To reduce the development of drug-resistant bacteria and maintain the effectiveness of Zithromax (azithromycin) and other antibacterial drugs, Zithromax (azithromycin) should be used only to treat or prevent infections that are proven or strongly suspected to be caused by bacteria. ZITHROMAX (azithromycin capsules, azithromycin tablets and azithromycin for oral suspension) contain the active ingredient azithromycin, an azalide, a subclass of macrolide antibiotics, for oral administration. Azithromycin has the chemical name ( 2R,3S,4R,5R,8R,10R,11R,12S,13S,14R ) -13-[(2,6-dideoxy-3- C -methyl-3- O -methyl-(alpha)- L - ribo -hexopyranosyl)oxy]-2-ethyl-3,4,10-trihydroxy-3,5,6,8,10,12,14-heptamethyl-11-3,4,6-trideoxy-3-(dimethylamino)-(beta)- D - xylo -hexopyranosyl]oxy]-1-oxa-6-azacyclopentadecan-15-one. Azithromycin is derived from erythromycin; however, it differs chemically from erythromycin in that a methyl-substituted nitrogen atom is incorporated into the lactone ring. Its molecular formula is C O and a molecular weight of 785.0. ZITHROMAX capsules contain azithromycin dihydrate equivalent to 250 mg of azithromycin. The capsules are supplied in red opaque hard-gelatin capsules (containing FD&C Red 40). allergy to azithromycin This leaflet answers some common questions about Zithromax. It does not take the place of talking to your doctor or pharmacist. Your doctor has weighed the risks of you taking Zithromax against the benefits they expect it will have for you. Zithromax is used to treat infections in different parts of the body caused by bacteria. Zithromax is also used to prevent infections by a bacterium called Mycobacterium Avium-intracellulare Complex (MAC) in some people. If you have any concerns about taking this medicine, ask your doctor or pharmacist. Zithromax is an antibiotic, which belongs to a group of medicines called azalides. The azalides are a sub-class of a group of antibiotics called macrolides. 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