Just finished z pak (azithromycin).Throat, ears still hurt. Pain in my throat switches sides. Ear pain switches with throat pain. Should the meds be working by now?

Already did. If you took z pak (azithromycin) it has already worked and done its job well. Unfortunately your sx are probably not bacterial in nature and that is why you are no better. If sx are not worsening you just need tincture of time or perhap re-evaluation.
For what? Z pak (azithromycin) is an effective antibiotic for certain bacterial infections. Many sore throats and earaches are caused by viruses which will not be affected by it. I hope you're feeling better soon; if not you may want to get checked by your doctor for some of the longer lasting causes of your symptoms (ebv or mono, for example).

Related Questions

I started Z Pak (azithromycin) 48 hrs ago for strep throat. The throat pain is finally going away, but now my left ear is really hurting. Should I be concerned?

Ear pain. The ear pain is most probably related to the strep throat infection. Give the antibiotic therapy more time to clear up the strep infection. Be sure to take the full course of Z pak (azithromycin). If you do not improve, call your doctor for a recheck. Meanwhile take medication for pain eg Ibuprofen if that works for you.
Throat and ear pai. Have a recheck with your doctor.......maybe it is pain due to pressure only or an ear infection. Each has a different treatment so do not take any chances.