azid 250mg tablet - Azithromycin (250mg) medicine

Azithromycin 250 mg Tablet: Complete Medicine Guide

No reviews yet
🏭 Indi Pharma 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 23, 2026
⚠️ Hepatotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for approved indications.
Reviewed by
SaathiMed Expert Panel | Sep 23, 2026

When to Call Your Doctor IMMEDIATELY

  • Severe allergic reaction: swelling of face, lips, tongue, or throat, difficulty breathing
  • Signs of liver injury: yellowing of skin or eyes, dark urine, severe abdominal pain
  • Heart rhythm changes: palpitations, dizziness, fainting
  • Severe diarrhea that is watery or contains blood or mucus
  • Signs of severe skin reaction: painful rash with blisters or peeling skin
  • New or worsening muscle weakness (possible myasthenia gravis exacerbation)

If experiencing severe symptoms, call emergency services immediately.

What is azid 250mg tablet used for?

This medicine is an antibiotic containing azithromycin 250 mg, used to treat bacterial infections of the respiratory tract, skin, and certain sexually transmitted infections. It works by stopping bacteria from making proteins they need to survive. It is not effective against viral infections like colds or flu.

  • Generic Name: Azithromycin (250mg)
  • Manufacturer: Indi Pharma
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 azid 250mg tablet के बारे में (Hindi Summary)

उपयोग: यह दवा एज़िथ्रोमाइसिन 250 मिलीग्राम की एक एंटीबायोटिक गोली है, जिसका उपयोग बैक्टीरियल संक्रमण जैसे सांस की नली के संक्रमण, त्वचा के संक्रमण, और कुछ यौन संचारित रोगों के इलाज के लिए किया जाता है। यह बैक्टीरिया के प्रोटीन बनाने की प्रक्रिया को रोककर उन्हें मार देती है। यह वायरल संक्रमण जैसे सर्दी-जुकाम या फ्लू के लिए प्रभावी नहीं है।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में पेट खराब होना, जी मिचलाना, दस्त, पेट दर्द, और सिरदर्द शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन एलर्जी, लीवर की समस्या, और दिल की धड़कन में बदलाव हो सकते हैं। अगर आपको त्वचा या आंखों में पीलापन, गहरे रंग का पेशाब, या सीने में दर्द हो, तो तुरंत डॉक्टर से मिलें।

सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। पूरा कोर्स पूरा करें, भले ही आप बेहतर महसूस करें। एंटासिड के साथ लेने से बचें, कम से कम 2 घंटे का अंतर रखें। अगर आपको गंभीर दस्त, पेट दर्द, या एलर्जी के लक्षण दिखें, तो तुरंत डॉक्टर से संपर्क करें। गर्भवती या स्तनपान कराने वाली महिलाएं डॉक्टर से सलाह लें।

💡 Did You Know? The first generic medicine was introduced in India in 1970 after the Patents Act was amended.

💊 azid 250mg tablet Uses & Benefits

  • [{"condition":"Community-acquired pneumonia","description":"Used to treat mild to moderate pneumonia caused by susceptible bacteria such as Streptococcus pneumoniae and Haemophilus influenzae.","evidence":"Well-established"},{"condition":"Acute bacterial exacerbation of chronic bronchitis","description":"Helps clear bacterial infections that worsen chronic bronchitis, reducing cough and sputum production.","evidence":"Well-established"},{"condition":"Acute bacterial sinusitis","description":"Prescribed when sinusitis is confirmed or strongly suspected to be bacterial, especially in patients allergic to penicillin.","evidence":"Well-established"},{"condition":"Skin and soft tissue infections","description":"Effective against many bacteria causing cellulitis, erysipelas, and impetigo when used as directed.","evidence":"Well-established"},{"condition":"Urethritis and cervicitis due to Chlamydia trachomatis","description":"A single 1-gram dose is standard for uncomplicated chlamydial infection, often combined with other antibiotics for gonorrhea.","evidence":"Well-established"},{"condition":"Helicobacter pylori eradication","description":"Used as part of combination therapy with a proton pump inhibitor and other antibiotics to treat H.
  • pylori-associated peptic ulcer disease.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Pertussis (whooping cough)","description":"Sometimes used to reduce transmission, though evidence for symptom improvement is limited.","evidence":"Limited"},{"condition":"Lyme disease","description":"Occasionally used in early localized Lyme disease when other antibiotics are not suitable.","evidence":"Limited"},{"condition":"Bronchiolitis obliterans organizing pneumonia (BOOP)","description":"Used in some inflammatory lung conditions, but not a standard first-line treatment.","evidence":"Limited"}]

