Azithromycin ABR 500 mg * 6 capsules

Azithromycin ABR 500 mg * 6 capsules

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Price: £ 25.00

Azithromycin ABR 500 mg * 6 capsules
Category: Medicines

1. What is Azithromycin ABR and what is it used for?

Azithromycin ABR contains the macrolide antibiotic azithromycin. It is active against a large number of causes of some common diseases in humans.

It is used in adults and children to treat infections caused by azithromycin-sensitive bacteria and other microorganisms, such as:

inflammation of the throat and tonsils, sinuses and middle ear;
bronchitis, some types of pneumonia;
skin and soft tissue infections: chronic erythema migrans (first stage of the so-called Lyme disease), scarlet fever (erysipelas), bacterial skin infections (impetigo, secondary pyoderma);
sexually transmitted diseases caused by a microorganism called chlamydia.
2. What you need to know before you take Azithromycin ADB

Do not take Azithromycin ADB:

if you are allergic to azithromycin or any of the other ingredients of this medicine (listed in section 6);
if you are allergic to erythromycin or other macrolide and ketolide antibiotics;
if you are currently taking medicines containing ergot derivatives.
Warnings and precautions
Talk to your doctor or pharmacist before taking Azithromycin ADB.

You need to tell your doctor if:

you suffer or have had liver disease in the past.
Your doctor will decide if your liver needs to be monitored or if treatment with this medicine should be stopped.

you have received diarrhea while taking antibiotics.
If you develop diarrhea or have stools during or after treatment with this medicine, contact your doctor and do not take any other medicines before consulting your doctor. Inform him if the diarrhea persists.

you have or have had kidney disease in the past.
you have heart disease or any complaints.
Contact your doctor immediately if you experience palpitations or other similar disorders during treatment, dizziness or weakness.

you are currently taking migraine medicines containing ergotamine derivatives, such as ergotamine. These medicines should not be taken at the same time as azithromycin, as there is a possibility of so-called ergotism (appearance of bruising of the limbs, lameness).
It is important to know that serious allergic reactions (rarely life-threatening), such as swelling of the face, lips, tongue and / or throat, shortness of breath and wheezing, may sometimes occur during treatment with this medicine.
Some of them may recur due to the long-term retention of the drug in the tissues.
If allergic reactions occur or are suspected, you should stop taking the medicine immediately and contact your doctor.

Azithromycin ADB capsules are not suitable for use in children weighing less than 45 kg due to the inability to accurately dose.

Other medicines and Azithromycin ADB
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.

It is important to know that this product may change the effect of some medicines taken at the same time. That is why it is especially important to tell your doctor if you are taking:

drugs that reduce stomach acidity, etc. antacid products. The time between doses should be at least 2 hours.
rifabutin (antibiotic).
A decrease in the number of white blood cells is possible.

cyclosporine (suppresses organ or bone marrow rejection after transplantation).
The physician should evaluate the benefit of co-administration of azithromycin with cyclosporine. In patients in whom this is necessary, plasma levels of cyclosporine should be monitored and the dose adjusted if necessary.

warfarin, coumarin anticoagulants (reduce blood clotting).
There is an increased risk of bleeding when co-administered with azithromycin. Your doctor may decide that prothrombin time or other laboratory parameters need to be monitored.

digoxin (used to treat heart disease).
Digoxin levels in the blood may be increased when co-administered with azithromycin.

ergotamine and other ergotamine derivatives.
It is possible to develop ergotism, manifested by bruising of the limbs and lameness (see Warnings and Precautions).

terfenadine (used for allergic rhinitis or skin allergies).
Cardiac arrhythmias and changes in the electrocardiogram may occur.

Azithromycin ADB with food, drink and alcohol
Azithromycin ADB should be taken at least 1 hour before or 2 hours after a meal.

Pregnancy, breast-feeding and fertility
If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine. Your doctor will decide if it is possible to be treated with azithromycin if you are pregnant or breast-feeding. He will evaluate the balance between the benefits for you and the risks for your baby.

It is not known whether azithromycin is excreted in human milk. Your doctor will decide if you need to stop breast-feeding during treatment with azithromycin.

Driving and using machines
There are no data on the adverse effects of Azithromycin ADB on the ability to drive and use machines.

Azithromycin ADB contains lactose monohydrate and azorubin
This product contains lactose (milk sugar) as an excipient, making it unsuitable for people with congenital or acquired intolerance to certain sugars. If you have been told by your doctor that you have an intolerance to this medicine, ask your doctor for advice before taking this medicine.

The gelatin capsule contains the dye azorubin / carmoizine (E 122), which may cause allergic reactions.

3. How to take Azithromycin ADB

Always take this medicine exactly as your doctor or pharmacist has told you. If you are not sure, talk to your doctor or pharmacist.

The recommended dose for adults and children weighing more than 45 kg is:

1 capsule daily for 3 days for inflammation of the throat, tonsils, middle ear, bronchitis and pneumonia.
2 capsules once for sexually transmitted diseases caused by the microorganism chlamydia.
Your doctor will determine the appropriate dose and treatment regimen for your acne or other skin and soft tissue infections.

Azithromycin ADB capsules are not suitable for use in children weighing less than 45 kg due to the inability to accurately dose.

If you have kidney or liver disease, your doctor may prescribe treatment with doses other than those listed.

