evrox 150mg tablet - Azithromycin (150mg) medicine

Evrox 150mg Tablet: Uses, Side Effects, Dosage, And Safety Guide

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🏭 Swiss Pharma Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 26, 2026
⚠️ Hepatotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
12 min read
Evidence: Well-established
Reviewed by
SaathiMed Expert Panel | Oct 26, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Severe allergic reaction: rash, itching, swelling of face, lips, or throat, difficulty breathing.
  • Signs of liver problems: yellowing of skin or eyes, dark urine, severe abdominal pain.
  • Irregular heartbeat: palpitations, dizziness, fainting, or shortness of breath.
  • Severe diarrhea that does not improve or is accompanied by fever or blood.
  • Signs of a new infection: fever, sore throat, chills, or other unusual symptoms.
  • Severe skin reactions: blistering, peeling, or sores in the mouth or eyes.

If experiencing severe symptoms, call emergency services immediately.

What is evrox 150mg tablet used for?

This medicine is an antibiotic containing azithromycin 150 mg. It is used to treat various bacterial infections such as respiratory infections, skin infections, and certain sexually transmitted infections. It works by stopping the growth of bacteria. Take it exactly as prescribed by your doctor.

  • Generic Name: Azithromycin (150mg)
  • Manufacturer: Swiss Pharma Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 evrox 150mg tablet के बारे में (Hindi Summary)

उपयोग: यह दवा एज़िथ्रोमाइसिन 150 मिलीग्राम की गोली है, जो एक एंटीबायोटिक है। इसका उपयोग बैक्टीरियल संक्रमणों जैसे श्वसन तंत्र के संक्रमण, त्वचा संक्रमण, और कुछ यौन संचारित संक्रमणों के इलाज के लिए किया जाता है। यह बैक्टीरिया के प्रोटीन संश्लेषण को रोककर उनकी वृद्धि को रोकती है। इसे डॉक्टर के निर्देशानुसार ही लें और कोर्स पूरा करें।

साइड इफेक्ट्स: आम दुष्प्रभावों में दस्त, मतली, पेट दर्द और उल्टी शामिल हैं। ये आमतौर पर हल्के और अस्थायी होते हैं। गंभीर दुष्प्रभावों में एलर्जी, लीवर की समस्या, और दिल की धड़कन में अनियमितता शामिल हो सकती है। कोई भी असामान्य लक्षण होने पर तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। कोर्स पूरा करें, भले ही आप बेहतर महसूस करें। एंटासिड के साथ इस दवा को न लें, कम से कम 2 घंटे का अंतर रखें। यदि आपको लीवर की बीमारी, दिल की धड़कन की समस्या, या पोटेशियम/मैग्नीशियम की कमी है, तो डॉक्टर को बताएं। गर्भावस्था या स्तनपान के दौरान डॉक्टर से सलाह लें। शराब का सेवन कम करें।

💡 Did You Know? The Indian pharmaceutical market is expected to reach $130 billion by 2030.

💊 evrox 150mg tablet Uses & Benefits

[{"condition":"Community-acquired pneumonia","description":"Used to treat mild to moderate community-acquired pneumonia caused by susceptible bacteria.","evidence":"Well-established"},{"condition":"Acute bacterial exacerbation of chronic bronchitis","description":"Prescribed to treat flare-ups of chronic bronchitis caused by bacteria.","evidence":"Well-established"},{"condition":"Acute bacterial sinusitis","description":"Used when symptoms suggest a bacterial sinus infection.","evidence":"Well-established"},{"condition":"Pharyngitis/tonsillitis","description":"Used as an alternative for patients allergic to penicillin.","evidence":"Well-established"},{"condition":"Uncomplicated skin and skin structure infections","description":"Treats bacterial skin infections such as cellulitis and impetigo.","evidence":"Well-established"},{"condition":"Urethritis and cervicitis due to Chlamydia trachomatis","description":"Single-dose therapy is effective for chlamydial infections.","evidence":"Well-established"},{"condition":"Mycobacterium avium complex (MAC) prophylaxis in HIV patients","description":"Used to prevent disseminated MAC infection in patients with advanced HIV.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Malaria (in combination)","description":"Sometimes used with other antimalarials, but not standard.","evidence":"Limited"},{"condition":"Cystic fibrosis exacerbations","description":"May be used as part of a regimen, but evidence is limited.","evidence":"Limited"}]

