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Doctor insights on: Azithromycin Heart

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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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I'm prescribed azithromycin and I also take adderall for add and I was wondering if it's safe to take both together or if it's dangerous for my heart.

I'm prescribed azithromycin and I also take adderall for add and I was wondering if it's safe to take both together or if it's dangerous for my heart.

ADD MEDS & ZITHROMAX: I find no interactions of azithromycin and adder all in. Medscape drug data base. However azithromycin and adderal can affect the QTC electrical impulse in your heart. This is a measurement in a ECG (EKG). It's best to get an electrocardiograph done to check your QTC segment - to see if you are vulnerable. Discuss this with your doctor this week. Wish you well. ...Read more

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Should people with history of heart palpitations take azithromycin? I'm taking it and had heart palpitations. I've had history of anxiety.

Should people with history of heart palpitations take azithromycin? I'm taking it and had heart palpitations. I've had history of anxiety.

Anxiety: Your doctor should know your history so he/she can prescribe therapy appropriate for your situation. Azithromycin is ok for most patients with benign palpitations. There are some people who might have problems with the drug and prescribing doctors should be able to judge who they are. ...Read more

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Azithromycin I got prescribed for strep group c I was wondering if it is safe for your liver and heart? I saw the warning labels and was concerned.

Zithromax: Generally it is a pretty safe antibiotics. Is it without side effects? - no. In the absence of heart disease where heart rhythm is impaired, it is a safe option. If you do have a heart arrhythmia or if you are taking medications that are known to predispose you to one and at the same time prescribed zithromax, you may need to talk to your doc about that. As far as the liver is concerned, - ok. ...Read more

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If I am allergic to penicillin, can I safely take gentamicin? I have a heart murmur and do not want to use azithromycin any longer.

If I am allergic to penicillin, can I safely take gentamicin? I have a heart murmur and do not want to use azithromycin any longer.

Antibiotics: You should discuss your antibiotic situation with your own doctor. Penicillin allergy doesn't cross with gentamicin. Antibiotics have specific antimicrobial spectra and the 'right' antibiotic for the right bacteria needs to be chosen for the situation. ...Read more

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I have irregular heart beat. I took my first dose of azithromycin today and noticed my heart going crazy! Is azithromycin to blame?

Azithromycin: Rapid heart beat and palpitations have been reported from this drug. Is rare. But possible. Report to your doc ...Read more

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I had a surgical abortion today and got 4 250g of azithromycin, I have 2nd degree heart block due to high vagal tone. Can I take them?

I had a surgical abortion today and got 4 250g of azithromycin, I have 2nd degree heart block due to high vagal tone. Can I take them?

Discuss with doctor: Azithromycin alone can induce second degree heart block in some patients, and so its use prophylactically might be questionable. Would call and discuss this with either your cardiologist or the doctor who performed the abortion. Doxycycline is another alternative, but there are also rare cases of 2nd degree block reported with this. Good luck and best wishes. ...Read more

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Can azithromycin cause inverted t waves? EKG was norm until I started taking this. Now I have inverted t waves but normal blood work as far as heart.

No: Ordinarily, no. But azithromycin can prolong an interval in the EKG called QT. The changes in your EKG are non specific and may or may not be significant. You need to to talk this out with your doctor or see a cardiologist if your primary MD or you remain concerned ...Read more

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Pharmacist said I cannot take Azithromycin with Diltiazem because of fatal heart arrhythmia risk. Is this correct?

Pharmacist said I cannot take Azithromycin with Diltiazem because of fatal heart arrhythmia risk. Is this correct?

Technically Yes!: Theoretically yes. Such cases have been reported but your Physician is a better source for such info where it concerns you and his/her knowledge of YOUR situation! Discuss what the Pharmacist has told you with you prescribing M.D or D.O!!! ...Read more

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Right bundle branch block and Z-pack (Azithromycin) prescribed for infection. Haven't taken yet, any concern for heart issues with RBBB and Azithro?

Right bundle branch block and Z-pack (Azithromycin) prescribed for infection. Haven't taken yet, any concern for heart issues with RBBB and Azithro?