Primary treatment for: Bacterial infections

Also treats: Community-acquired pneumonia, Acute bacterial exacerbation of chronic bronchitis, Acute bacterial sinusitis, Skin and soft tissue infections, Chlamydial urethritis/cervicitis, Helicobacter pylori infection

📋 Drug Information

Generic Name(s)Azithromycin (250mg)
Brand Nameazid 250mg tablet
ManufacturerIndi Pharma
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassANTI INFECTIVES
Action ClassMacrolides
Route of AdministrationOral
StorageStore at room temperature between 15°C and 30°C (59°F to 86°F). Keep in a dry place away from direct sunlight. Keep out of reach of children.
Shelf Life24 months from the date of manufacture.
WHO GuidelineThe World Health Organization includes azithromycin in its essential medicines list for the treatment of several bacterial infections, including sexually transmitted infections and respiratory tract infections. It is recommended as part of combination therapy for trachoma and yaws.
ICMR GuidelineThe Indian Council of Medical Research recommends azithromycin for the treatment of community-acquired pneumonia, acute bacterial sinusitis, and certain sexually transmitted infections, in line with national antibiotic guidelines. It should be used judiciously to prevent antimicrobial resistance.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine at the same time each day to maintain consistent blood levels.
2
Complete the full prescribed course even if you feel better after a few doses.
3
If you get diarrhea, do not take anti-diarrheal medicines without consulting your doctor.
4
Inform your doctor if you have a history of heart rhythm problems or liver disease.
5
Avoid taking antacids within 2 hours of this medicine as they can reduce its absorption.
6
Report any signs of allergic reaction such as rash, itching, or swelling immediately.
7
Do not share this medicine with others, even if they have similar symptoms.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

Persistent cough with fever
This medicine is commonly prescribed for bacterial respiratory infections.
Likely Use
Sore throat with white patches
May be used for bacterial pharyngitis if confirmed.
Likely Use
Runny nose and sneezing
This medicine is not effective for viral colds.
Not Primary
Burning during urination
May be used for chlamydial urethritis.
Likely Use
Skin rash with pus
May be used for bacterial skin infections.
Likely Use

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionThis medicine is rapidly absorbed from the gastrointestinal tract after oral administration. The absolute bioavailability is approximately 37% because of partial first-pass metabolism. Food can slightly alter absorption, but the clinical significance is minimal. Taking with food may reduce stomach upset without significantly affecting overall drug exposure.
DistributionThis medicine distributes widely throughout the body, including into the lungs, tonsils, and prostate. It achieves high concentrations inside phagocytes and fibroblasts, which transport it to infection sites. The volume of distribution is large, approximately 31 L/kg. It crosses the placenta and is excreted in breast milk.
Protein BindingThis medicine is approximately 7% to 51% bound to plasma proteins, depending on the concentration. This low to moderate protein binding means that drug interactions due to displacement are unlikely.
MetabolismThis medicine undergoes extensive hepatic metabolism, primarily by CYP3A4 enzymes, though the exact metabolic pathways are not fully characterized. It is converted into several inactive metabolites. Because it is metabolized in the liver, caution is needed in patients with severe hepatic impairment.
Half-LifeThe terminal elimination half-life of this medicine is approximately 68 hours. This long half-life allows for once-daily dosing and short treatment courses.
ExcretionThis medicine is primarily excreted in the bile as unchanged drug and metabolites. About 6% of an oral dose is excreted unchanged in the urine. Because renal excretion is a minor pathway, dose adjustment is usually not required in mild to moderate renal impairment.
BioavailabilityThe oral bioavailability of this medicine is approximately 37%.
Onset of ActionThis medicine begins to work within a few hours after taking a dose, but noticeable improvement in infection symptoms usually occurs within 24 to 48 hours. Full therapeutic effect may take 2 to 3 days.
Peak Plasma TimePeak plasma concentrations of this medicine are reached approximately 2 to 3 hours after oral administration.
Duration of ActionThe therapeutic effect of this medicine lasts for several days after the last dose due to its long half-life and tissue accumulation. This is why a 3-day or 5-day course can continue to work after the medicine is stopped.