Method of administration
Azithromycin ADB capsules are taken whole once a day. Like many other antibiotics, the product should be taken at least one hour before or two hours after a meal.

If you take more Azithromycin ADB than
you should If you take more than the prescribed dose, contact your doctor or hospital in a timely manner.
Common symptoms of antibiotic overdose in this group include reversible hearing loss, severe nausea, vomiting, and diarrhea.
Your doctor will decide if any treatment is needed if you have taken a higher dose.

If you forget to take Azithromycin ADB
If you forget to take a dose, take it as soon as you remember. Do not take a double dose to make up for a forgotten dose. Take the next one at the usual time.

If you stop taking Azithromycin ADB
Do not stop taking your capsules if you feel better until your doctor tells you to. If you stop taking the medicine too soon, the infection may come back or your condition may get worse.

If you have any further questions on the use of this medicine, ask your doctor, pharmacist or nurse.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.

Contact your doctor immediately if:

sudden wheezing, difficulty breathing, swelling of the eyelids, face or lips, rash and itching (especially all over the body);
severe or prolonged diarrhea that contains blood or mucus during or after treatment, as this may be a manifestation of severe inflammation of the bowel;
severe skin rash accompanied by redness and formation of scales and blisters;
rapid or irregular heartbeats;
low blood pressure;
serious skin reactions:
blistering of the skin, mouth, eyes and genitals (Stevens-Johnson syndrome);
blistering of the skin as a manifestation of a severe skin reaction (toxic epidermal necrolysis);
skin rash of small itchy red pimples, accompanied by other common symptoms such as fever, swollen glands and increased eosinophils (a type of white blood cell) (drug reaction with eosinophilia and systemic symptoms (DRESS));
skin eruption, which is characterized by the rapid appearance of areas of reddened skin dotted with small pustules (small blisters filled with white / yellow fluid) (acute generalized eczematous pustulosis (AGEP)).
Stop taking azithromycin if you develop these skin symptoms and contact your doctor or seek medical attention immediately.

The following side effects are possible with treatment with azithromycin:

Very common (affects more than 1 user in 10) - abdominal pain, nausea, diarrhea, gas and bloating.
Common (occurs in at least 1 in 100 and in less than 1 in 10 people taking the product) - deafness, vomiting, indigestion, fatigue, joint pain, rash, itching, loss of appetite, anorexia, dizziness, headache, tingling sensation arms and legs, change in taste, impaired vision, decreased number of lymphocytes (white blood cell type), increased number of eosinophils (white blood cell type), decreased blood bicarbonate level.
Uncommon(occurring in at least 1 in 1,000 and less than 1 in 100 people taking the product) - hearing loss, tinnitus, fungal infections of the mouth and vagina, decreased white blood cell count, severe allergic reaction, which causes swelling of the face or throat, nervousness, decreased sensitivity to touch, drowsiness, insomnia, palpitations / sensation of heartbeat /, gastritis, constipation, inflammation of the liver, Stevens-Johnson syndrome (a severe disease accompanied by the formation of blisters on the skin, mouth, eyes and genitals), photosensitivity (increased skin sensitivity to sunlight), urticaria (hives), chest pain, swelling, malaise, impotence, elevated levels of certain laboratory blood parameters (liver enzymes) , bilirubin, urea, creatinine),altered potassium levels in the blood.
Rare (occurs in at least one in 10,000 and less than one in 1,000 people taking the product) - agitation, dizziness or vertigo, impaired liver function, skin eruption, which is characterized by the rapid appearance of areas of redness skin dotted with small pustules (small blisters filled with white / yellow liquid).
Not known (frequency cannot be estimated from the available data) - low blood pressure, aggression or anxiety, hyperactivity, muscle weakness, loss or disturbance of sense of smell, loss of taste, discolouration of the tongue, inflammation of the pancreas, pseudomembranous colitis (severe , persistent or bloody diarrhea that may be associated with stomach pain or fever), inflammation of the kidneys or kidney failure, jaundice or liver failure (sometimes life-threatening), low platelet counts, anemia, severe flaky skin reactions and blisters on the skin, changes in heart rhythm and conduction, changes in the electrocardiogram.
If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.


5. How to store Azithromycin ADB

Keep out of reach of children, below 25 ° C.

Do not use Azithromycin ADB after the expiry date which is stated on the carton and on the last day of that month.

Do not use Azithromycin ADB if you notice a change in the appearance of the capsules.

Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.

6. Contents of the package and additional information

What Azithromycin ADB contains

The active substance in one capsule is: azithromycin dihydrate, eq. of azithromycin 500 mg
The other ingredients are: sodium lauryl sulphate, lactose, corn starch monohydrate (85:15), magnesium stearate. The gelatin capsule contains titanium dioxide (colorant E 171), gelatin, azorubin / carmoizine (colorant E 122).
What Azithromycin ADB looks like and contents of the pack
Hard gelatin capsules with white body and pink cap, containing white or almost white powder. The presence of conglomerates is allowed, which decompose under pressure.

Hard gelatin capsules of 3 (three) pieces or 6 (six) pieces in a blister of PVC / AL foil. 1 (one) blister with leaflet: patient information in a cardboard box.

Marketing Authorization Holder:
Antibiotic-Razgrad AD, Bulgaria.

Balkanpharma-Razgrad AD, Bulgaria.