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Tremac (Azithromycin)

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Tremac is in a group of drugs called macrolide antibiotics. Tremac fights bacteria in the body. Tremac is used to treat many different types of infections caused by bacteria, such as respiratory infections, skin infections, ear infections, and sexually transmitted diseases. Tremac may also be used for purposes other than those listed in this medication guide.

Other names for this medication:
Azimed, Azimex, Azimit, Azimycin, Azithro, Azithromax, Azithrus, Azrolid, Aztrin, Magnabiotic, Mezatrin, Orobiotic, Simpli, Ultreon, Zedd, Zetamax, Zibac, Zinfect, Zithromac, Zitrex, Zitrocin, Zitrofar, Zitroken, Zitrolab, Zocin

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Also known as: Azithromycin


The drug is an antibiotic used to treat a variety of bacterial infections, such as cat-scratch disease, ear infections, infections of the skin or surrounding tissue, and throat or tonsil infections.

Tremac is also used to treat lung and other respiratory infections, such as bronchitis, sinusitis, community acquired pneumonia, some cases of chronic obstructive pulmonary disease (COPD), and whooping cough (pertussis).

Doctors may also prescribe azithromycin for genital infections and sexually transmitted diseases, such as gonorrhea, infections of the urethra or cervix, genital ulcers, and severe pelvic inflammatory disease.

Tremac belongs to group of drugs known as macrolide antibiotics. They work by preventing bacteria from making their own proteins.

As with other antibiotics, to prevent the spread of drug-resistant infections, the Food and Drug Administration (FDA) strongly advises doctors to prescribe the drug only when there is proof, or a strong suspicion, that the infection is caused by bacteria against which Tremac is effective.

The FDA first approved Tremac under the brand name Zithromax in 1991. Pfizer Pharmaceuticals manufactures the drug.


Generic Tremac is available in: 250 mg (Low Dosage), 500 mg (Standard Dosage).

Generic Tremac can be taken in tablets, liquid form, injections. You should take it by mouth with water.

To avoid problems with stomach, take tablets and liquid form with meals. Liquid Generic Tremac form should be shook properly. Capsule is taken on empty stomach.

It is better to take Generic Tremac every day at the same time.

Generic Tremac treats different types of bacterial infections and can be used both by adults and by children. Thus, each age has different instructions.

For children it is better to take into account child weight. In treatment of otitis media, take Generic Tremac for 1-5 days.

For Adults: if you treat Pneumonia or Throat/Tonsil Infection the right dose is two tablets of 250 mg on the first day and then 250 mg once a day for 4 more days.

In prevention of MAC (mycobacterium avium complex) usual Generic Tremac dosage is 1,200 mg for a week.

In treatment of skin or infections usual Generic Tremac dosage is two tablets of 250 mg at the first day after you took one tablet of 250 mg for 4 days at the same time.


If you take an overdose of Tremac you should visit your doctor or health care provider immediately. Symptoms of Tremac overdosage include discomfort in the stomach, diarrhea, retching and nausea.


Store at room temperature between 59-77 F (15-25 C) away from light and moisture, kids and pets. Do not store the liquid longer than 10 days.

Side effects

The most common side effects associated with Tremac are:

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Side effect occurrence does not only depend on medication you are taking, but also on your overall health and other factors.


Abnormal liver function, hepatitis, cholestatic jaundice, hepatic necrosis, and hepatic failure have been reported, some of which have resulted in death. Discontinue Tremac immediately if signs and symptoms of hepatitis occur.

The presence of other medical problems may affect the use of Tremac. Make sure you tell your doctor if you have any other medical problems, especially: allergy to any macrolide and ketolide antibiotic or liver disease with prior Tremac use or bacteremia (blood infection) or cystic fibrosis or infections, nosocomial or hospital-acquired or weak immune system or bradycardia (slow heartbeat) or hypokalemia (low potassium in the blood) or hypomagnesemia (low magnesium in the blood)

Not recommended in patients with these conditions: congestive heart failure or diarrhea or heart disease or Heart rhythm problems (e.g., prolonged QT interval), history of or Myasthenia gravis (severe muscle weakness).

Use with caution. May make these conditions worse: kidney disease, severe or liver disease. The effects may be increased because of slower removal of the medicine from the body.

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