AZITHROMYCIN

(Zithromax)

Standard Prescription

azithromycin __mg PO{IV} daily x __ days (__mg/kg/24hr)
azithromycin __mg PO x 1 dose day 1, then __mg PO daily days 2 to__

Dosages

Children:
PO:

Pneumonia:
Day 1: 10 mg/kg/dose PO x 1 dose
Days 2 to 5: 5 mg/kg/dose PO daily

Pertussis:
Infants 1-5 months: 10 mg/kg/dose PO daily x 5 days
Infants >= 6 months:
Day 1: 10 mg/kg/dose PO x 1 dose
Days 2 to 5: 5 mg/kg/dose PO daily

IV:
10mg/kg/dose IV daily (max: 500 mg/dose)

Cystic Fibrosis for Anti-inflammatory:
Less than 25 kg: 10 mg/kg/dose PO daily 3x/week (Mon/Wed/Fri)
25-40 kg: 250 mg PO daily 3x/week (Mon/Wed/Fri)
40 kg or greater: 500 mg PO daily 3x/week (Mon/Wed/Fri)

Cystic Fibrosis for Nontuberculous Mycobacteria:
10-12 mg/kg/dose PO once daily (Max: 500 mg/dose)

Adults:
Day 1:  500 mg PO/dose x 1 dose
Days 2 to 5:  250 mg PO/dose daily

Mechanism of Action

Macrolide antibiotic

Forms Supplied

Tablet:  250 mg

Suspension:  40 mg/mL

Injection:  500 mg/vial

Comments

Suspension may be administered via enteral tube

Less risk for drug interactions compared to other macrolide antibiotics

IV azithromycin is comparable in cost to IV erythromycin and is simpler to administer (once daily dosing, less vein irritation).

Rare side effect: tinnutis

References

6, 44, 73, 92, 303, 608, 610

Last Edited

2022-06-09 05:03:40