Buy Zithromax (Azithromycin) Online Over the Counter

Where can I buy Zithromax?

Our online pharmacy is the best way to buy Zithromax online. We include this antibiotic in the online catalog as it obtains high effectiveness for bacterial infections’ treatmnt and prevention. Every customer is capable to arrange an order online without any difficulties. The ordering procedure is simple. It requires to complete several steps to submit an order: choose the product, add it to the shopping cart, fill out personal data, pay for an order. After these steps are completed, you should wait for a parcel for a certain period of time. The delivery terms are specified in the shopping cart.

How much is Zithromax?

Zithromax price is low. We establish prices lower than conventional drugstores due to several aspects:

• we sell generics only (their price is considerably lower due to the absence of additional expenses);
• we are not to rent large offices (all the trade transactions are conducted online);
• the absence of mediators (we cooperate with manufacturers directly: manufacturer – our service);
• we reduce prices due to discounts and specal offers.

Can I buy Zithromax over the counter?

Yes, you can. You can make an order online without sending us a prescription. We deprive you of this unpleasant procedure. The only advice we can give our custmers is to visit a physician. The physician will give recommendations in relation to dosage, side effects, and contraindications. After that, you can buy Zithromax over the counter using our service.

What is Generic Zithromax (Azithromycin)?

Generic Zithromax (Azithromycin) is a broad-specrum antibiotic. It is released in tablets, suspension. This antibiotic is applied in different bacterial infections’ treatment and prevention. The table below will show to what bacteria this antibiotic is effective.

Aerobic gram-positive microorganisms	Aerobic gram-negative microorganisms	Anaerobic microorganisms	Other
Staphylococcus aureus (methylcillin-sensitive)	Haemophilus influenzae	Clostridium perfringens	Chlamydia trachomatis
Streptococcus pneumoniae (penicillin-sensitive)	Haemophilus parainfluenzae	Fusobacterium spp.	Chlamydia pneumoniae
Streptococcus pyogenes	Legionella pneumophila	Prevotella spp.	Chlamydia psittaci
	Moraxella catarrhalis	Porphyromonas spp.	Mycoplasma pneumoniae
	Pasteurella multocida		Mycoplasma hominis
	Neisseria gonorrhoeae		Borrelia burgdoferi

Moderately sensitive or insensitive bactria: aerobic gram-positive microorganisms: Streptococcus pneumoniae (moderately sensitive or resistant to penicillin).

Resistant bacteria are: aerobic gram-positive microorganisms: Enterococcus faecalis, Staphylococci spp. (methicillin-resistant), Staphylococus aureus (including methicillin-sensitive strains), Staphylococus pneumoniae, Staphylococcus spp. Group A (beta hemolytic). Zithromax is not active against strains of gram-positive bacteria resistant to erythromycin.

In what diseases Zithromax is used?

Doctor recommends to use Zithromax in the following diagnosis and conditions:

• Infections of the upper respiratory tract and ENT organs caused by sensitive pathogens: pharyngitis, tonsillitis, laryngitis, sinusitis, otitis media; scarlet fever;
• Lower respiratory tract infections: pneumonia (including atypical, chronic exacerbation), bronchitis;
• Infections of the skin and soft tissues: erysipelas, impetigo, secondarily infected dermatoses; urinary tract infections: gonorrheal and non-chronic urethritis, cervicitis;
• Lyme disease (initial stage – erythema migrans), gastric and duodenal ulcer associated with Helicobacter pylori (as part of combination therapy).

How does azithromycin work?

Azithromycin (Generic Zithromax) is a broad-spectrum antibacterial agent, a representative of the macrolide antibiotic group, or azalides. Zithromax inhibits the synthesis of bacterial protein and thus fights against microbial infections, especially the respiratory tract. In high concentrations, this antibiotic has a bactericidal effect. It acts on extra- and intracellular pathogens. Azithromycin creates high concentrations in lung tissues, body fluids, has a convenient dosage regimen. It has a favorable price-effectiveness ratio. Zithormax is active against gram-positive and some anaerobic microorganisms, but inactive against gram-positive bacteria that are resistant to erythromycin.

