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# Azithromycin
## Overview
Azithromycin is a macrolide antibiotic. It works by inhibiting bacterial protein synthesis.
## Primary Indications
* **Community-acquired pneumonia (CAP):** Typically used for atypical pathogens or as part of a multidrug regimen for typical pathogens.
* **Acute exacerbations of chronic bronchitis (AECB):** In patients with underlying lung disease.
* **Streptococcal pharyngitis:** As an alternative to penicillin in patients with penicillin allergy.
* **Uncomplicated skin and skin structure infections:** Generally caused by susceptible Gram-positive organisms.
* **Genital ulcer disease:** Chancroid.
* **Chlamydia trachomatis infections:** Urethritis and cervicitis.
* **Disseminated Mycobacterium avium complex (MAC) disease:** Prophylaxis and treatment in HIV-infected individuals.
## Adult Dosing
* **CAP:** 500 mg on day 1, followed by 250 mg once daily on days 2-5. Alternatively, a single 1g dose.
* **AECB:** 500 mg on day 1, followed by 250 mg once daily on days 2-5.
* **Streptococcal pharyngitis:** A single 500 mg dose or 250 mg twice daily for 10 days.
* **Uncomplicated skin infections:** 500 mg on day 1, followed by 250 mg once daily on days 2-5.
* **Chancroid:** Single dose of 1 g.
* **Chlamydia trachomatis infections:** Single dose of 1 g.
* **MAC prophylaxis (HIV):** 1.2 g once weekly.
* **MAC treatment (HIV):** 500-600 mg twice daily in combination with other agents. Dosing often depends on specific guidelines and clinical response.
## Pediatric Dosing
Dosing varies significantly by indication and age/weight. Exact dosing should be confirmed with current pediatric guidelines or product information.
* **CAP (3 months to 5 years):** 10 mg/kg on day 1, followed by