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Doctor insights on: Z Pack Pneumonia

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Treated with Z pack for pneumonia and sinus infection. My neck, shoulders and head hurt so bad that I can't hardly stand it.

Treated  with Z pack for pneumonia and sinus infection.  My neck, shoulders and head hurt so bad that I can't hardly stand it.

Need more info: While a z-pack might be adequate for a simple pneumonia there is increasing resistance to its effects and we generally prescribe the full 500 every day instead of the 250mg/day in the pack. It is also not adequate treatment for a true sinusitis which should be treated for at least 14 days with Augmentin (amoxicillin and clavulanate) or cefuroxime. Knowing if u just started or have finished the z-pac would help us advise you ...Read more

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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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How long does it take cough from pneumonia to go away after starting abx (z-pack) it's been 2 days. Fever is gone but cough seems worse.

How long does it take cough from pneumonia to go away after starting abx (z-pack)  it's been 2 days. Fever is gone but cough seems worse.

Varies: Cough results from the inflammation associated with the lung infection, and it will last for several weeks. One may be left with wheezing (bronchospasm) and the cough may persist despite taking all of the antibiotics. Addition of medication to break the wheezing may be necessary, and so followup with the doctor who gave you the antibiotics is recommended. ...Read more

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My son has bacterial pneumonia. It's been almost a week. He started z pack 2 days ago. Would my other kids would have gotten it by now if they were?

Most likely: The others would have started being sick. That is not a hard and fast rule and if the others developed respiratory symptoms in the next week, i would have them seen....Mostly as preventive. Just because they get sick also does not meant they will develop pneumonia. ...Read more

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Went to the doctor three days ago for pneumonia was giving two shoots and z pack but I am still having uncontrolled coughing. Why is nothing helping?

Went to the doctor three days ago for pneumonia was giving two shoots and z pack but I am still having uncontrolled coughing. Why is nothing helping?

Be seen again: It sounds like you were inadequately treated. Many of the urgent care clinics around here do that, and their treatments rarely work. See your physician for a diagnosis and treatment. ...Read more

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Diagnosed with pneumonia yesterday, on a z pack. Doc says to come back in 48 hrs if not better. Should i be at 50%, 100%. I'm still wheeziing/coughing?

Diagnosed with pneumonia yesterday, on a z pack. Doc says to come back in 48 hrs if not better. Should i be at 50%, 100%. I'm still wheeziing/coughing?

Possibly: Though zithromax is a good antibiotic to use for empiric therapy of pneumonia, it does not work 100 percent of the time. That said, two days is a bit early to notice a big difference. Even after the germs are killed, there is residual inflammation that must heal. If you are significantly worse, you should be seen; if you are not improved but no worse, then be patient with it. ...Read more

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I have constant mucus deep in the lungs. I had pneumonia 3 months ago which was treated with a 5 day z pack. I'm stillwaking up with sticky mucus that's hard to get out. What should I do?

I have constant mucus deep in the lungs. I had pneumonia 3 months ago which was treated with a 5 day z pack. I'm stillwaking up with sticky mucus that's hard to get out. What should I do?

Try Mucinex (guaifenesin): Mucinex (guaifenesin) thins out mucus and makes it easier to cough up. You would also need to increase your fluids to help the medication work better. It also sounds like you may be allergic to something. Taking an antihistamine, like zyrtec or Claritin before bed, should stop the mucus production completely... ...Read more

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Have pneumonia and was prescribed z pack but i have amoxicillin already can i take that instead of driving to fill the z pack with how weak i feel?

Have pneumonia and was prescribed z pack but i have amoxicillin already can i take that instead of driving to fill the z pack with how weak i feel?

No: amoxicillin is not an effective treatment for most types of pneumonia which would effect a young and otherwise healthy person. Azithromycin is, however, considered first-line therapy for this condition unless there's a compelling reason not to use it. ...Read more

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Fever 103, coughing until vomiting. Diagnosed with pneumonia 10 days ago. Finished z-pack 5 days ago. Suggestions?

