Zithromax Z-Pak Over The Counter

updated 01.26.2021

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What Is Zithromax Used For?

Zithromax good against certain kind of bacteria like strep bacteria, a staph infection that sensitive to penicillin. It’s no good and, as a matter of fact, most of the staff we have nowadays is resistant to penicillin.

It is also used to treat influenza that’s very common in kids, a common cause of ear infections, throat infections.

It’s also good against Legionnaires’ disease and whooping cough

Azithromycin destroys anaerobic bacteria (those that live without oxygen). A lot of these bacteria can be found in intestines and vaginal area. That is why people ofter face gastrointestinal issues or vaginitis after taking the drug.

Zithromax is very effective to treat community-acquired pneumonia (chlamydia pneumonia). Doctors also ofter prescribe this antibiotic to treat genital infections.

Don’t people tell you to use it for strep throat or bronchitis certain kind of skin infections, or maybe even traveler’s diarrhea.

This antibiotic is sometimes prescribed to treat syphilis. It was a medicine of choice to treat gonorrhea in past. However, gonorrhea has become resistant to antibiotics. That is why in the case of gonorrhea doctors usually prescribe ceftriaxone or other antibiotics with Zithromax to be the last.

The medicine is helpful preventing certain types of bacterial infection in the lung of HIV-positive patients.

Augmentin is a the best choice in case of acute sinusitis, however, Zithromax is also prescibed sometimes in this case.

There is a choice which antibiotic to use to treat pneumonia or various skin and ear infections. Most doctors prefer Amoxicillin in this case, but Zithomax is also applied.

Azithromycin together with Ceftriaxone is ofter use to prevent bacterial infections in case of sexual crimes.

To sum up, general use of Zithromax includes:

  • bacterial infections
  • pneumonia
  • sexually transmitted diseases (STD)
  • infections of the ears, lungs, skin and throat

How To Take Zithromax

There are the forms of Zithromax on the market:

  • film-coated tablet
  • capsule
  • suspension

You can also get the drug as a suspension either one that’s immediately released or delayed release. The two can’t be used interchangeably. 

Take Zithromax at the same timings everyday.

If you happened to miss a dose, take the drug immediately. If the next dose is supposed to be in a very short time,  ignore the missed dose and take your usual Zithromax dose. Do not double a dose to make up for the missed one.

Usually, you can buy Zithromax Z-pak 250 mg as three or five supply. Do not take more than 2 pills a day.

You can also buy Zithromax 500 milligrams for 3 day supply. In case of genital infections or gonorrhea doctors often prescribe 1000mg of Zithromax at one time. 

What Is Zithromax Price?

Zithromax price is determined whether you are going to buy Zitromax brand or generic. The latter usually costs several times cheaper than the brand drug.

The average price of generic is around $70 for 60 tablets of Zithromax 250mg. Whereas the brand drug will cost around $32 for 5 day supply.

Where Can I Buy Zithromax Over The Counter?

You can buy Zithromax over the counter from a lot of phamracies online. However, you should be 100% confident in the pharmacy where you are going to make an order. There are a lot of fake drugstores or ones that sell low-quality products. Simply browse forums and review websites to find a pharmacy with positive feedbacks.

Please, note that you need to have a prescription from your doctor to order this drug from a US or Canada based online pharmacy. However, some offshore Indian online drugstores do not require a prescription for Zithromax generic. Thus, it is almost impossible to get brand drug without visiting your doctor first.

Interaction With Other Drugs

Discuss all your current, previous and planned medication with your physician before taking  Zithromax in order to avoid undesired interactions.

Especially tell your doctor if you currently take the following medications:

  • Coumadin
  • Neoral
  • Sandimmune
  • Lanoxin
  • dihydroergotamine


Inform the emergency services at 911 instantly, in case of serious reactions like lack of breathing or losing consciousness.

Call your doctor and ask for advice if you are experiencing less serious overdose reactions.


Discuss possible using of Zithromax with your physician if you suffer from an allergy to Azithromycin, Erythromycin, Dynabac, Biaxin, or other drugs.

If you take antacid medications during treatment with Zithromax,  maintain at least a four hour gap after taking the antibiotic. You can also take your antacid medication more than two hours before taking Azithromycin.


Store the drug at room temperature away from heat and moisture. It should not be accessible to pets or children. Users should dispose off outdated Zithromax and ensure its proper disposal.

By Dr Edina Avdic


Zithromax (Azithromycin): Uses, Dosage, Side Effects, Interactions, Warning (rxlist.com)

FDA Drug Safety Communication: Azithromycin (Zithromax or Zmax) and the risk of potentially fatal heart rhythms | FDA

Z-Pak users: be on the alert for heart-rhythm problems – Harvard Health Blog – Harvard Health Publishing

Azithromycin: Short Course with Long Duration | Journal of Hospital Medicine