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Azithrocin 500mg Tablet — Azithromycin 500mg by Beximco Pharmaceuticals

Azithrocin 500mg Tablet — Azithromycin 500mg by Beximco Pharmaceuticals
Azithrocin 500mg Tablet — Azithromycin 500mg by Beximco Pharmaceuticals
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Azithrocin 500mg Tablet — Azithromycin 500mg | Beximco Pharmaceuticals

Generic NameAzithromycin Dihydrate 500 mg
Dosage FormFilm-coated Tablet
ManufacturerBeximco Pharmaceuticals Ltd.
Therapeutic ClassMacrolide Antibiotic (Azalide subclass)
Pack Size3 tablets per strip (standard 3-day course)
AvailabilityIn Stock — Available Online

Overview

Azithrocin 500mg contains Azithromycin 500 mg — the higher-strength tablet for more severe or systemic infections where the full 500mg daily dose is required from Day 1. The 500mg once-daily dose is standard for community-acquired pneumonia (CAP), typhoid fever, and severe respiratory tract infections, typically given as a 3-day course. It is also the loading dose used in the classic 5-day CAP regimen (500mg on Day 1, then 250mg on Days 2–5). See also: Azithrocin 250mg Tablet for the lower-strength option and the 5-day regimen.

Azithrocin Strength Comparison

ProductDoseTypical RegimenUse Case
Azithrocin 250mg250 mg/tablet500mg Day 1 (2 tabs), 250mg Days 2–5Mild-moderate CAP, skin, pharyngitis, Chlamydia
Azithrocin 500mg (this)500 mg/tablet500mg once daily × 3 daysModerate-severe CAP, typhoid, sinusitis — convenient once-daily 3-day pack
Azithrocin 500 IV500 mg/vialIV infusion × 2–5 daysSevere CAP requiring IV therapy, hospitalised patients

Indications

  • Community-Acquired Pneumonia (CAP) — 3-day 500mg OD regimen for mild-moderate CAP in outpatients
  • Typhoid / Enteric Fever — effective against fluoroquinolone-resistant S. typhi; 7–10 day course at 500mg OD
  • Acute Bacterial Sinusitis — 3-day course
  • Acute Exacerbation of Chronic Bronchitis (AECB)
  • Skin & Soft Tissue Infections (uncomplicated)
  • Mycobacterium avium Complex (MAC) Prophylaxis — in HIV/AIDS patients (specialist-directed)

Dosage & Administration

IndicationDoseFrequencyDuration
CAP (outpatient, mild-moderate)500 mgOnce daily3 days
Acute Bacterial Sinusitis500 mgOnce daily3 days
AECB500 mgOnce daily3 days
Typhoid Fever500 mgOnce daily7 days
Skin & Soft Tissue (loading day)500 mgDay 1 onlyThen 250mg × 4 days

Take with or without food. Swallow whole with water. Do not crush. Complete the prescribed course.

Special Note for Diabetic Patients

Infections — particularly pneumonia and UTIs — frequently destabilise blood glucose control in diabetic patients, causing hyperglycaemia through physiological stress responses. Prompt treatment with Azithrocin 500mg for respiratory infections helps restore glycaemic stability. Note: QT prolongation risk applies — check with your physician if you have heart disease or are on QT-prolonging medications.

Side Effects

  • GI (most common): Nausea, diarrhoea, abdominal pain — take with food to reduce
  • Cardiac: QT prolongation — risk higher at 500mg dose; avoid in patients with baseline QTc >450ms
  • Hepatic: Elevated ALT/AST; rare cholestatic jaundice
  • Skin: Photosensitivity, rash; rare SJS/TEN

Drug Interactions

DrugInteraction
WarfarinEnhanced anticoagulation — monitor INR
QT-prolonging drugsAdditive QT risk — avoid with amiodarone, hydroxychloroquine, haloperidol
Antacids (Al/Mg)Reduce peak concentration — separate by 2 hours
CyclosporineIncreased cyclosporine levels — monitor trough levels

Storage

  • Store below 30°C in a dry place, protected from light. Keep out of reach of children.

FAQ

Q1: Three days seems like a very short course — is it enough?
Yes, for appropriate indications. Azithromycin's unique pharmacokinetics mean therapeutic tissue concentrations persist for 5–7 days after the final dose of a 3-day course. Studies show clinical cure rates with 3-day 500mg OD are non-inferior to longer courses of other antibiotics for CAP, sinusitis, and AECB.

Q2: Can Azithrocin 500mg treat typhoid?
Yes. Azithromycin is now a preferred alternative for uncomplicated typhoid fever, particularly in areas with fluoroquinolone-resistant Salmonella typhi (common in South Asia including Bangladesh). The standard course is 500mg once daily for 7 days. Your physician will determine the appropriate antibiotic based on local resistance patterns.

Q3: What is the difference between Azithrocin 500mg tablet and Azithrocin 500 IV?
Same drug, different routes: the 500mg tablet is for oral use (outpatient or mild-moderate infections). The IV formulation is for intravenous infusion in hospitalised patients with severe pneumonia or those unable to take oral medication. Physicians typically switch patients from IV to oral azithromycin as they improve ("step-down therapy").


Medical Disclaimer: Educational information only. Antibiotics must be used only under physician prescription. Do not self-medicate.

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