Primary treatment for: Bacterial infections

Also treats: Community-acquired pneumonia, Acute bacterial exacerbation of chronic bronchitis, Acute bacterial sinusitis, Pharyngitis/tonsillitis, Uncomplicated skin infections, Chlamydial urethritis/cervicitis, Mycobacterium avium complex prophylaxis

📋 Drug Information

Generic Name(s)Azithromycin (150mg)
Brand Nameevrox 150mg tablet
ManufacturerSwiss Pharma Pvt Ltd
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 and moisture. Keep out of reach of children.
Shelf LifeTypically 2 years from the date of manufacture. Check the expiry date on the package.
WHO GuidelineWHO recommends azithromycin for the treatment of trachoma, yaws, and certain sexually transmitted infections. It is also on the WHO Model List of Essential Medicines.
ICMR GuidelineICMR guidelines recommend azithromycin for the treatment of community-acquired pneumonia, acute bacterial sinusitis, and pharyngitis in patients allergic to penicillin. It is also recommended for chlamydial infections.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine at the same time each day to maintain consistent levels in your body.
2
Complete the full course as prescribed, even if you start feeling better after a few doses.
3
If you experience severe diarrhea, do not take anti-diarrheal medication without consulting your doctor.
4
Inform your doctor if you have a history of heart rhythm problems or are taking other medications that affect heart rhythm.
5
Avoid taking antacids within 2 hours of this medicine, as they can reduce its absorption.
6
If you miss a dose, take it as soon as you remember, but do not double the dose.
7
Store this medicine at room temperature, away from moisture and direct sunlight.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Fever with cough and chest pain
This medicine is commonly prescribed for community-acquired pneumonia.
Likely Use
✅
Sore throat with white patches on tonsils
May be used for bacterial pharyngitis/tonsillitis.
Likely Use
✅
Red, swollen, painful skin area
Used for uncomplicated skin infections.
Likely Use
✅
Burning sensation during urination
May be used for chlamydial urethritis.
Likely Use
❌
Runny nose and sneezing
This medicine is not effective for viral colds.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionAzithromycin is rapidly absorbed from the gastrointestinal tract after oral administration. The bioavailability is approximately 37% due to first-pass metabolism. Food can affect absorption; taking with food may reduce peak concentration but does not significantly affect total absorption.
DistributionAzithromycin distributes widely into body tissues, with high concentrations in phagocytes, which transport it to sites of infection. It has a large volume of distribution (approximately 31 L/kg). It penetrates well into respiratory secretions, skin, and soft tissues.
Protein BindingAzithromycin is approximately 7-50% bound to plasma proteins, primarily to alpha-1-acid glycoprotein. Binding is concentration-dependent and decreases at higher concentrations.
MetabolismAzithromycin undergoes limited hepatic metabolism, primarily by demethylation and hydroxylation, but the exact enzymes are not fully characterized. It is not a major substrate of cytochrome P450 enzymes, which reduces the risk of many drug interactions.
Half-LifeThe elimination half-life of azithromycin is approximately 68 hours, allowing for once-daily dosing and short treatment courses. The half-life may be prolonged in patients with hepatic impairment.
ExcretionAzithromycin is primarily excreted unchanged in the bile, with about 50% of the dose eliminated in feces. Only about 6% of the dose is excreted in urine. Renal impairment does not significantly affect elimination.
BioavailabilityThe oral bioavailability of azithromycin is approximately 37%.
Onset of ActionThe onset of action is not immediate; it may take 1-2 days to see improvement in symptoms, depending on the infection.
Peak Plasma TimePeak plasma concentrations are reached approximately 2-3 hours after oral administration.
Duration of ActionDue to its long half-life and tissue persistence, azithromycin's effects last for several days after the last dose, allowing for short courses.

