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Doctor insights on: Azithromicyn Treatment Completed Bleeding After Sex

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Azithromycin (Definition)

Azithromycin (zithromax, azithrocin, zmax, azin)[1] is an azalide, a subclass of macrolide antibiotics. Azithromycin is one of the world's best-selling antibiotics.[2][not in citation given (see discussion.)] it is derived from erythromycin, with a methyl-substituted nitrogen atom incorporated into the lactone ring, thus making ...Read more


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My partner and I had unprotected sex the day after taking azithromycin does it effect treatment if it takes 7 days for treatment to kick in?

My partner and I had unprotected sex the day after taking azithromycin does it effect treatment if it takes 7 days for treatment to kick in?

Please clarify: I am not sure exactly what your question is. Does this have to do with you taking birth control pills at the same time you are taking antibiotics? If so, there can be an interaction which can cause your birth control pills to be less effective. I recommend the use of back up birth control if you are taking antibiotics. ...Read more

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I had sex with my partner this past Wednesday. We both went to the health clinic on Thursday and got azithromycin. I have been bleeding and cramping?

I had sex with my partner this past Wednesday. We both went to the health clinic on Thursday and got azithromycin. I have been bleeding and cramping?

PID?: The clinic apparently believed you and/or your partner have chlamydia, which the only thing in sex partners normally treated with azithromycin. However, cramping and bleeding suggests it might have progressed to pelvic inflammatory disease (PID, fallopian tube infection). If so, you need additional antibiotics. Return to the clinic for further evaluation. Good luck! ...Read more

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After taking a course of meds 4 chlamydia. Azithromycin. I had sex 10 dys later. With light vaginal bleeding during n aftr. Did the meds work?

After taking a course of meds 4 chlamydia. Azithromycin. I had sex 10 dys later. With light vaginal bleeding during n aftr. Did the meds work?

Probably: Chlamydia all too common, and if you took the treatment as prescribed (and your partner too) then you are likely ok.
This infection causes an inflammation on the cervix (the entry to the uterus) and that inflammation may not be gone yet. Do get your followup exam and culture, though. ...Read more

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I'm on azithromycin and I'm having a bit of nose bleeding can antibiotics cause this? Dr thinks it's my sins

I'm on azithromycin and I'm having a bit of nose bleeding can antibiotics cause this? Dr thinks it's my sins

Nose bleeds: Likely from your URI and dry mucus membranes, unlikely from RX. NSAID such as OTC ibuprofen, naproxen & aspirin also can contribute to bleeding. Use a saline OTC nose spray and a cool air humidifier ...Read more

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I was prescribed Azithromycin and Metronitazole for BV and Chlamydia Sept.2.As of Thursday 8th I have started bleeding/spotting. It has not stopped.?

I was prescribed Azithromycin and Metronitazole for BV and Chlamydia Sept.2.As of Thursday 8th I have started bleeding/spotting. It has not stopped.?

Check pg test.: Since you haven't been using condoms, and if you are not on birth control, then you could be pregnant and you need to get seen today. You could do a pregnancy test but if it is negative, it is worth getting seen and confirming it with a blood test. If you're unable to get pregnant, then you may be having some spotting, & if that lasts for more than a week, get checked. If you have pain, fever-ER! ...Read more

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I was treated chlamydia and started Azithromycin 200MG/5ML SUSP 30ML after I took it the bleeding stopped in July but in Sept. It began again. Help me?

I was treated chlamydia and started Azithromycin 200MG/5ML SUSP 30ML after I took it the bleeding stopped in July but in Sept. It began again. Help me?

Return for re-check?: Did you return to the MD to be re-checked by culture for Chlamydia AFTER you completed the Azithromycin? If not, that would be the first option, followed, if negative, by evaluation by the GYN MD for the bleeding. ...Read more

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I have taken 1 dose of 1000mg of azithromycin a week ago for clymedia but am still bleeding, should I take another dose?

I have taken 1 dose of 1000mg of azithromycin a week ago for clymedia but am still bleeding, should I take another dose?

Chlamydia: That should have taken care of the infection from chlamydia. Not sure what the bleeding is about. Blood is not normal for chlamydia. ...Read more

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Can Azithromycin be crushed and put in to food? The 1g single dose treatment.

Can Azithromycin be crushed and put in to food? The 1g single dose treatment.

Crushable: Yes, this medication is acid stable and can be crushed over food, just make sure to eat the entire dose! ...Read more

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Do Co Amoxiclav and Azithromycin taken oraly at same time, nullify the action of each other, making the treatment void?

Do Co Amoxiclav and Azithromycin taken oraly at same time, nullify the action of each other, making the treatment void?

No: They have some overlapping coverage. But each antibiotic has a spectrum of coverage. So taking both would not void each other. They would treat their respective bacteria. Not sure what you are treating with this combo ...Read more

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Will Azithromycin decrease the effectiveness of Plan B? Was on the 3rd day of my 5 day treatment when I took Plan B. Thanks!

Will Azithromycin decrease the effectiveness of Plan B? Was on the 3rd day of my 5 day treatment when I took Plan B. Thanks!

The only antibiotics: That I know of that diminish Plan B effectiveness are ampicillin, cotrimoxazole (in Bactrim), tetracycline, & clarithromycin. However, if any other providers on Health Tap are aware of other antibiotics that effect it - hopefully, they will chime in. ...Read more

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I had my 1g dose of azithromycin this afternoon and I'm going out drinking tomorrow night would that affect the treatment at all?