How It Works

This medicine belongs to the macrolide class of antibiotics. It 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 assembling essential proteins needed for growth and multiplication. As a result, bacterial protein production stops, and the bacteria eventually die. This medicine is typically bacteriostatic at low concentrations but can be bactericidal at higher concentrations against certain organisms.

Mechanism Steps

1
Entry into bacterial cell: This medicine penetrates the bacterial cell wall and enters the cytoplasm of susceptible bacteria.
2
Binding to 50S ribosomal subunit: It binds reversibly to the 23S rRNA portion of the 50S ribosomal subunit.
3
Blocking protein synthesis: This binding prevents the translocation of peptidyl-tRNA from the A site to the P site, halting the elongation of the protein chain.
4
Inhibition of bacterial growth: Without new proteins, the bacteria cannot grow, divide, or repair themselves, leading to their eventual death or inhibition.

💡 How to Take azid 250mg tablet

Strength: Azithromycin 250 mg immediate-release tablet

1Take this medicine by mouth with or without food.
2Swallow the tablet whole with a glass of water.
3If it upsets your stomach, take it with a meal or snack.
4Take it at the same time each day to maintain consistent levels.
5Complete the full course as prescribed, even if you feel better.
6Do not crush, chew, or break the tablet unless instructed by your doctor.

Dosage Information

Adult DosageThe 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 through 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 DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more susceptible to side effects such as QT prolongation and hearing loss. No specific dose adjustment is required, but caution is advised. Dose must be individualized by a qualified clinician.
Renal ImpairmentNo dose adjustment is required for mild to moderate renal impairment (GFR 10-80 mL/min). In severe renal impairment (GFR <10 mL/min), use with caution as the drug may accumulate. Dose must be individualized by a qualified clinician.
Hepatic ImpairmentNo specific dose adjustment is provided for hepatic impairment. Use with caution in patients with severe liver disease and monitor for signs of hepatotoxicity. Dose must be individualized by a qualified clinician.
Maximum Daily DoseThe maximum recommended daily dose for adults is 500 mg for most indications, except for a single 1-gram dose for chlamydial infections. Do not exceed the prescribed dose.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With food
May take with or without food
Food does not significantly affect absorption but can reduce stomach upset.
Antacids
Separate by 2 hours
Antacids can reduce the absorption of this medicine.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of azid 250mg tablet

✅ Common Side Effects

Diarrhea (Common (5-10%))
Stay hydrated. If diarrhea is severe or contains blood, contact your doctor.
Nausea (Common (5-10%))
Take with food. If nausea persists, consult your doctor.
Abdominal pain (Common (5-10%))
Usually resolves. Avoid spicy foods. Consult doctor if severe.
Headache (Common (5-10%))
Rest and stay hydrated. Consult doctor if persistent.
Vomiting (Uncommon (1-5%))
Take with food. If vomiting is severe, seek medical advice.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Seek emergency medical help immediately if you experience swelling of face, lips, throat, difficulty breathing, or severe rash.
Liver injury (hepatotoxicity) (Rare (<0.1%))
Stop the medicine and contact your doctor if you notice yellowing of skin or eyes, dark urine, or severe abdominal pain.
Heart rhythm changes (QT prolongation) (Rare (<0.1%))
Seek immediate medical attention if you feel palpitations, dizziness, or fainting.
Clostridium difficile-associated diarrhea (Rare (<0.1%))
Contact your doctor if you develop severe diarrhea that does not improve, as this may require specific treatment.
Severe skin reactions (Stevens-Johnson syndrome) (Very rare (<0.01%))
Seek emergency care if you develop a painful rash with blisters or peeling skin.

