Azithromycin 250 mg Tablet: Complete Guide to Uses, Dosage, and Safety
When to Call Your Doctor IMMEDIATELY
- Difficulty breathing or swelling of face, lips, or throat
- Severe or persistent diarrhea, especially with blood or mucus
- Yellowing of skin or eyes, dark urine, or severe abdominal pain
- Fast, irregular, or pounding heartbeat
- Severe skin rash with blisters or peeling
- Unusual tiredness or weakness
- Decreased urine output
If experiencing severe symptoms, call emergency services immediately.
What is atm 250 tablet used for?
Azithromycin 250 mg is an oral antibiotic used to treat bacterial infections such as respiratory tract infections, skin infections, and certain sexually transmitted infections. It works by stopping bacterial growth. The usual adult dose is 500 mg on day 1, then 250 mg once daily on days 2 to 5. Always complete the full course as prescribed.
- Generic Name: Azithromycin
- Manufacturer: Indoco Remedies Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 atm 250 tablet के बारे में (Hindi Summary)
उपयोग: यह दवा एज़िथ्रोमाइसिन 250 मिलीग्राम युक्त एक एंटीबायोटिक है, जिसका उपयोग बैक्टीरियल संक्रमणों के इलाज के लिए किया जाता है। यह श्वसन तंत्र के संक्रमण जैसे ब्रोंकाइटिस और निमोनिया, त्वचा के संक्रमण, और कुछ यौन संचारित संक्रमणों के इलाज में प्रभावी है। यह दवा बैक्टीरिया के प्रोटीन निर्माण को रोककर उनकी वृद्धि को रोकती है। यह वायरल संक्रमण जैसे सर्दी-जुकाम के लिए प्रभावी नहीं है। इसका सेवन डॉक्टर के निर्देशानुसार ही करें और पूरा कोर्स पूरा करें।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में दस्त, मतली, पेट दर्द, और सिरदर्द शामिल हैं। ये आमतौर पर हल्के होते हैं और अपने आप ठीक हो जाते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन एलर्जी, लीवर की समस्या, और अनियमित दिल की धड़कन हो सकती है। यदि आपको पीलिया, गहरे रंग का पेशाब, या सांस लेने में कठिनाई हो, तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। इसे दूसरों के साथ साझा न करें। एंटासिड के साथ लेने से बचें, कम से कम 2 घंटे का अंतर रखें। यदि आप गर्भवती हैं या स्तनपान करा रही हैं, तो डॉक्टर से सलाह लें। दवा का कोर्स पूरा करें, बीच में न छोड़ें। इसे ठंडी और सूखी जगह पर रखें।
💊 atm 250 tablet Uses & Benefits
[{"condition":"Community-acquired pneumonia","description":"Used to treat mild to moderate pneumonia caused by susceptible bacteria.","evidence":"Well-established"},{"condition":"Acute bacterial exacerbation of chronic bronchitis","description":"Helps clear bacterial infection in people with chronic lung disease.","evidence":"Well-established"},{"condition":"Acute bacterial sinusitis","description":"Prescribed when bacterial sinus infection is confirmed or highly suspected.","evidence":"Well-established"},{"condition":"Pharyngitis and tonsillitis","description":"Used as an alternative for patients allergic to penicillin.","evidence":"Well-established"},{"condition":"Skin and soft tissue infections","description":"Treats uncomplicated skin infections caused by susceptible bacteria.","evidence":"Well-established"},{"condition":"Urethritis and cervicitis due to Chlamydia trachomatis","description":"Single-dose therapy is often used for chlamydial infections.","evidence":"Well-established"},{"condition":"Mycobacterium avium complex (MAC) prevention","description":"Used in patients with advanced HIV to prevent disseminated MAC infection.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Bronchiolitis obliterans syndrome after lung transplant","description":"Sometimes used for its anti-inflammatory effects in chronic lung allograft dysfunction.","evidence":"Limited"},{"condition":"Cystic fibrosis lung disease","description":"May be used for anti-inflammatory and immunomodulatory effects, but evidence is mixed.","evidence":"Limited"},{"condition":"Rosacea","description":"Topical or oral azithromycin has been studied for inflammatory rosacea.","evidence":"Limited"}]
Primary treatment for: Bacterial infections
Also treats: Community-acquired pneumonia, Acute bacterial exacerbation of chronic bronchitis, Acute bacterial sinusitis, Pharyngitis/tonsillitis, Skin and soft tissue infections, Chlamydial urethritis/cervicitis, Mycobacterium avium complex prevention
📋 Drug Information
| Generic Name(s) | Azithromycin |
| Brand Name | Azee 500 Tablet |
| Manufacturer | Indoco Remedies Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | ANTI INFECTIVES |
| Action Class | Macrolides |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C (59°F to 86°F). Keep away from moisture and heat. Keep out of reach of children. |
| Shelf Life | Typically 2 years from the date of manufacture. Check the expiry date on the package. |
| WHO Guideline | The World Health Organization includes azithromycin in its Model List of Essential Medicines for the treatment of several bacterial infections, including sexually transmitted infections and respiratory tract infections. It is also recommended for trachoma elimination programs. |
| ICMR Guideline | The Indian Council of Medical Research (ICMR) includes azithromycin in its treatment guidelines for community-acquired pneumonia and other respiratory infections. It is also recommended for certain sexually transmitted infections. Always follow your doctor's advice. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine works by binding to the 50S ribosomal subunit of susceptible bacteria, specifically to the 23S rRNA component. This binding blocks the translocation step of protein synthesis, preventing the bacteria from making essential proteins needed for growth and multiplication. As a result, the bacteria cannot survive and the infection is controlled. This medicine is bacteriostatic at lower concentrations but can be bactericidal at higher concentrations against certain organisms.
