Zithrex 250mg Tablet

by Medons India · Tablet Schedule H
Generic Name Azithromycin
Drug Class Macrolide antibiotic
Route Oral
Habit Forming No
Prescription Required (Rx)
Strengths 250mg, 500mg
MRP
₹66.00
strip of 6 tablets

About Zithrex 250mg Tablet

Zithrex 250mg Tablet contains Azithromycin, which is a macrolide antibiotic used to treat various bacterial infections. It is effective against infections such as respiratory tract infections, skin infections, ear infections, and sexually transmitted diseases. This medicine is suitable for adults and children as prescribed by a healthcare provider. It is important to complete the full course of treatment even if you feel better to ensure the infection is fully treated and to prevent resistance.

Clinical Uses

  • Respiratory Tract Infections — Infections affecting the lungs and airways.
  • Skin Infections — Bacterial infections affecting the skin.
  • Ear Infections — Infections in the ear, often causing pain and discomfort.
  • Sexually Transmitted Diseases — Infections transmitted through sexual contact.

Uses & Indications

Primary Uses

Respiratory tract infections

Skin infections

Ear infections

Sexually transmitted diseases

Secondary Uses

Prevention of bacterial infections in certain medical conditions

Off-label Uses

Treatment of certain stomach infections caused by Helicobacter pylori

How It Works (Mechanism of Action)

Azithromycin works by stopping the growth of bacteria. It does this by interfering with their ability to make proteins, which are essential for their survival.

Scientifically, Azithromycin binds to the 50S ribosomal subunit of the bacterial ribosome, inhibiting the translocation steps in protein synthesis. This action prevents the bacteria from growing and multiplying, allowing the body's immune system to eliminate the infection.

Key Benefits

  • Broad Spectrum — Effective against a wide range of bacteria.
  • Convenient Dosing — Typically requires once-daily dosing.
  • Well-Tolerated — Generally has fewer side effects compared to other antibiotics.

How Long Does It Take to Work?

Initial improvement in symptoms can be seen within a few days of starting the medication. The full course of treatment usually lasts 3 to 5 days. If there is no improvement in symptoms after completing the course, consult your doctor.

How to Use

Take the tablet as prescribed by your doctor.

Swallow the tablet whole with a glass of water.

It can be taken with or without food.

Do not crush or chew the tablet.

Take the medicine at the same time each day for best results.

Dosage Guidelines

Adult Dose

  • 500mg on the first day, followed by 250mg once daily for the next 4 days.

Pediatric Dose

Dosage is based on body weight and should be determined by a doctor.

Elderly

Same as adult dose, but with caution due to potential for decreased kidney function.

Administration Instructions

Follow the prescribed dosage and schedule strictly.

Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.

Overdose Warning

In case of overdose, symptoms may include nausea, vomiting, diarrhea, and hearing loss. Seek immediate medical attention or contact poison control if an overdose is suspected.

Side Effects

Common Side Effects

Nausea

Diarrhea

Stomach pain

Less Common Side Effects

Dizziness

Headache

Serious Side Effects

Severe allergic reactions

Liver problems

Irregular heartbeat

When to Seek Immediate Medical Attention

Signs of an allergic reaction such as rash, itching, swelling, severe dizziness, or trouble breathing.

Contraindications — Who Should Not Use This Medicine

  • Allergy to Azithromycin — Do not use if you have a known allergy to Azithromycin or other macrolide antibiotics.
  • Severe Liver Disease — Use is contraindicated in patients with severe liver impairment.

Warnings & Precautions

🤰 Pregnancy
Pregnancy Category B. Azithromycin should be used during pregnancy only if clearly needed and prescribed by a doctor. Consult your healthcare provider for advice.
🤱 Breastfeeding
Azithromycin passes into breast milk in small amounts. Consult your doctor before using this medication while breastfeeding to weigh the potential benefits and risks.
👶 Children
Azithromycin can be used in children, but the dosage should be determined by a healthcare provider based on the child's weight and condition.
🧓 Elderly
Elderly patients can use Azithromycin, but caution is advised due to the potential for decreased kidney function, which may require dosage adjustments.
🫘 Kidney Disease
Patients with kidney impairment may require dose adjustments. Consult your doctor for appropriate dosing.
🫁 Liver Disease
Use with caution in patients with liver impairment. Dose adjustments may be necessary depending on the severity of liver dysfunction.
❤️ Heart Disease
Azithromycin may cause changes in heart rhythm (QT prolongation). Patients with heart conditions should use it with caution.
💉 Diabetes
Azithromycin does not typically affect blood sugar levels, but diabetics should monitor their condition closely while on this medication.
🍷 Alcohol
It is advisable to avoid alcohol while taking Azithromycin, as it may increase the risk of side effects such as stomach upset and dizziness.
🚗 Driving
Azithromycin may cause dizziness. Avoid driving or operating heavy machinery if you experience this side effect.

Drug Interactions

Drug-Drug Interactions

Antacids containing aluminum or magnesium

Warfarin

Digoxin

Food Interactions

Food does not significantly affect absorption, but it may help reduce stomach upset.

Alcohol Interactions

Avoid alcohol to prevent increased side effects.

Disease Interactions

Liver disease

Kidney disease

Heart rhythm disorders

Storage Instructions

Store at room temperature (15-25°C).

Keep away from moisture.

Protect from light.

Keep out of reach of children.

Check the expiry date before use.

Expert Advice

Clinical Tips

Complete the full course of treatment even if you feel better.

Do not share your medicine with others.

Inform your doctor about all other medications you are taking.

Do not stop taking the medicine without consulting your doctor.

Report any unusual symptoms to your doctor immediately.

Take the medicine at the same time each day for best results.

Consult your doctor if you experience severe side effects.

Substitute Medicines

Same composition, different brands. Always consult your doctor before switching.

Frequently Asked Questions

Can I take Zithrex for a viral infection?
No, Zithrex is an antibiotic and is not effective against viral infections.
How long does it take for Zithrex to work?
Many patients start to feel better within a few days, but it is important to complete the full course as prescribed.
What should I do if I miss a dose?
Take the missed dose as soon as you remember, but skip it if it's almost time for the next dose; do not double up.

Sources

The information on this page about Zithrex 250mg Tablet has been compiled and verified using the following authoritative medical sources and references. This content is AI-assisted and cross-checked against published clinical and pharmacological literature.

  1. Manufacturer – Zithrex 250mg Tablet Prescribing Information and Product Monograph
  2. NHSAzithromycin: Uses, Side Effects, and More
  3. Mayo ClinicAzithromycin (Oral Route) Description and Brand Names
  4. MedlinePlusAzithromycin: MedlinePlus Drug Information
  5. Drugs.comAzithromycin: Uses, Dosage, Side Effects
Last Updated13 Jun 2026
Content Generated13 Jun 2026
⚕️ Medical Disclaimer This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult your doctor or pharmacist before starting, stopping, or changing any medication. Prices shown are indicative MRP and may vary.
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