⚠️ Rare Side Effects

Taste disturbance
Usually resolves after stopping the medicine. Consult doctor if bothersome.
Hearing loss or tinnitus
Report to your doctor if you notice ringing in the ears or decreased hearing.
Photosensitivity
Avoid excessive sun exposure and use sunscreen.
Pancreatitis
Seek immediate medical attention if you have severe upper abdominal pain radiating to the back.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Major
Ergotamine Major
Amiodarone Major
Pimozide Major
Antacids Moderate
Cyclosporine Moderate
Digoxin Moderate
Carbamazepine Minor
Phenytoin Minor
Theophylline Minor

🚨 Major Interactions

  • Warfarin
  • Ergotamine or dihydroergotamine
  • Amiodarone, sotalol, dofetilide, ibutilide
  • Pimozide

⚡ Moderate Interactions

  • Antacids containing aluminum or magnesium
  • Cyclosporine
  • Digoxin
  • Nelfinavir

🍷 Alcohol Interaction

Alcohol does not directly interact with this medicine, but it can worsen stomach irritation and dizziness. It is best to avoid alcohol while taking this medicine, especially if you have liver problems or are prone to stomach upset.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known hypersensitivity to azithromycin, erythromycin, or any macrolide antibiotic","History of cholestatic jaundice or hepatic dysfunction associated with prior azithromycin use","Concurrent use with ergotamine or dihydroergotamine","Concurrent use with pimozide"]

⚠️ Warnings & Precautions

["Use with caution in patients with liver disease; monitor for signs of hepatotoxicity.","Avoid in patients with known QT prolongation or risk factors for arrhythmias.","May exacerbate symptoms of myasthenia gravis; use with caution.","Do not use for viral infections; it is ineffective and promotes resistance.","Complete the full prescribed course even if symptoms improve.","Inform your doctor if you are pregnant, planning pregnancy, or breastfeeding.","Avoid concurrent use with antacids containing aluminum or magnesium within 2 hours."]

🤱 Lactation Safety

This medicine is excreted in 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. If overdose is suspected, contact a poison control center or seek emergency medical attention immediately.

⏰ 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 double the dose to catch up.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor. Do not share it with others or save leftover medicine for later use. Inform your doctor if you have liver problems, heart rhythm disorders, or myasthenia gravis before starting this medicine. Avoid taking antacids containing aluminum or magnesium within two hours of this medicine, as they can reduce its absorption. If you develop diarrhea that is severe or contains blood or mucus, contact your doctor before taking any anti-diarrheal medication. Complete the full course even if symptoms improve early, to prevent the infection from returning and to reduce the risk of antibiotic resistance.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more sensitive to the side effects of this medicine, especially heart rhythm changes and hearing loss. They should be monitored closely for any signs of toxicity. No specific dose adjustment is required, but caution is advised.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, consult your doctor before taking this medicine. It is generally considered safe during pregnancy when clearly needed, but the decision should be made by your doctor after weighing the benefits and risks.

🏥 Post-Surgery Considerations

If you are scheduled for surgery, inform your surgeon that you are taking this medicine. It may interact with certain anesthetics or other medications used during surgery. Your doctor may advise you to stop the medicine temporarily before surgery.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine before any dental procedure. It may interact with other medications or affect the procedure. Your dentist may recommend postponing elective dental work until you complete the course.

💚 Lifestyle Tips for Better Results

🏃
Get plenty of rest to help your body fight the infection.
🥗
Stay well hydrated by drinking water and clear fluids.
😴
Eat a balanced diet rich in fruits and vegetables to support your immune system.
💧
Avoid close contact with others while you are contagious to prevent spreading the infection.
🧘
Practice good hand hygiene to prevent reinfection.
🌞
Avoid smoking and alcohol as they can worsen your condition and delay recovery.

🏋️ Exercise Considerations

While taking this medicine, you may feel tired or dizzy. Avoid strenuous exercise until you feel fully recovered. Light activities like walking are fine if you feel up to it. Listen to your body and rest when needed.

🥗 Diet Recommendations

Include probiotic-rich foods like yogurt to help maintain healthy gut bacteria.
Stay well hydrated with water and clear soups.
Avoid spicy and oily foods if you have stomach upset.
Eat small, frequent meals if you have nausea.
Include foods rich in vitamin C like oranges and bell peppers to support immunity.