How It Works

Azithromycin binds to the 50S ribosomal subunit of susceptible bacteria, inhibiting bacterial protein synthesis by blocking the translocation step of peptide chain elongation. This prevents the bacteria from growing and multiplying, ultimately leading to their death. It is a bacteriostatic agent, but at higher concentrations it may be bactericidal.

Mechanism Steps

1
Binding to ribosome: Azithromycin binds to the 50S subunit of the bacterial ribosome, specifically to the 23S rRNA.
2
Inhibition of protein synthesis: This binding blocks the translocation of peptidyl-tRNA from the A site to the P site, preventing the addition of new amino acids to the growing peptide chain.
3
Bacterial growth arrest: Without protein synthesis, bacteria cannot grow or multiply, and are eventually cleared by the immune system.

💡 How to Take evrox 150mg tablet

Strength: 150 mg immediate-release tablet

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

Dosage Information

Adult DosageThe usual adult dose for most infections is 500 mg on the first day, followed by 250 mg once daily on days 2 to 5. For chlamydial urethritis/cervicitis, a single 1 g dose is used. For MAC prophylaxis, 1.2 g once weekly or 600 mg twice weekly may be used. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosagePediatric dosing is based on weight and indication. For acute otitis media, the usual dose is 10 mg/kg on day 1 (max 500 mg), then 5 mg/kg on days 2-5 (max 250 mg). For pharyngitis/tonsillitis, 12 mg/kg once daily for 5 days (max 500 mg/day). Consult a pediatrician for exact dosing.
Elderly DosageNo specific dosage adjustment is required for elderly patients, but they may be more susceptible to side effects such as QT prolongation. Monitor closely.
Renal ImpairmentNo dosage adjustment is necessary for patients with renal impairment (GFR < 10 mL/min) unless severe. However, use with caution and monitor for side effects.
Hepatic ImpairmentUse with caution in patients with hepatic impairment. No specific dosage adjustment is provided, but monitor liver function.
Maximum Daily DoseThe maximum recommended dose is 1 g per day for single-dose therapy, or 500 mg on day 1 followed by 250 mg daily for 5 days. For MAC prophylaxis, up to 1.2 g per week.

Dosage Timeline

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

🍽️ Food Timing Guide

With food
May take with or without food
Food does not significantly affect absorption but may reduce stomach upset.
Antacids
Avoid taking within 2 hours
Antacids can reduce absorption of azithromycin.

⏰ 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 evrox 150mg tablet

✅ Common Side Effects

Diarrhea (Common (5-10%))
Usually resolves on its own. Stay hydrated. Consult doctor if persistent or severe.
Nausea (Common (5-10%))
Take with food to reduce nausea. Consult doctor if severe.
Abdominal pain (Common (5-10%))
Usually mild. If severe, consult doctor.
Vomiting (Common (1-5%))
Stay hydrated. Consult doctor if persistent.
Headache (Common (1-5%))
Usually resolves. Consult doctor if severe.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Seek immediate medical attention if you experience rash, itching, swelling of face/lips/throat, difficulty breathing.
Liver damage (hepatotoxicity) (Rare (<0.1%))
Seek medical attention if you notice yellowing of skin or eyes, dark urine, severe abdominal pain.
Irregular heart rhythm (QT prolongation) (Rare (<0.1%))
Seek immediate care if you experience palpitations, dizziness, fainting, or shortness of breath.
Severe diarrhea (Clostridium difficile-associated diarrhea) (Rare (<0.1%))
Do not self-treat with anti-diarrheal drugs. Contact doctor immediately.
Severe skin reactions (Stevens-Johnson syndrome, toxic epidermal necrolysis) (Very rare (<0.01%))
Seek immediate medical attention if you develop a rash with blisters, peeling skin, or sores in mouth.

