Azithral 500 MG Tablet: Uses, Dosage, Side Effects, Price, Composition & 20 FAQs
Azithral 500 MG Tablet: Uses, Dosage, Side Effects, Price, Composition & 20 FAQs

What is Azithral 500?

Used mainly to treat a different kind of bacterial infections like sinusitis, pharyngitis, urethritis and other skin infections. Pseudo membranous colitis and fungal infection are the major side effects at high repetitive doses for a prolonged period. It should be totally avoided in case of jaundice, heart diseases, and viral infections.

Azithral 500 Composition: Azithromycin 500 mg
Manufactured By: Alembic Pharmaceuticals Ltd.
Prescription: Required as it comes under schedule ‘H’
Form: Tablets, capsules, injections, ointment and syrup.
Price: Rs 111.94 for 5 tablets.
Expiry/Shelf Life: 24 months from the date of manufacturing
Type of Drug: 

Also Read in Hindi About Azithral 500

Uses of Azithral 500

Azithral 500 serves a great purpose in the prevention or treatment of the following conditions:

  • Genital Infections: Used for uncomplicated genital chlamydial infections
  • Eye Infection: Used to treat Trachoma (Contagious bacterial infection of the eye)
  • Sinusitis: Used to treat acute bacterial sinusitis (due to H. influenza or S. pneumoniae)
  • COPD: Used for treatment of acute bacterial exacerbations of COPD (chronic obstructive pulmonary disease due to H. influenza or S. pneumoniae).
  • Pneumonia: Used to treat Community-acquired pneumonia (due to C. pneumoniae).
  • Pharyngitis: Used for treatment of Pharyngitis/tonsillitis (caused by S. pyogenes)
  • Urinary tract infection: Used in cases of Urethritis and cervicitis (due to C. trachomatis or N. gonorrhoeae).
  • GUD: Used for treatment of Genital Ulcer Disease in men.
  • Skin Infections: Used for treatment of skin infections due to S. Aureus.
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How does Azithral 500 work?

  • Azithral contains Azithromycin as its main active ingredient
  • Azithromycin binds to rRNA of the bacterial ribosomal subunit and inhibits the transpeptidation step and therefore blocks the protein synthesis
  • Azithromycin blocks the protein synthesis of the bacterial cells and eventually kills them.

How to take Azithral 500?

  • Azithral 500 is usually available in tablet form for adults and suspension form for paediatric use.
  • Azithral 500 tablet is usually taken by mouth with a glass of water either with food or after food as the antimicrobial activity of Azithromycin is pH related and gets reduced with decreasing pH of the stomach.
  • When taking Azithral 500 suspension, bottle should be shaken up well to have a homogenous mix of the drug.
  • For complete infection eradication, complete physician’s prescribed dose should be taken.
  • It is advisable to go through the drug leaflet available in the packet insert.

Common Dosage for Azithral 500

  • Azithral 500 dosage can be decided by the doctor for every individual as per Age, Weight, Mental status, Allergic history and Health status of the patient.
  • The usual common adult dose of Azithral 500 is a single tablet per day for 3 days or 5 days depending upon the severity of the infection.
  • Paediatric dose of Azithral 500 is 5 to 20 mg/Kg for 3-5 days depending upon the severity of the infection.

Q. What happens if I overdose on Azithral 500?

Overdose of Azithral 500 can cause symptoms like irregular heartbeats and other problems so the dose of the drug should be taken carefully as prescribed and the doctor should be consulted immediately in case of Azithral 500 overdose.

Q. What happens if I miss a dose of Azithral 500?

The drug may not exhibit proper effects, if you miss a dose because, for effective working of the drug, a certain amount of drug must be present in your body at all times.

Consume the missed dose always as soon as you remember it. But, do not take a double dose if it’s already time to take the second dose after that as it may lead to an overdose of the drug.

Q. What happens if I eat expired Azithral 500?

An adverse event is very unlikely to occur by a single dose of the expired drug. However, the physician should be consulted if one feels unwell or sick after consuming an expired medicine. An expired drug might not be as potent in treating the condition. But it is advisable to refrain from using an expired drug.

Q. Onset time of Azithral 500 and till when does the effect of Azithral 500 stay?

  • One should start to feel recovered within the first few days of Azithral 500 therapy.
  • The complete prescribed dose of the drug should be taken before stopping the treatment.
  • The time taken by the drug to show its effect may vary with every individual.
Also read: Ascoril LS Cough Syrup Dosage | Becadexamine Capsule Dosage

When to Avoid Azithral 500?