💼 Impact on Daily Work & Life

This medicine may cause dizziness or tiredness in some people. If you experience these effects, avoid driving or operating heavy machinery until you know how the medicine affects you. Most people can continue their normal daily activities, but take it easy if you feel unwell.

🛑 When to Stop This Medicine

Stop taking this medicine only after completing the full prescribed course, unless your doctor advises otherwise. If you experience serious side effects such as severe allergic reaction, liver problems, or heart rhythm changes, stop the medicine and seek immediate medical attention. Do not stop early just because you feel better, as this can lead to recurrence of infection and antibiotic 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 alter the normal bacterial flora, potentially causing diarrhea or fungal infections. Regular monitoring of liver function may be advised if used for extended periods.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Rest and hydration

Essential for recovery from any infection, complementing antibiotic therapy.

Evidence: Well-established
Steam inhalation

Can help relieve congestion in respiratory infections.

Evidence: Limited
Probiotics

May help prevent antibiotic-associated diarrhea.

Evidence: Moderate

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

This medicine does not interact with vaccines. However, if you are scheduled to receive a live bacterial vaccine (such as typhoid vaccine), antibiotics may reduce its effectiveness. Consult your doctor about timing.

📦 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 along with a copy of your prescription. Store it at room temperature and protect it from extreme heat or moisture. If crossing time zones, adjust your dosing schedule to maintain approximately 24-hour intervals between doses. Check customs regulations for carrying prescription medicines into your destination country.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old man with a persistent cough and fever diagnosed with bacterial bronchitis
He was prescribed this medicine for 5 days. He took it with breakfast each morning. His fever subsided within 2 days, and his cough improved by day 4. He completed the full course as advised.
💡 Lesson: Taking the medicine with food reduced stomach upset, and completing the course ensured the infection cleared completely.
👤 A 28-year-old woman with chlamydial infection
She was given a single 1-gram dose of this medicine. She experienced mild nausea but no other side effects. Her symptoms resolved within a week, and her partner was also treated.
💡 Lesson: A single dose can effectively treat chlamydia, but partner treatment is essential to prevent reinfection.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine starts working within a few hours, but you may notice improvement in symptoms within 24 to 48 hours. Complete the full course for best results.

Q: Can I take it with food?

A: Yes, you can take this medicine with or without food. Taking it with food may help reduce stomach upset.

Q: What if I miss a dose?

A: 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 double the dose.

Q: Is it safe during pregnancy?

A: This medicine is generally considered safe during pregnancy when prescribed by a doctor. However, consult your doctor before use.

Q: Can I drink alcohol while taking this?

A: It is best to avoid alcohol while taking this medicine, as it can worsen stomach upset and dizziness.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for azid 250mg tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine can cure the common cold.
    Fact: This medicine is an antibiotic and does not work against viruses, including those that cause the common cold.
  • Myth: You can stop taking this medicine as soon as you feel better.
    Fact: You must complete the full prescribed course to ensure the infection is fully treated and to prevent resistance.
  • Myth: This medicine is safe to take for any infection.
    Fact: This medicine should only be used for bacterial infections it is known to treat. Using it for other infections can cause harm and promote resistance.

🔄 Alternative Options

Generic Alternatives

  • Azithromycin 250 mg tablet

Brand Alternatives

  • Azee 250
  • Azithral 250
  • Zithromax 250

📊 Comparison with Similar Medicines

[{"medicine":"Azithromycin 250 mg","class":"Macrolide","half_life":"68 hours","dosing":"Once daily, short course","common_uses":"Respiratory, skin, STIs"},{"medicine":"Clarithromycin 250 mg","class":"Macrolide","half_life":"3-4 hours","dosing":"Twice daily","common_uses":"Respiratory, H. pylori"},{"medicine":"Amoxicillin 500 mg","class":"Penicillin","half_life":"1-1.5 hours","dosing":"Three times daily","common_uses":"Respiratory, skin, urinary"}]

😊 Was this information helpful?

Browse Medicines A-Z

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Back to Medicines Directory