Mechanism Steps
💡 How to Take atm 250 tablet
Strength: Azithromycin 250 mg immediate-release tablet
Dosage Information
| Adult Dosage | The usual adult dose of this medicine for most respiratory tract infections is 500 mg on the first day, followed by 250 mg once daily on days 2 to 5. For chlamydial urethritis or cervicitis, a single 1 gram dose is often used. For skin infections, a 3-day course of 500 mg once daily may be prescribed. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician for appropriate dosing in children. |
| Elderly Dosage | Elderly patients may be more susceptible to side effects such as heart rhythm problems and hearing loss. Dose is generally the same as adults, but caution is advised. Consult your doctor for individualized dosing. |
| Renal Impairment | Dose adjustment is not usually required for mild to moderate renal impairment. In severe renal impairment (GFR < 10 mL/min), use with caution. Consult your doctor for guidance. |
| Hepatic Impairment | Use with caution in patients with liver disease. Dose adjustment may be needed. Consult your doctor for individualized dosing. |
| Maximum Daily Dose | The maximum recommended daily dose is 500 mg for most indications, except for certain infections where a single 1 gram dose is used. Do not exceed the prescribed dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of atm 250 tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Warfarin | Major | |
| Amiodarone | Major | |
| Digoxin | Major | |
| Ergotamine | Major | |
| Antacids | Moderate | |
| Cyclosporine | Moderate | |
| Nelfinavir | Moderate | |
| Carbamazepine | Minor | |
| Phenytoin | Minor | |
| Alcohol | Minor |
🚨 Major Interactions
- Warfarin
- Amiodarone
- Digoxin
- Ergotamine
⚡ Moderate Interactions
- Antacids containing aluminum or magnesium
- Cyclosporine
- Nelfinavir
🍷 Alcohol Interaction
Alcohol does not directly interact with this medicine, but it can worsen stomach upset and dizziness. It is advisable to avoid alcohol while taking this medicine, especially if you have an infection.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known allergy to azithromycin or other macrolide antibiotics","History of cholestatic jaundice or liver dysfunction caused by azithromycin","Concurrent use with ergotamine or dihydroergotamine"]
⚠️ Warnings & Precautions
["Use with caution in patients with liver disease.","Use with caution in patients with heart rhythm disorders or electrolyte imbalances.","May cause severe allergic reactions; stop and seek help if symptoms occur.","Prolonged use may lead to bacterial or fungal superinfections.","May cause Clostridioides difficile-associated diarrhea; report severe diarrhea.","Avoid use in patients with myasthenia gravis as it may worsen symptoms.","Not effective against viral infections; do not use for colds or flu."]
🤱 Lactation Safety
This medicine passes into breast milk in small amounts. It is generally considered safe during breastfeeding, but monitor the infant for diarrhea, vomiting, or rash. Consult your doctor before use.
💊 Overdose Management
Overdose of this medicine may cause nausea, vomiting, diarrhea, and hearing loss. There is no specific antidote. Treatment is supportive and symptomatic. Contact a poison control center or emergency room if you suspect an overdose.