Not rx, but liver: Liver works to remove azithromycin from body. In rare cases, the medication can cause liver damage and result in more severe side effects. Symptoms like yellowing of the skin, extreme fatigue, abdominal pain, and itchy skin can be caused by liver injury. It makes sense not to put extra stress on liver by drinking alcohol while taking azithromycin. ...Read more

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My wife is having asthma and it is not getting down even after medical treatment with azithromycin?

My wife is having asthma and it is not getting down even after medical treatment with azithromycin?

See your doctor: Bronchoconstriction may not be caused by bacteria, and therefore would not be improved with antibiotics. ...Read more

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My clitoris is extremely sensitive to touch. Could this be because of my chalmydia diagnosis? Will this go away with treatment? 1g azithromycin.

Wait and see...: Yes or not? Just wait and see if symptoms resolve in time after rx. Meanwhile be aware that clitoris is the sensitive spot of the body, but the degree of sensitivity changes, evolve, and dull over time ; its use. For the time being, just leave it alone and minimize any further irritation, and see how the sensitivity may resolve. As to the effectiveness of Azithromycin is concerned, time will tell. ...Read more

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I am taking azithromycin 500mg for three days for syphilis treatment and I've already taken it for two days. Now I'm told to take 2g single dose.

I am taking azithromycin 500mg for three days for syphilis treatment and I've already taken it for two days. Now I'm told to take 2g single dose.

Not syphilis: I don't think you're being treated for syphilis. If it's syphilis you should be getting a shot of penicillin -- did you get that already? It sounds like they're treating you for chlamydia. You should talk to your doc about why they're making the changes. ...Read more

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I took two 500 mg azithromycin tablets yesterday for chlamydia. And I m bleeding today. Is that normal?

Not normal, but...: ...not necessarily harmful. If your choamydia has caused cervicitis, the cervix may bleed. This happens especially after sex, but can happen on its own. (And of course you shouldn't have resumed sex this soon.) It takes a few days for azithromycin to work, so bleeding a day later isn't a concern. But if it's heavy or continues more than a few days, check back with the doctor treating you. ...Read more

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Will azithromycin 250mg tablets- take 2 tablets today then 1 tablet daily for 4 days cure bacterial vaginosis even though its only a 5 day treatment?

Vaginitis: Not likely. Azithromycin may treat only one of the possible causes of your infection. The first job is to determine what is causing the problem and then the right treatment will be evident. ...Read more

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I've been bleeding for a month. The doctor said I had chlamydia. I took the 1 dose of 2 pills of azithromycin and two weeks later im still bleeding?

I've been bleeding for a month. The doctor said I had chlamydia. I took the 1 dose of 2 pills of azithromycin and two weeks later im still bleeding?

Not related: Bleeding is not likely related to chlamydia. Chlamydia is a bacterial infection which rarely causes abnormal uterine bleeding. That's great that you finished your azithromycin. I recommend you make an appointment with your doctor to discuss the bleeding, as that's a long time to be suffering. It may be that you have a hormonal imbalance, thyroid problem or weight (thin/heavy) issues. Goodluck. ...Read more

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Ureaplasma in urine last test. Not found in urine after taking one z pak (azithromycin) but found in vaginal swab. What does this mean? Does partner need treatment?

Ureaplasma in urine last test. Not found in urine after taking one z pak (azithromycin) but found in vaginal swab. What does this mean? Does partner need treatment?

Here are some. ..: Ureaplasma urealyticum is considered as a fastidious & opportunistic organism "normally" residing in many sexually active but healthy young without symptoms, but has been known and blamed to cause male urethritis. and even vaginitis. In your clinical setting, it's reasonable to have him assessed and treat with the same antibiotic. Fore more specifics and controversy of this microorganism, ask Doc. ...Read more

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I woke up this morning with heavy vaginal bleeding, I am taking azithromycin and prednisone. Is this due to the combination of the both?

I woke up this morning with heavy vaginal bleeding, I am taking azithromycin and prednisone. Is this due to the combination of the both?

No: Neither of these medications, alone or in combination is going to create heavy vaginal bleeding. You need to be seen and examined. Go see your gynecologist and get evaluated. Hope you are better soon. ...Read more

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Female vaginal swab test for ureaplasma was negative after treatment with azithromycin and moxifloxacin. But can it possibly still be in my urethra?

Female vaginal swab test for ureaplasma was negative after treatment with azithromycin and moxifloxacin. But can it possibly still be in my urethra?

Very unlikely: The way the organism gets there is either from above - i.e. from the bladder and then down the urethra and out to the world - or ascending from your skin, from you or your partner and then back up the urethra into your bladder. You state that after treatment a culture was taken and was negative! . So if you got it again it would have to be a new infection from either you or your partner! ...Read more

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Severe lower back pain, sudden bleeding (1st day of last cycle; April 8), on lo loestrin fe, currently treating strep w/azithromycin (5th/6 days) help?

Severe lower back pain, sudden bleeding (1st day of last cycle; April 8), on lo loestrin fe, currently treating strep w/azithromycin (5th/6 days) help?

Menstrual cramps: Unless unprotected. If having unprotected sex- do a home pregnancy test and also use Aleve (naproxen) 1 tab every 8-12 hrs. For pain, if not allergic to this medicine- certainly call your GYN for a pelvic exam. ...Read more

Dr. Alan Patterson
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Bleeding (Definition)

Bleeding = ...Read more