Side effects

Infectious diseases	infrequently – candidiasis (including the mucous membrane of the oral cavity and genitals), pneumonia, pharyngitis, gastroenteritis, respiratory diseases, rhinitis; unknown frequency – pseudomembranous colitis.
The blood and lymphatic system	infrequently – leukopenia, neutropenia, eosinophilia; very rarely – thrombocytopenia, hemolytic anemia.
The side of metabolism	infrequently – anorexia.
Allergic reactions	infrequently – angioedema, hypersensitivity reaction; unknown frequency – anaphylactic reaction.
The nervous system	often – headache; infrequently – dizziness, violation of taste, paresthesia, drowsiness, insomnia, nervousness; rarely – agitation; unknown frequency – hypesthesia, anxiety, aggression, fainting, convulsions, psychomotor hyperactivity, loss of smell, perversion of smell, loss of taste, myasthenia gravis, delirium, hallucinations.
The side of the organ of vision	infrequently – impaired vision.
The hearing organ and labyrinth disorders	infrequently – hearing impairment, vertigo; unknown frequency – hearing impairment up to deafness and / or tinnitus.
The cardiovascular system	infrequently – a feeling of palpitations, flushing of the face; unknown frequency – decreased blood pressure, increased QT interval on the ECG, pirouette type arrhythmia, ventricular tachycardia.
Ihe respiratory system	infrequently – shortness of breath, nosebleeds.
The digestive system	very often – diarrhea; often – nausea, vomiting, abdominal pain; infrequently – flatulence, dyspepsia, constipation, gastritis, dysphagia, bloating, dryness of the oral mucosa, belching, ulcers of the oral mucosa, increased secretion of the salivary glands; very rarely – discoloration of the tongue, pancreatitis.
The liver and biliary tract	infrequently – hepatitis; rarely – impaired liver function, cholestatic jaundice; unknown frequency – liver failure (in rare cases with a fatal outcome mainly due to severe impairment of liver function), liver necrosis, fulminant hepatitis.
The skin and subcutaneous tissues	infrequently – skin rash, itching, urticaria, dermatitis, dry skin, sweating; rarely – photosensitivity reaction; unknown frequency – Stevens-Johnson syndrome, toxic epidermal necrolysis, erythema multiforme.
The musculoskeletal system	infrequently – osteoarthritis, myalgia, back pain, pain in the neck; unknown frequency – arthralgia.
The kidneys and urinary tract	infrequently – dysuria, pain in the kidneys; unknown frequency – interstitial nephritis, acute renal failure.
The genitals and mammary gland	infrequently – metrorrhagia, impaired testicular function.
Local reactions	often – pain and inflammation at the injection site.
Other	infrequently – asthenia, malaise, fatigue, swelling of the face, chest pain, fever, peripheral edema.

Contraindications

• Severe hepatic and/or renal failure;children under 12 years old with a body weight of less than 45 kg (for this dosage form);
• Breastfeeding;
• Concomitant use with ergotamine and dihydroergotamine;
• Hypersensitivity to antibiotics of the macrolide group.

Take this antibiotic carefully in the following cases:

• moderate hepatic and renal impairment;
• arrhythmias or a predisposition to arrhythmias and lengthening of the QT interval;
• the combined use of terfenadine, warfarin, digoxin.

Zithromax in the second and third trimester of pregnancy

Zithromax is prescribed for pregnant women in the second and third trimester of pregnancy (before childbirth) to prevent the development of bacteria in the vagina and cervix, which can affect the pregnancy course. Infections caused by certain microorganisms of the female genital tract can cause health problems in the mother and baby and lead to premature birth.

This review includes 8 randomized clinical trials in which approximately 4,300 women in their second or third trimester of pregnancy took part. We found that antibiotics did not reduce the risk of premature rupture of the membranes (one clinical trial, low quality of evidence), or the risk of premature birth (6 clinical trials, high quality of evidence). The preterm birth rate was reduced in pregnant women whose previous birth was premature, and there was an imbalance of bacteria in the vagina (bacterial vaginosis) during pregnancy.

There was no decrease in the frequency of preterm birth in pregnant women with a previous history of preterm birth without bacterial imbalance during real pregnancy (two clinical trials). The incidence of postpartum endometritis, or uterine infection after childbirth, was reduced overall (three clinical trials, medium quality of evidence), as well as in a clinical trial involving high-risk women whose previous birth was premature (one clinical trial, average quality of evidence).

Therefore, there is no reason to prescribe antibiotics to all pregnant women in the second or third trimester of pregnancy to prevent the adverse effects of infections on pregnancy outcomes.

Watch the video about antibiotics during the first tremester:

Zithromax use in children – dosage

Zithromax has been used in clinical practice for almost two decades. During this time, various prescription regimens of this unique macrolide have been proposed and studied for various nosologies, including pediatrics, so in different publications, you can find different doses and duration of treatment courses.

First of all, you should focus on the basic rules for Zithromax use in children:

Azithromycin in the form of capsules or coated tablets should be taken whole without chewing or opening the shell. Therefore, these dosage forms are usually not suitable for children weighing lower than 45 kg.

In children, azithromycin should be used in the form of a suspension, which ensures dosing accuracy and ease of use.

The world-recommended regimens for Zithromax for respiratory infections (otitis media, sinusitis, community-acquired pneumonia and streptococcal tonsillopharyngitis) in children are based on the results of randomized controlled comparative clinical trials and, accordingly, differ with the listed nosologies. The following are US FDA-approved regimens for administering azithromycin for respiratory tract infections in children, as the official information provided in the American Pharmacopoeia (USP) contains the most comprehensive data on the specifics of prescribing the drug in pediatric practice.

For the treatment of acute otitis media in children in the United States, three modes of drug use are recommended:

• 10 mg / kg per day for 3 days10 mg / kg on the first day and 5 mg / kg for the next 4 days30 mg / kg once. As a result, the course dose in all cases is 30 mg / kg.
• In acute bacterial sinusitis, the use of azithromycin at a dose of 10 mg / kg per day for 3 days was investigated and recommended.

How long does Azithromycin stay in your system

The therapeutic concentration of azithromycin lasts up to 5-7 days after the last dose. Zithromax is excreted 50% through the intestines, 6% by the kidneys.

Interactions

It is contraindicated to take the following group of medications with Zithromax:

• Derivatives of ergot alkaloids: ergotamine, dihydroergotamine;
• Warfarin or other medicines to reduce blood clotting;
• Cyclosporin (to suppress immunity);
• Antacids (to reduce the acidity of the stomach);
• Digoxin (for the treatment of heart failure);
• Terfenadine (for the treatment of allergic reactions).