⏰ 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 take two doses at once to make up for a missed dose.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not share it with others, even if they have similar symptoms. Do not save leftover medicine for future use. Inform your doctor about all other medicines you are taking, especially antacids, blood thinners, and heart rhythm medicines. Avoid taking antacids containing aluminum or magnesium within two hours of this medicine. Tell your doctor if you have liver or kidney problems, or if you have a history of heart rhythm disorders. If you are pregnant or breastfeeding, consult your doctor before taking this medicine. Do not stop taking this medicine early, even if you feel better, as this can lead to antibiotic resistance. Store this medicine at room temperature away from moisture and heat.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more prone to side effects such as heart rhythm problems and hearing changes. Use with caution and monitor closely. Dose is generally the same as adults, but consult your doctor for individualized dosing.
🤰 Pregnancy Planning (TTC)
If you are planning pregnancy, consult your doctor before taking this medicine. It is generally considered safe during pregnancy when clearly needed, but always seek medical advice.
🏥 Post-Surgery Considerations
If you are scheduled for surgery, inform your surgeon that you are taking this medicine. It may interact with other medicines used during surgery. Your doctor may advise you to stop it before surgery.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine before any dental procedure. It may interact with other medicines or affect healing. Your dentist may advise you to continue or temporarily stop it.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
You may feel tired or dizzy while taking this medicine. Avoid strenuous exercise until you feel better. Light activities like walking are fine if you feel up to it.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or tiredness in some people. Avoid driving or operating heavy machinery if you feel dizzy. Most people can continue their normal activities, but take rest as needed.
🛑 When to Stop This Medicine
Stop taking this medicine only after completing the full prescribed course or if your doctor advises you to stop. If you experience serious side effects, stop and seek medical help immediately. Do not stop early as it can lead to treatment failure and resistance.
📅 Long-Term Use Effects
Long-term use of this medicine is not recommended unless specifically prescribed for a chronic condition. Prolonged use can lead to antibiotic resistance and superinfections. Regular monitoring of liver and heart function may be needed if used for extended periods. Always consult your doctor before starting or stopping this medicine.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Supportive care can help relieve symptoms while the antibiotic works.
Evidence: Well-establishedMay help prevent antibiotic-associated diarrhea.
Evidence: Limited💉 Vaccination Considerations
💉 If You're Getting Vaccinated
This medicine does not interact with vaccines. However, if you are scheduled for a live vaccine, inform your doctor as antibiotics may affect the vaccine's effectiveness. Generally, antibiotics do not interfere with most vaccines.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✈️ Traveling with This Medicine
When traveling, carry this medicine in its original packaging with a copy of your prescription. Keep it in your carry-on luggage to avoid temperature extremes. Store at room temperature and protect from moisture. If crossing time zones, continue your dosing schedule as close to the original times as possible. Check customs regulations for carrying prescription medicines in your destination country.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: You may start feeling better within 1 to 2 days, but it is important to complete the full course as prescribed.
A: Yes, you can take it with or without food. If it upsets your stomach, take it with a meal.
A: 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 dose.
A: It is generally considered safe when clearly needed, but consult your doctor before taking any medicine during pregnancy.
A: It is best to avoid alcohol as it can worsen side effects like stomach upset and dizziness.
🤔 Common Patient Concerns
🔄 Substitutes for atm 250 tablet
View AllAlternative brands with exact same active ingredient:
-
azopet 250mg tabletVista Health Care ₹6.09 95.1% CHEAPER
-
Svizthrocin 250mg TabletManeesh Pharmaceuticals Ltd ₹14.06 88.7% CHEAPER
-
zyn 250mg tabletSiomond Pharmaceuticals Pvt Ltd ₹14.70 88.2% CHEAPER
-
azimer kid 250mg tabletMercury Laboratories Ltd ₹15.00 88% CHEAPER
-
zara 250mg tabletBushra Biotech Private Limited ₹19.00 84.8% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: Azithromycin can cure viral infections like the common cold.
Fact: Azithromycin is an antibiotic and only works against bacterial infections. It is not effective against viruses. - Myth: You can stop taking azithromycin as soon as you feel better.
Fact: You must complete the full course as prescribed to prevent the infection from returning and to reduce antibiotic resistance. - Myth: Azithromycin is safe to take without a prescription.
Fact: Azithromycin is a prescription medicine. It should only be taken under a doctor's supervision. - Myth: Azithromycin and alcohol are safe to mix.
Fact: Alcohol can worsen side effects like stomach upset and dizziness. It is best to avoid alcohol while taking this medicine.
🔄 Alternative Options
Generic Alternatives
- Azithromycin 250 mg tablet (various manufacturers)
Brand Alternatives
- Azee 250 Tablet
- Azithral 250 Tablet
- Zithromax 250 Tablet
- Azi 250 Tablet
- Azax 250 Tablet