BBB: ECG QT interval prolongation can be a concern with azithromycin, the bundle block adds to the measured QT interval, however the more relevant measure is the JT interval that ECG machines don't record/measure, consult locally with the prescribing physician. Also don't delay antibiosis with out the prescriber being aware. ...Read more

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Should I be really scared/worried of azithromycin side effects? I don't have a heart disease but I got chest infection wich gave me fast heart beat

Side effect: If you look at the incidence of the side effect in regularly healthy people the cardiac side effect is still rare. The benefit outweighs the risk. The side effects are more in people taking cardiac medicines with which it interacts. So as long as indicated, the use of Azithromycin will remain in our armamentarium. ...Read more

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Can you take Zithromax while on 40 mg of Celexa (citalopram)? I have a pacemaker for intermittent heart block.

Can you take Zithromax while on 40 mg of Celexa (citalopram)? I have a pacemaker for intermittent heart block.

QT prolongation: Can occur with the combination of Zithromax and Celexa (citalopram). Having a pacemaker may prevent serious arrhythmia. The downside is increased use of the demand pacemaker leading to some additional battery drain. The other issue is that the pacemaker does not protect you from seizures that may occur with this combination. Best discuss this with your doctor. ...Read more

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I read about azythromicin antibiotic having negative effect on heart. Do these effects last only during the therapy or continue after stopping it?

Extremely rare: Azithromycin can trigger abnormal heart rhythms, which in rare cases can be serious or even fatal. However, it is extremely rare. A recent research report (by colleagues of mine) showed no instances of death in more than 160, 000 people treated with azithromycin for chlamydia or gonorrhea. http://www. Nejm. Org/doi/pdf/10.1056/NEJMc1401831 No worries except in some people with known heart disease. ...Read more

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I'm 26 with no known heart conditions and I took 4 250 mg azithromicin tablets I keep seeing thing saying that it can cause heart attacks and I wanna k?

Major Depression: Azithromycin is used to treat respiratory, skin, ear infections; and sexually transmitted diseases

Dose depends upon severity of symptoms and the infection.

Heart effects are not common side effects of Azithromycin. With no History of heart conditions, it is unlikely that you could have heart attack. See Physician.
See a Psychiatrist for stress, causing anxiety, depression, guilt. ; Therapy ...Read more

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I was given azitrhomycin for tonsillitis and have tachycardia and mvp? Any bad reaction? I read it could be bad for people with heart rhythm problems.

I was given azitrhomycin for tonsillitis and have tachycardia and mvp? Any bad reaction? I read it could be bad for people with heart rhythm problems.

Azithromycin: This drug can rarely cause rhythm disturbances, usually in people who have specific heart abnormalities or are taking certain drugs. Your situation as listed should be low risk for problems with azithromycin. ...Read more

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What's the safest anti-biotic associated with heart risk outside of z-pak? Proven, not opinions. Thanks!

What's the safest anti-biotic associated with heart risk outside of z-pak? Proven, not opinions. Thanks!

What infections?: Different antibiotics are used based on the known or expected type of bacteria involved in your infection. There are gram positive and gram negative bacteria. There are antibiotics used for one or another and different amounts and strengths based on the type of infection. If you don't have an allergy, penicillin is probably the most benign of antibiotics but it may not treat your infection. ...Read more

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Should I be concerned that while taking azithromyacin, my heart rate is 64 rather than my normal 85bpm? It's working for my pneumonia, but I'm worried

Should I be concerned that while taking azithromyacin, my heart rate is 64 rather than my normal 85bpm? It's working for my pneumonia, but I'm worried

M.D. follow up/Mgt: If you are being treated as an outpatient for pneumonia, I would suggest finishing the course, but also letting your physician know about your concerns. He may order additional testing such as a 12 lead EKG.
If you develop shortness of breath, worsening cough, dizziness for example, this should be reported to your physician right away. ...Read more

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Define non reversible (fixed) defects in hearts?

Define non reversible (fixed) defects in hearts?

Reversible: We use the terminology with respect to nuclear perfusion images of the heart muscle. When there is an image defect that does not fill in on follow up imaging, we call this nonreversible or fixed. It usually suggests scar of the myocardium rather than temporary decrease in blood flow to the area. ...Read more

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My hearts having little sharp pains? Am I dying?

My hearts having little sharp pains? Am I dying?

Dying...no: You are not dying but your question conveys a level of concern that requires an evaluation with your physician. ...Read more

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How is heart work?

How is heart work?

The heart is a pump.: Two pumps, really. One to the lungs, one to the whole body. The pump squeezes the blood. Valves make sure it goes the right direction. The energy of the heart squeezing turns into the energy of the blood moving. ...Read more

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How to heal a heart?

How to heal a heart?

?: A broken heart? Only time can heal a broken heart. ...Read more

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