Analogues of azithromycin - instructions for use

All domestic and imported analogues also contain azithromycin, as the main substance. Contraindicated in:


  • severe violation of heart contractions and vascular system;
  • pathological condition of the liver, kidneys;
  • excessive susceptibility to ketolides or erythromycin, other components in the preparations.


Azithromycin Indications

The use of the drug is especially effective for controlling gram-negative cocci, streptococci, gram-negative bacteria and anaerobic microorganisms. click here Azithromycin is advisable to take with the following pathologies listed in the table.


Azithromycin is also often prescribed for Lyme disease in the early stages..

Side effects

Disorders of the circulatory, lymphatic systems: a decrease in the number of platelets (thrombocytopenia), neutrophilic white blood cells (neutropenia).

Disorders of the central nervous system: vertigo (dizziness), convulsions, cephalgia (headache), paresthesia (tingling sensation, crawling crawls, burning sensations on the skin), drowsiness, powerlessness, insomnia, increased physical activity, aggressiveness, nervousness, anxiety.

Perceptual disorders: reversible hearing loss, deafness, tinnitus, impaired taste, odor.

Disorders of the cardiovascular system: rhythm disturbance (arrhythmia, palpitations, ventricular (ventricular) tachycardia, extension of the Q-T interval on the ECG, bidirectional ventricular tachycardia).

Digestive tract disorders: stool disorders (constipation, diarrhea), nausea, abdominal pain / cramps, flatulence (bloating), anorexia (lack of appetite), discoloration of the tongue, inflammation of the colon (pseudomembranous colitis), cholestatic jaundice (due to a violation of the outflow of bile ), hepatitis (inflammation of the liver), a change in laboratory liver tests, liver failure, liver necrosis (decay), sometimes fatal.

Allergic reactions: angioedema (swelling of the face, lips, tongue with respiratory failure), itching, rash, urticaria, photosensitivity (sensitivity to the sun), anaphylactic shock (fatal in rare cases), erythema multiforme, allergic contact dermatitis.

Movement disorders: arthralgia (joint pain).

Genitourinary disorders: nephritis (inflammation of the kidneys), acute kidney failure.

Other: candidiasis (fungal infection), vaginitis (vaginal inflammation).

Application features

Despite the fact that the drug is effective and is relatively safe to use, it is still an antibiotic and has a side effect, as well as contraindications for use. Therefore, treatment with azithromycin should be agreed with the doctor.

During treatment, patients may have gastrointestinal tract disorders, manifested:


  • nausea
  • vomiting
  • bloating;
  • upset stool;
  • pain in the stomach.


This is the most common form of "side effects." But there are other reactions of the body:


  • allergic rashes;
  • elevated liver enzymes.


If unnecessary reactions occur, the patient should notify the doctor. The doctor will adjust the treatment, pick up an analogue with a similar effect, but with other active substances

It is important not to look for substitutes on your own. Even if Azithromycin does not help replace or stop taking it, only a doctor can

Spontaneous refusal of the drug will only increase the resistance of microbes to macrlides, since the therapeutic effect of the drug will be suspended.