In addition to the general indications for all members of the tetracycline antibiotics group, doxycycline is frequently used to treat Lyme disease, chronic prostatitis, sinusitis, pelvic inflammatory disease, Moraxella catarrhalis, Brucella melitensis, Chlamydia pneumoniae, and Mycoplasma pneumoniae are generally susceptible to doxycycline, while some Haemophilus spp., Mycoplasma hominis, and Pseudomonas aeruginosa have developed resistance to varying degrees. Some Gram-positive bacteria have developed resistance to doxycycline. Up to 44% of Streptococcus pyogenes and up to 74% of S. faecalis specimens have developed resistance to the tetracycline group of antibiotics. When bacteriologic testing indicates appropriate susceptibility to the drug, doxycycline may be used to treat these infections caused by Gram-positive bacteria: The World Health Organization Guidelines states that the combination of doxycycline with either artesunate or quinine may be used for the treatment of uncomplicated malaria due to Plasmodium falciparum or following intravenous treatment of severe malaria. Doxycycline kills the symbiotic Wolbachia bacteria in the reproductive tracts of parasitic filarial nematodes, making the nematodes sterile, and thus reducing transmission of diseases such as onchocerciasis and elephantiasis. Doxycycline has been used successfully to treat sexually transmitted, respiratory, and ophthalmic infections. Azithromycin is indicated for the treatment of the following infections when known or likely to be due to one or more susceptible microorganisms (see section 5.1): - bronchitis - community-acquired pneumonia - sinusitis - pharyngitis/tonsillitis (see section 4.4 regarding streptococcal infections) - otitis media - skin and soft tissue infections - uncomplicated genital infections due to Chlamydia trachomatis and Neisseria gonorrhoeae. Considerations should be given to official guidance regarding the appropriate use of antibacterial agents. Zithromax Suspension can be taken with or without food. Children over 45 kg body weight and adults, including elderly patients: The total dose of azithromycin is 1500 mg which should be given over three days (500 mg once daily). In uncomplicated genital infections due to Chlamydia trachomatis, the dose is 1000 mg as a single oral dose. For susceptible Neisseria gonorrhoeae the recommended dose is 1000 mg or 2000 mg of azithromycin in combination with 250 mg or 500 mg ceftriaxone according to local clinical treatment guidelines. For patients who are allergic to penicillin and/or cephalosporins, prescribers should consult local treatment guidelines. Paediatric population: In children under 45 kg body weight: Zithromax Suspension should be used for children under 45 kg. Levitra maximum dose Amoxil reaction Zithromax Powder for Oral Suspension is a dry blend of azithromycin dihydrate 209.64 mg/5 ml containing the equivalent of 200 mg azithromycin base per 5 ml on reconstitution with water. Azithromycin, as the dihydrate, is a white crystalline powder with a molecular formula of C 38 H 72 N 2 O 12 •2H 2 O and a molecular weight of 785.0. ZITHROMAX tablets contain azithromycin dihydrate equivalent to 600 mg azithromycin. Azithromycin is an antibiotic useful for the treatment of a number of bacterial infections. This includes middle ear infections, strep throat, pneumonia, traveler's diarrhea, and certain other intestinal infections. According to limited data, infective endocarditis appears to be more common in heart transplant recipients than in the general population; the risk of infective endocarditis is highest in the first 6 months after transplant because of endothelial disruption, high-intensity immunosuppressive therapy, frequent central venous catheter access, and frequent endomyocardial biopsies. Pediatric Patients Congenital heart disease can indicate that prescription of prophylactic antibiotics may be appropriate for children. It is important to note, however, that when antibiotic prophylaxis is called for due to congenital heart concerns, they should only be considered when the patient has: Antibiotic prophylaxis is not recommended for any other form of congenital heart disease. Beyond identifying the specific patient population for whom antibiotic prophylaxis is appropriate, special consideration should be given to the antibiotic dose prescribed to children, as it will vary according to the child’s weight. Weight-based regimens for children are outlined in Table 2 of the 2007 American Heart Association guidelines. As with any medication, check with the primary caregiver to determine whether the child has an allergy to antibiotics or other antibiotic related concerns before prescribing. Dental Procedures Prophylaxis is recommended for the patients identified in the previous section for all dental procedures that involve manipulation of gingival tissue or the periapical region of the teeth, or perforation of the oral mucosa. According to the WHO Guidelines on PEP, the following criteria apply: Individuals are eligible for HIV PEP if: • exposure occurred within the past 72 hours; and • the potentially exposed individual is not infected or not known to be infected with HIV; and • mucous membrane or non-intact skin was significantly exposed to a potentially infectious body fluid; and • the source is HIV-infected or the HIV status is unknown. According to the NYHD HIV PEP Guidelines, HIV PEP treatment should be recommended in the following exposures: •Receptive and insertive vaginal or anal intercourseb •Needle sharingb •Injuries with exposure to blood or other potentially infected fluids from a source known to be HIV-infected or HIV status is unknown (including needlesticks with a hollow-bore needle, human bites, accidents) According to the same NYHD HIV PEP Guidelines, HIV PEP treatment should be evaluated on a case-by-case basis in the following exposure scenarios: •Oral-vaginal contact (receptive and insertive) •Oral-anal contact (receptive and insertive) •Receptive penile-oral contact with or without ejaculation •Insertive penile-oral contact with or without ejaculation Factors that increase risk: •Source person is known to be HIV-infected with high viral load •An oral mucosa that is not intact (eg, oral lesions, gingivitis, wounds) •Blood exposure — it is important to note that blood exposure can be minimal and therefore not recognized by the exposed person. If the exposed person reports frank blood exposure, PEP would be indicated These are just guidelines. The ultimate decision on whether to start PEP or not requires a detailed analysis of the risk benefit ratio. You must have this discussion with your doctor in a formal medical consultation. We use a variety of different Anti-Retro Viral medications in various combinations based on a patient’s specific circumstances. We do not believe in a ‘on-size-fits-all’ approach. Azithromycin prophylaxis Azithromycin Zithromax Side Effects, Dosages, Treatment., Zithromax Azithromycin Side Effects, Interactions, Warning. Valtrex and prednisoneXanax musicPropranolol asthmaAntabuse foods to avoid The dose for the treatment of pharyngitis caused by Streptococcus pyogenes is an exception in the treatment of pharyngitis caused by Streptococcus pyogenes Azithromycin has proved to be effective when it is administered to children as a single dose of 10 mg/kg or 20 mg/kg for 3 days with a maximum daily dose of 500 mg. Azithromycin 200mg/5ml Powder for Oral Suspension - Summary.. Azithromycin - Wikipedia. Antibiotic Prophylaxis Prior to Dental Procedures. CDA Position on Antibiotic Prophylaxis for Dental Patients at Risk Page 2 of 6 This information was created by the Canadian Dental Association for use by CDA member dentists. Medscape - Infection-specific dosing for Zithromax, Zmax azithromycin, frequency-based adverse effects, comprehensive interactions, contraindications, pregnancy & lactation schedules, and cost information. Background Azithromycin is active in treating Mycobacterium avium complex disease, but it has not been evaluated as primary prophylaxis in patients with human immunodeficiency virus HIV infection.