Fever 103, coughing until vomiting. Diagnosed with pneumonia 10 days ago. Finished z-pack 5 days ago. Suggestions?

Different antibiotic: It is my humble opinion that z-pak is not any longer of value for pneumonia and community acquired pneumonia in particular. Perhaps Augmentum would be more appropriate. Also consider a chest X-ray to see what is happening and adjust therapy that way. Talk to your doctor sooner than later. ...Read more

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Diagnosed with pneumonia 12 days ago and put on z-pack. I completed the meds but am still coughing and am weak. Chest xray neg. What could be wrong?

Diagnosed with pneumonia 12 days ago and put on z-pack. I completed the meds but am still coughing and am weak. Chest xray neg. What could be wrong?

Unclear: Was your chest x-ray negative from the start (in which case you don't have pneumonia). Your persistent cough may signify an atypical pneumonia (mycoplasma, legionella, chlamydia, viral, etc.), and weakness may simply be a result of slow recovery. Discuss with your doctor, or ride it out and you may slowly recover. ...Read more

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Diagnosed with pneumonia 12 days ago and put on z-pack. I completed the meds but am still coughing and am weak. Chest xray neg. What could be wrong?

Diagnosed with pneumonia 12 days ago and put on z-pack. I completed the meds but am still coughing and am weak. Chest xray neg. What could be wrong?

Pneumonia: Zpak may not be the best choice. There is an increasing frequency of resistance by certain bacteria to azithromycin, so a different antibiotic may be indicated. It's reassuring that the x-ray is negative. Also, reactive airways may contribute to the cough even if the infection is gone. Inhaled steroid may reduce the cough. ...Read more

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When should a 15 yr old return to school after pneumonia? Still coughing like asthma, can not take deep breaths. No fever, finished z pack antis.

When should a 15 yr old return to school after pneumonia? Still coughing like asthma, can not take deep breaths. No fever, finished z pack antis.

When symptom free: If still short of breath, coughing, febrile, or rapid breathing, needs to rest at home, till better, another doctor visit may be needed to assess ability to return to normal routine or whether s/he needs more medicines / rest, wish you both wellness ...Read more

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I keep getting phnemonia why? And what do I do to help it! I have taking the inhaulor and z pack and still been in bed for about 4 weeks still bad

See a doctor: And if you are seeing one who is not providing adequate responses you should ask for a referral for a second opinion. If you have had recurrent episodes or persistent episodes of pneumonia, you should probably be seeing an infectious diseases expert. ...Read more

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What to do if I was diagnosed w/pnemonia on fri an got a shot of rocephein in my hip and got sent home w/the z-pack ?

What to do if I was diagnosed w/pnemonia on fri an got a shot of rocephein in my hip and got sent home w/the z-pack ?

Recover from pna: If you were discharged to home you should rest, drink plenty of fluids, and nourishing healthy foods that are tolerated. Sometimes need ibuprofen etc. for fever. If symptoms get worse the should contact physician. Some organisms may not be sensitive to the antibiotics. ...Read more

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Do i need to go back to dr? Last week i finished z-pak for pneumonia. It worked! but now, a week later, I have mild coughing with white-yellow sputum

Possibilities....: Sometimes after an airway or lung infection, bronchospasm and/or airway inflammation can occur as the infection is resolving, resulting in continued coughing. The treatment for this includes bronchodilator and steroid inhalers which need to be prescribed by your doctor. Another possibility is that the infection itself is still resolving. If the cough persists or worsens over time, see your doctor. ...Read more

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Can you prescribe me the z-pack?

No: Without discussing and knowing your health issues that may need z-pack, it is not safe to prescribe. I would seek a virtual consult with a physician you like, on this platform. ...Read more

Dr. Michael Gabor
584 doctors shared insights

Z Pak (Definition)

Z-Pak is a macrolide which is a kind of anti-bacterial ...Read more


Dr. Michael DePietro
2,211 doctors shared insights

Pneumonia (Definition)

An inflammation of the lungs, most ...Read more