Do not Consume Azithral 500 if:

  • Allergy: In cases of a known history of allergy to Azithromycin or Erythromycin
  • Liver dysfunction: In cases of a known history of cholestatic jaundice/hepatic dysfunction due to prior use of Azithromycin.
  • Diarrhoea: In cases of Clostridium Difficile-associated diarrhoea as the drug may worsen the case to fatal colitis.
  • Heart Problems: In cases of cardiac arrhythmias or heart problems.
  • Kidney problems: In cases of renal insufficiency as extra caution is needed.
  • Viral infections: In cases of viral infections, like common cold as the drug treats only bacterial infections.

Precautions While Taking Azithral 500

  • Avoid in Myasthenia Gravis: The drug should not be administered in patients with myasthenia gravis as it can aggravate the symptoms.
  • Avoid concomitant use of antacids: Use of aluminium-and magnesium-containing antacids while taking Azithromycin should be avoided.
  • Avoid unnecessary use: Azithral 500 should be used only in cases suspected to be of bacterial origin.
  • Dose alteration: Dose alteration without medical consultation should be avoided.

Warnings When Taking Azithral 500

  • The doctor should always be informed in case of known allergy to Azithromycin.
  • In cases of liver and renal impairment, the doctor should always be notified.
  • In cases of Heart problems, myasthenia gravis, as it can worsen the problem.
  • Avoid simultaneous consumption of aluminum or magnesium antacids with Azithral 500.

Side-Effects of Azithral 500

The side effects associated with Azithral 500 are:

  • Diarrhoea (Loose stools) (Common)
  • Nausea (Common)
  • Abdominal pain (Less Common)
  • Headache (Less Common)
  • Vomiting (Less Common)
  • Dyspepsia (Indigestion, stomache) (Common)
  • Dizziness (Less Common)
  • Irregular Heartbeats (Less Common)
  • Clay coloured stools or Jaundice (Less Common)
  • Nervousness and insomnia (Less Common)
  • Fever, rashes (Less Common)
  • Facial edema, fungal infections (Less Common)
  • Prolonged use may lead to pseudo membranous colitis (Less Common)

Are There Any Reported Allergic Reactions to Azithral 500?

  • Some serious allergic reactions like angioedema, anaphylaxis, and dermatologic reactions including Stevens Johnson Syndrome and toxic epidermal necrolysis have been reported in patients on Azithral 500 therapy rarely.
  • In case of any allergic symptoms like itching, redness, immediate medical help should be taken.

What are the effects of Azithral 500 on organs?

  • Azithral 500 affects hepatic and renal functions therefore, extra caution or dose modification is required in cases of hepatic or renal impairment.
  • In case of an allergic reaction or overdose, immediate medical help should be taken.

Drug Interactions to be Careful About

It is always advisable to be careful of a certain drug to drug or drug to food interactions when consuming Azithral 500. Always be aware of the food items, other drugs or lab tests while consuming Azithral 500. We explore these n details below.

1. Food Interactions with Azithral 500

No particular food item to be avoided.

2. Medicines Interactions with Azithral 500

All the potential drug interactions might not be listed here. It is always advisable that the patient must inform the physician about all the drugs/products you use. You must notify the doctor about the herbal products that you are currently consuming. You should never alter the drug regimen without your doctor’s approval.

The common drug interactions have been noticed with the following drugs:

  • Nelfinavir (leads to increased Azithromycin serum concentration) (moderate)
  • Warfarin (may potentiate the effects of warfarin) (severe)
  • Atorvastatin (mild)
  • Carbamazepine (mild)
  • Cetirizine (moderate)
  • Didanosine (mild)
  • Fluconazole (mild)
  • Indinavir (moderate)
  • Midazolam (moderate)
  • Rifabutin (mild)
  • Sildenafil (moderate)
  • Theophylline (intravenous and oral) (moderate)
  • Trimethoprim/sulfamethoxazole (mild)
  • Zidovudine (moderate)
  • Digoxin (leads to increased digoxin concentrations) (moderate)
  • Ergotamine or dihydroergotamine (May lead to Acute Ergot Toxicity) (severe)
  • Antacids with magnesium or aluminium (leads to reduced absorption of Azithromycin). (mild)

3. Effects of Azithral 500 on Lab Tests

Azithral 500 can affect liver enzymes test

4. Azithral’s interactions with Pre-existing Conditions/Diseases

Any Liver or kidney diseases, heart disorders.