⚠️ Rare Side Effects

Taste disturbances
Usually resolves. Consult doctor if bothersome.
Hearing loss or tinnitus
Report to doctor if occurs, especially with high doses.
Photosensitivity
Use sunscreen and avoid excessive sun exposure.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Major
Ergotamine Major
Amiodarone Major
Antacids Moderate
Digoxin Moderate
Cyclosporine Moderate
Nelfinavir Moderate
Carbamazepine Minor
Phenytoin Minor
Triazolam Minor

🚨 Major Interactions

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

⚡ Moderate Interactions

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

🍷 Alcohol Interaction

Alcohol does not directly interact with azithromycin, but it can worsen stomach upset and dizziness. It is advisable to avoid excessive alcohol while taking this medicine.

🔎 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"]

⚠️ Warnings & Precautions

["Serious allergic reactions, including anaphylaxis, can occur. Discontinue and seek immediate care if suspected.","Hepatotoxicity: rare but serious. Monitor for signs of liver injury.","QT prolongation: use with caution in patients with risk factors. Avoid in patients with known QT prolongation.","Clostridium difficile-associated diarrhea: may occur. Do not treat with anti-diarrheal drugs without consulting a doctor.","Exacerbation of myasthenia gravis: azithromycin may worsen symptoms.","Use in pregnancy: only if clearly needed.","Use in lactation: caution and monitor infant.","Pediatric use: safety and efficacy established for certain infections; dosing based on weight.","Geriatric use: no significant differences in safety or efficacy, but monitor for side effects."]

🤱 Lactation Safety

Azithromycin 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 azithromycin 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 department if overdose is suspected.

⏰ 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.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor. Do not skip doses or stop early, even if you feel better. Complete the full course to prevent the infection from returning and to reduce the risk of antibiotic resistance. Inform your doctor if you have liver disease, heart rhythm problems, or low blood levels of potassium or magnesium. Avoid taking antacids containing aluminum or magnesium within 2 hours of taking this medicine, as they can reduce its absorption. Tell your doctor about all other medications you are taking, especially blood thinners like warfarin, as azithromycin can increase their effects. If you develop severe diarrhea, tell your doctor before taking any anti-diarrheal medicine. Avoid excessive alcohol consumption while on this medicine. If you miss a dose, take it as soon as you remember, but if it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more susceptible to side effects such as QT prolongation and liver toxicity. Use with caution and monitor closely. No specific dosage adjustment is required, but renal and hepatic function should be considered.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, consult your doctor before taking this medicine. Azithromycin is generally considered safe in pregnancy, but only use when clearly needed and prescribed by a doctor.

🏥 Post-Surgery Considerations

If you are scheduled for surgery, inform your surgeon that you are taking this medicine. Azithromycin may interact with certain anesthetics or other medications used during surgery. It is usually safe to continue, but your doctor will advise.

🦷 Dental Procedures

Inform your dentist that you are taking this medicine before any dental procedure. Azithromycin may interact with other medications used in dentistry, and your dentist may need to adjust your treatment plan.

💚 Lifestyle Tips for Better Results

🏃
Get plenty of rest to help your body fight the infection.
🥗
Stay well hydrated by drinking plenty of fluids.
😴
Eat a balanced diet rich in fruits and vegetables to support your immune system.
💧
Practice good hygiene, such as washing hands frequently, to prevent the spread of infection.
🧘
Avoid close contact with others while you are contagious to prevent spreading the infection.
🌞
Complete the full course of antibiotics even if you feel better.

🏋️ Exercise Considerations

You can continue light exercise if you feel up to it, but avoid strenuous activities if you have fever, fatigue, or difficulty breathing. Listen to your body and rest when needed.

🥗 Diet Recommendations

Drink plenty of water and fluids.
Eat easily digestible foods like soups, broths, and cooked vegetables.
Include probiotic-rich foods like yogurt to help maintain gut health.
Avoid spicy and greasy foods that can irritate the stomach.
Limit caffeine and alcohol.

