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Azifast (Azithromycin)

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Azifast is an antibiotic medicine that is used for the treatment of bacterial infections of various parts of the body like ears, throat, lungs, skin, soft tissues, urinary tract, etc. This tablet contains azithromycin as its active component.

Other names for this medication:
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Also known as: Azithromycin


Azifast (Azifast tablets and Azifast for oral suspension) contain the active ingredient azithromycin, a macrolide antibacterial drug, for oral administration. Azifast has the chemical name (2R,3S,4R,5R,8R,10R,11R,12S,13S,14R)-13-[(2,6-dideoxy-3-C-methyl-3-O-methyl-α-L-ribo-hexopyranosyl) oxy]-2-ethyl-3,4,10-trihydroxy-3,5,6,8,10,12,14-heptamethyl-11-[[3,4,6-trideoxy-3-(dimethylamino)-β-D-xylo-hexopyranosyl]oxy]-1-oxa-6-azacyclopentadecan-15-one. Azifast is derived from erythromycin; however, it differs chemically from erythromycin in that a methyl-substituted nitrogen atom is incorporated into the lactone ring. Its molecular formula is C38H72N2O12, and its molecular weight is 749.00.

Azifast, as the dihydrate, is a white crystalline powder with a molecular formula of C38H72N2O12∙2H2O and a molecular weight of 785.0.

Azifast is supplied as tablets containing azithromycin dihydrate equivalent to either 250 mg or 500 mg azithromycin and the following inactive ingredients: dibasic calcium phosphate anhydrous, pregelatinized starch, sodium croscarmellose, magnesium stearate, sodium lauryl sulfate, hypromellose, lactose, titanium dioxide, triacetin, and D&C Red #30 aluminum lake.

Azifast for oral suspension is supplied in bottles containing azithromycin dihydrate powder equivalent to 300 mg, 600 mg, 900 mg, or 1200 mg azithromycin per bottle and the following inactive ingredients: sucrose; sodium phosphate, tribasic, anhydrous; hydroxypropyl cellulose; xanthan gum; FD&C Red #40; and spray dried artificial cherry, creme de vanilla, and banana flavors. After constitution, each 5 mL of suspension contains 100 mg or 200 mg of azithromycin.


Generic Azifast is available in: 250 mg (Low Dosage), 500 mg (Standard Dosage).

Generic Azifast can be taken in tablets, liquid form, injections. You should take it by mouth with water.

To avoid problems with stomach, take tablets and liquid form with meals. Liquid Generic Azifast form should be shook properly. Capsule is taken on empty stomach.

It is better to take Generic Azifast every day at the same time.

Generic Azifast treats different types of bacterial infections and can be used both by adults and by children. Thus, each age has different instructions.

For children it is better to take into account child weight. In treatment of otitis media, take Generic Azifast for 1-5 days.

For Adults: if you treat Pneumonia or Throat/Tonsil Infection the right dose is two tablets of 250 mg on the first day and then 250 mg once a day for 4 more days.

In prevention of MAC (mycobacterium avium complex) usual Generic Azifast dosage is 1,200 mg for a week.

In treatment of skin or infections usual Generic Azifast dosage is two tablets of 250 mg at the first day after you took one tablet of 250 mg for 4 days at the same time.


Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.


Store Azifast below 86 degrees F (30 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Azifast out of the reach of children and away from pets.

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The most common side effects associated with Azifast are:

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