Q. Can I have Azithral 500 with alcohol?

No. Azithral 500 is already known to have effects on liver and consuming alcohol may worsen the effects.

Always consult with the doctor before consuming alcohol while taking this drug.

Q. Any particular food item to be avoided?

No particular food item is to be avoided.

Q. Can I have Azithral 500 when pregnant?

No, there have been no reports on any adverse effects of the drug on the human foetus but the doctor should always be notified if you are pregnant or plan to become pregnant

Q. Can I have Azithral 500 when feeding a baby?

No, there has been no known records whether the drug is excreted in human milk or not but the doctor should always be informed if you are breastfeeding your child as a precautionary measure.

Q. Can I drive after taking Azithral 500?

No, Azithral 500 can cause dizziness in few cases so one should avoid driving if any dizziness or drowsiness occurs.

Also read: Betadine Ointment Side Effect | Betamethasone Side Effect

Buyer’s Guide – Azithral 500 Composition, Variant and Price

Azithral 500 VariantsAzithral 500 CompositionAzithral 500 Price
Azithral 100 mg syrupAzithromycin 100 mgRs. 35.25 for 1 pack
Azithral 250 mg tabletAzithromycin 250 mgRs. 110.97 for 10 tablets
Azithral 200 mg syrupAzithromycin 250 mgRs. 48.41 for 1 pack
Azithral injectionAzithromycin 500 mg/vialRs. 202.06 for 1 pack
Azithral eye ointment 30gmAzithromycin 1% w/wRs. 101.9 for 1 pack
Azithral JR 7.5 ml suspensionAzithromycin 200 mg/5mlRs. 24.20 for 1 pack.
Buy & Get Upto Discount: Medlife OffersPharmeasy Offers1mg promo code

Substitutes of Azithral 500

The following are alternative drugs for Azithral 500:

  • Azibest 500 mg tablet:
    • Manufactured by – Blue cross.
    • Price – Rs. 58.3
  • ATM 500mg tablet:
    • Manufactured by – Indoco Remedies Ltd.
    • Price – Rs. 111.94
  • Azee 500mg tablet:
    • Manufactured by – Cipla.
    • Price – Rs. 108.25
  • Azro 500mg tablet:
    • Manufactured by – Abbott.
    • Price – Rs. 49.76

Storage requirements for Azithral 500 Tablets

  • Store the drug at room temperature below 30o C, away from moisture and direct heat.
  • Keep at a place where it is out of reach of children.

FAQs – 10 Questions Answered about Azithral 500

Q. What is Azithral 500?

Ans. Azithral 500 is an antibiotic that contains Azithromycin as its active ingredient. Azithromycin is derived from erythromycin but differs in the chemical structure.

Azithral 500 is used only to prevent or treat infections that are strongly suspected or proven to be of bacterial origin to prevent the development of drug-resistant bacteria.

Q. How effective it is/ How long does it take for Azithral 500 to show results?

Ans. Azithral 500 shows its effect within a few days of the start of administration of the drug.

Q. Should Azithral 500 be taken on an empty stomach?

Ans. Azithral 500 should not be taken empty stomach to prevent any potential stomach upset and to have better absorption.

Q. Does Azithral 500 make you drowsy?

Ans. Yes, Azithral 500 may cause drowsiness/ sleepiness in few cases but it varies with every individual.

Q. What should be the time gap between the consumption of 2 Azithral 500 doses?

Ans. The ideal time gap of 10-12 hours should be there between two doses.

Q. Should I complete the whole cycle of the medicine even if cured?

Ans. Azithral 500 should be consumed as prescribed by the doctor and in case of any severity of symptoms, immediate medical help or consultation should be taken. And the doctor should be the one to decide when and how to stop the cycle of Azithral 500.

Q. Does Azithral 500 effect my menstrual cycle?

Ans. No, it generally doesn’t affect the menstrual cycle but one should always consult the doctor in case of pre-existing menstrual problems before consuming the drug

Q. Is Azithral 500 safe for children?

Ans. Azithral 500 should not be administered in children without proper consultation and recommendation by the Paediatrician.

Q. Are there any symptoms that I should consider before taking Azithral 500?

Ans. Any liver disorder, drug intolerance or allergic reactions are to be taken into consideration before taking Azithral 500.

Q. Is Azithral 500 legal in India?

Ans. Yes, it is legal in India.

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Disclaimer – The information provided above is to the best of our research and knowledge. However, you are recommended to consult a physician before consuming the drug.

Authored By –

Reviewed and Edited by Dr. Pradeep - Clinical Research Coordinator
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