💼 Impact on Daily Work & Life

This medicine may cause dizziness or fatigue 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 activities, but rest is important for recovery.

🛑 When to Stop This Medicine

Do not stop taking this medicine without consulting your doctor, even if you feel better. Stopping early can lead to recurrence of infection and antibiotic resistance. If you experience severe side effects, contact your doctor immediately; they may advise you to stop.

📅 Long-Term Use Effects

Long-term use of azithromycin is not common, but prolonged use can lead to antibiotic resistance and an increased risk of Clostridium difficile infection. It may also cause liver toxicity and QT prolongation with extended use. Regular monitoring may be required if used for long periods.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Rest and hydration

Essential for recovery from any infection.

Evidence: Well-established
Probiotics

May help prevent antibiotic-associated diarrhea.

Evidence: Moderate
Pain relievers

For symptom relief like fever and pain, but not a substitute for antibiotics.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

Antibiotics like azithromycin do not interact with vaccines. However, if you are acutely ill with fever, it is best to postpone vaccination until you recover. Consult your doctor for personalized advice.

📦 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 with this medicine, carry it in its original packaging along with a copy of your prescription. Keep it in your carry-on luggage to avoid loss. Store at room temperature and protect from extreme heat or cold. If crossing time zones, adjust dosing times gradually, but consult your doctor for specific advice. Check customs regulations for carrying prescription medicines.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old woman with a persistent cough and fever
She was diagnosed with community-acquired pneumonia and prescribed this medicine for 5 days. She took it as directed and completed the course. Her fever subsided within 2 days, and her cough improved over a week. She experienced mild stomach upset, which was managed by taking the medicine with food.
💡 Lesson: Completing the full course of antibiotics is essential for curing the infection and preventing resistance.
👤 A 28-year-old man with a skin infection
He had a bacterial skin infection and was prescribed this medicine. He noticed improvement in redness and swelling after 3 days. He was advised to keep the area clean and dry. He completed the 5-day course and the infection cleared completely.
💡 Lesson: Antibiotics are effective for bacterial skin infections when taken as prescribed, along with proper wound care.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: You may start feeling better within 1-2 days, but it may take a few days for full effect. Complete the full course as prescribed.

Q: Can I take this medicine with food?

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

Q: What should I do if I miss a dose?

A: Take the missed dose 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 this medicine safe during pregnancy?

A: Azithromycin is generally considered safe during pregnancy when clearly needed. However, consult your doctor before taking any medicine during pregnancy.

Q: Can I drink alcohol while taking this medicine?

A: It is advisable to avoid excessive alcohol as it may worsen side effects like dizziness and stomach upset.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine with food?
  • How long does it take to work?
  • What if I miss a dose?
  • Can I drink alcohol while taking this medicine?
  • Is this medicine safe for my child?
  • Does it interact with my other medications?
  • Can I stop taking it if I feel better?

🛑 Myths vs. Facts

  • Myth: Antibiotics can cure viral infections like the common cold.
    Fact: This medicine is effective only against bacterial infections. It does not treat viral infections.
  • Myth: You can stop taking antibiotics once you feel better.
    Fact: You must complete the full course to prevent the infection from returning and to avoid antibiotic resistance.
  • Myth: Azithromycin is safe for everyone.
    Fact: It is not safe for people with known allergies to macrolides or certain heart conditions. Consult your doctor.

🔄 Alternative Options

Generic Alternatives

  • Azithromycin 150 mg tablet

Brand Alternatives

  • Azee 150
  • Azithral 150
  • Zithromax 150
  • Azi 150

📊 Comparison with Similar Medicines

[{"medicine":"Azithromycin","class":"Macrolide","half_life":"68 hours","dosing":"Once daily","notes":"Long half-life, short courses"},{"medicine":"Clarithromycin","class":"Macrolide","half_life":"3-4 hours","dosing":"Twice daily","notes":"More drug interactions"},{"medicine":"Erythromycin","class":"Macrolide","half_life":"1.5-2 hours","dosing":"Four times daily","notes":"More GI side effects"}]

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