxide (E171).
The active substance in Azithromycin Suspension is azithromycin (200 mg in 5 ml).
Other ingredients are sucrose (3.87 g per 5 ml), hydroxypropylcellulose, sodium phosphate tribasic anhydrous, xanthan gum and flavourings: artificial banana, artificial cherry and artificial creme de vanilla.
Azithromycin side effects
Like all medicines, Azithromycin can cause side effects, although not everybody gets them.
Side effects can include:
- Nausea & diarrhoea
- Abdominal pain
- Flatulence
If you have any of the following symptoms, you may have a severe allergic reaction to Azithromycin, stop taking it and tell your doctor immediately or go to the casualty department at your nearest hospital.
- Sudden difficulty in breathing, speaking and swallowing
- Swelling of the lips, tongue, face and neck
- Extreme dizziness or collapse
- Severe or itchy skin rash, especially if this shows blistering and there is soreness of the eyes, mouth or genital organs
The following are serious side effects that occur in a very small minority of patients. If you experience any of the following side effects you should see your GP as soon as possible.
- Diarrhoea that is serious, lasts a long time or has blood in it, with stomach pain or fever. This can be a sign of serious bowel inflammation. This is something that can rarely happen after taking antibiotics
- Yellowing of the skin or whites of the eyes caused by liver problems
- Inflammation of the pancreas, causing severe pain in the abdomen and back
- Increased or reduced urine output, or traces of blood in your urine
- Skin rash caused by sensitivity to sunlight
- Unusual bruising or bleeding
- Irregular heartbeat
Please read the patient information leaflet that comes with your Azithromycin tablets before you take them for full information on side effects.
Azithromycin warnings
It is not suitable for our The Independent Pharmacy to prescribe Azithromycin to treat chlamydia for you if:
- You have severe liver or kidney problems
- You have severe heart problems or problems with your heart beat such as long QT syndrome (shown on an electrocardiogram or ECG machine)
- Your blood levels of potassium or magnesium are too low
- You develop signs of another infection
- You are taking any ergot derivatives such as ergotamine (to treat migraine)
- You have a certain type of muscle weakness called myasthenia gravis
- You have nervous (neurological) or mental (psychiatric) problems
- If any of the above conditions apply you should see your GP for advice and treatment of chlamydia
- If you notice blood in your stool or suffer from fever, chills, or severe headache your infection may be more serious and you should see a doctor as soon as possible. If symptoms include a thick or bloody discharge from the penis with soreness or inflammation in men or women with heavy offensive vaginal discharge or irregular bleeding and low abdominal pain, you should see your GP as this could indicate a more serious infection
Azithromycin Tablets & Suspension reviews
Azithromycin Tablets & Suspension FAQs
Azithromycin is an antibiotic tablet. It used to treat certain bacterial infections, including chlamydia, gonorrhea and urethritis. An advantage of this medicine is that you will only need to take one dose to cure an infection. This is because it works for longer than most other antibiotics. As a result, there is a reduced risk of side effects.
The branded version of Azithromycin suspension is called Zithromax: Powder for oral suspension.
Azithromycin destroys the bacteria that is responsible for causing chlamydia. Most clinical studies show azithromycin to be 95% effective at treating this sexually transmitted disease. However, the success rate is dependent on the medicine being taken correctly, whilst avoiding further unprotected sex until treatment is complete.
In many cases, chlamydia can be symptomless, which is what makes it such a prolific disease. It is estimated that around 50% of men and 70% of women do not suffer any of the associated symptoms. Therefore, it is recommended to get checked after having unprotected sex, especially if you have several partners or are with a new partner.
For those who do experience symptoms, the most common are:
- A discharge from the penis/anus or vagina
- Pain whilst urinating
- Bleeding in between periods
You will need to inform your healthcare provider if:
- You have kidney or liver disease
- you have an irregular heartbeat or heart disease
- you are allergic to Azithromycin or other macrolide antibiotics
- You are allergic to any foods, dyes, or preservatives
- You are pregnant or trying to become pregnant
- You are breastfeeding
The medication is administered orally, following the directions on the dispensing label.
Azithromycin tablets: Take two 500mg tablets together as a single dose.
Azithromycin suspension: Take 25ml (five 5ml spoonfuls) as a single dose and discard any remaining suspension.
For those who experience symptoms, they should clear within a few days of treatment. However, since many sufferers do not experience symptoms, you should test again after 14 days to ensure successful treatment.
Ideally, you should abstain from sex until your chlamydia has cleared. However, if you decide to have intercourse whilst undergoing chlamydia treatment, it is important that you make your partner aware of the risks. Make sure you use a condom to help avoid transmitting the infection. If you suspect a condom has split, make sure your partner gets testing for chlamydia and that they receive the appropriate treatment if necessary.
Known interactions include:
- Lincomycin
- Amiodarone
- Contraceptive pills
- Cyclosporine
- Digoxin
- Magnesium
- Nelfinavir
- Phenytoin
- Warfarin
If your symptoms do not improve, you should seek advice from your doctor or healthcare professional.
Contact your doctor if your diarrhoea lasts for longer than two days, or if it is particularly severe or watery.
Azithromycin oral suspension can increase your sensitivity to the sun. Try to avoid the sun where possible. Alternatively, wear protective clothing and sunscreen if avoidance is not possible. Do not use sunlamps or tanning beds.
If you experience any side effect from taking Azithromycin oral suspension, you should report them to your doctor or healthcare professional as soon as possible. Common side effects include:
- Diarrhoea
- Dizziness
- Drowsiness
- Headache
- Upset stomach
- Vomiting
- Tooth discolouration
- Vaginal irritation
Although serious side effects are very rare, you should stop treatment and contact your doctor immediately if you experience any of the following:
- Fast or irregular heartbeat
- Fainting
- Rash, itching or hives
- Wheezing or difficulty breathing and swallowing
- Swelling of the face, tongue, throat, hands, feet, ankles, or lower legs
- Sores in the mouth
- Hoarseness
- Unusual bruising or bleeding
- Lethargy
- Loss of appetite
- Unexplained pain in the upper right side of the stomach
- Severe diarrhoea that may occur with or without a fever and stomach cramps
- Yellowing of the skin or eyes
- Dark-coloured urine
- Peeling/blistering of the skin
- Flu-like symptoms
Azithromycin suspension should be kept inside its original container, tightly closed and out of reach of children. The suspension should be stored at room temperature, away from excess heat and moisture. Do not refrigerate or freeze azithromycin oral suspension. Discard any remaining liquid after 10 days from dispensing.
Azithromycin is used to treat bacterial infections, including; pneumonia, bronchitis, and sexually transmitted infections, such as Chlamydia. It will also effectively treat infections of the ears, lungs, skin, sinuses, and throat. Azithromycin belongs to a class of medicines called macrolide antibiotics. It works by inhibiting the growth of bacteria. Antibiotics, like azithromycin, have no effect on viruses, so this medicine should not be used to treat colds, flu, or other types of viral infection.
The Independent Pharmacy can only prescribe azithromycin to treat chlamydia or travellers' diarrhoea.
No. Drinking alcohol can potentially neutralise any positive effects of the azithromycin. This means that your chlamydia may not be cured effectively.
Unless told otherwise by your doctor, continue your normal diet.
It is a bad idea to leave Chlamydia untreated as it can cause serious health complications for those that are infected. In women, they can develop pelvic inflammatory disease which can cause infertility and chronic pelvic pain. If left untreated in men, chlamydia can cause persistent cystitis (UTI) and pain or inflammation in the testicles.
If this sexually transmitted disease is not treated properly then the carrier risks passing the infection to other people.
Gonorrhea is usually treated with an antibiotic called Suprax (Cefixime), along with Azithromycin. It can also be treated with doxycycline monohydrate, another type of antibiotic. They are administered as a single dose antibiotic and are usually used in conjunction with each other because it is very common for people to transmit both diseases. You can get this medication from your local sexual health clinic or order online for speedy and discreet delivery.
The chances of antibiotics not working properly after vomiting or experiencing diarrhoea really depends on how long ago you took the medication. If you have recently taken a tablet and vomited, there is a high chance that the treatment wasn’t properly absorbed into your system. Equally, if you experience diarrhoea after taking this treatment, there is a chance that it was not absorbed into your body people.
If you are concerned about whether or not your treatment worked, simply take a second chlamydia test 14 days after your treatment. If you’re still testing positive for the disease then it’s important to consult a medical professional.
If you receive a second positive result then it’s important to seek medical attention to identify another course of action.
If you have taken Azithromycin tablets correctly and followed the guidance on the information leaflet, then it’s important to speak to a medical professional. You may be prescribed a different type of medication to get rid of your infection.
You can enjoy a convenient and discreet health care review with a professional to decide on the next steps.
Azithromycin is an effective antibiotic that treats lots of different bacterial infections. This medication is prescribed to treat ear infections, infections of the skin or surrounding tissue, and infections of the throat or tonsils. They are also used to treat lung and other respiratory infections, such as bronchitis, sinusitis, community acquired pneumonia, and some cases of chronic obstructive pulmonary disease.
If you are suffering from any of the above bacterial infections, it is best to consult a medical professional before taking Azithromycin. You may need a different dosage and will likely need to be sure that it is a bacterial infection. Speak to our medical team today for free impartial advice.
These antibiotics are not recommended for those that are pregnant or breastfeeding. Chlamydia can cause complications while pregnant so it is important to speak to a medical professional for advice on how to best treat it.
Haven’t found the right treatment for you?
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Authored by
Scott is one of the two founders of The Independent Pharmacy. He is a registered pharmacist and the registered manager of our service with the CQC.
Reviewed by
Dan is an experienced pharmacist having spent time working in both primary and secondary care. He currently supports our clinical team by providing robust clinical governance review of our internal processes and information.
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