These effects may occur because azithromycin targets all bacteria in the body, including good bacteria in the digestive tract. When the antibiotic eliminates these good bacteria, the digestive system may go out of balance. This can lead to an upset stomach ranging from mild to severe. Drinking alcohol, on its own, can also cause nausea, vomiting, and diarrhea.
Alcohol can irritate the stomach lining, and it increases the production of stomach acid. Drinking alcohol may also cause spasms of the intestines, which can push stool out too quickly. This can result in diarrhea. These effects, in combination with azithromycin, can increase the risk of an upset stomach, diarrhea, and feeling unwell.
The body loses essential water and electrolytes when diarrhea occurs. Additionally, because alcohol is a diuretic, it may make these dehydrating effects worse, leading to more side effects. In addition, if a person vomits soon after taking the medication, their body might not have had time to absorb it.
If this happens, a person should call their doctor to discuss whether they need to take another dose. One of the potential side effects of azithromycin is a headache.
Though headaches do not affect everyone who takes the medication, combining azithromycin with alcohol could increase the risk of a headache or make an existing headache worse.
According to the National Headache Foundation , drinking alcohol can trigger headaches in several different ways. It dilates blood vessels, which can cause pounding and pain, and it leads to dehydration and electrolyte imbalances. These effects explain why some people experience a hangover with a headache after drinking alcohol. If a person tries to treat their headache with a pain reliever, they could experience further side effects.
Taking nonsteroidal anti-inflammatory drugs, such as aspirin or ibuprofen, may irritate the stomach, causing further digestive upset and nausea. People should not take acetaminophen with alcohol because it can lead to serious liver problems. This is especially true in people who drink alcohol every day or take high doses of acetaminophen.
Many medical conditions can cause dizziness, or a feeling of spinning when a person is not moving. Dizziness is also a possible side effect of azithromycin. Dizziness can be bothersome and dangerous if a person needs work, drive, or operate any kind of machinery. Drinking alcohol can also cause dizziness and could magnify this side effect if a person is also taking azithromycin.
Doctors usually prescribe antibiotics for infections that do not clear up on their own. These infections may be severe enough that penicillin will not work well. Alcohol can disrupt sleep, which could make recovery longer and more difficult. Alcohol inhibits rapid eye movement, or REM, sleep , which is the most restorative type of sleep. Health professionals usually recommend proper hydration as the body recovers from an infection.
Azithromycin is also called by the brand name Zithromax. Azithromycin can be taken by adults and children. To make sure azithromycin is safe for you, tell your doctor if you have: had an allergic reaction to azithromycin or any other medicines in the past liver or kidney problems heart problems, including irregular heartbeats arrhythmia had diarrhoea when you have taken antibiotics before myasthenia gravis - azithromycin can worsen the symptoms of this muscle-weakening illness diabetes - azithromycin liquid contains sugar.
Important Carry on taking this medicine until the course is completed, even if you feel better. How to take it If your doctor has prescribed azithromycin capsules, you should take them at least 1 hour before food or 2 hours after eating.
Swallow tablets and capsules whole with a glass of water. What if I forget to take it? What if I take too much? Common side effects These common side effects of azithromycin happen in more than 1 in people.
Keep taking the medicine, but talk to your doctor or pharmacist if these side effects bother you or don't go away: feeling sick nausea diarrhoea or being sick vomiting losing your appetite headaches feeling dizzy or tired changes to your sense of taste Serious side effects Serious side effects are rare and happen in less than 1 in 1, people.
Call a doctor straight away if you get: chest pains or a faster or irregular heartbeat yellow skin or the whites of your eyes turn yellow, or pale poo with dark pee - these can be signs of liver or gallbladder problems ringing in your ears tinnitus , temporary hearing loss, or you feel unsteady on your feet vertigo severe pain in your stomach or back - these can be warning signs of inflammation of the pancreas pancreatitis diarrhoea perhaps with muscle cramps that contains blood or mucus - if you have severe diarrhoea without blood or mucus for more than 4 days you should also speak to a doctor Serious allergic reaction In rare cases it's possible to have a serious allergic reaction anaphylaxis to azithromycin.
Information: You can report any suspected side effect using the Yellow Card safety scheme. Visit Yellow Card for further information. What to do about: feeling sick nausea - stick to simple meals and do not eat rich or spicy food while you're taking this medicine. Take small, frquent sips if you're being sick. Signs of dehydration include peeing less than usual or having strong-smelling pee. Do not take any other medicines to treat diarrhoea or vomiting without speaking to a pharmacist or doctor.
If it helps, eat smaller meals more often than usual. Snack when you're hungry. Have nutritious snacks that are high in calories and protein, such as dried fruit and nuts. Ask your pharmacist to recommend a painkiller if you need one. Talk to your doctor if the headaches last longer than a week or are severe. If you begin to feel dizzy, lie down so you don't faint, then sit until you feel better. Do not drive or use tools or machines if you feel dizzy or tired.
Do not drink alcohol as it may make you feel worse. Non-urgent advice: Tell your doctor if you're:. There are some medicines that do not mix well with azithromycin. Tell your doctor if you're taking these medicines before you start azithromycin: antacids for indigestion ergotamine or dihydroergotamine - for migraine warfarin - to thin blood or prevent blood clots ciclosporin or tacrolimus - medicines to stop your immune system overreacting colchicine for gout digoxin for some heart problems rifabutin - an antibiotic nelfinavir - a medicine for HIV a statin medicine to lower your cholesterol - such as simvastatin and atorvastatin You should also let your doctor know if you're taking any medicines for an irregular heartbeat arrhythmia , such as amiodarone or sotalol.
These can include: antidepressants - such as citalopram antipsychotics - used to treat severe mental health problems some antisickness medicines - such as domperidone some antibiotics - such as moxifloxacin Check the leaflets that come with your medicines and talk to a pharmacist or your doctor if you have any worries. Mixing azithromycin with herbal remedies and supplements There are no known problems with taking herbal remedies or supplements alongside azithromycin.
Important: Medicine safety Tell your doctor or pharmacist if you're taking any other medicines, including herbal medicines, vitamins or supplements. How does azithromycin work? How does azithromycin compare with other antibiotics? When will I feel better? For most infections, you should feel better within a few days. What if I don't get better? Can I drink alcohol with it?
Yes, you can drink alcohol with azithromycin. Will it give me thrush? Ask your doctor or pharmacist for advice if this happens to you. Will it stop my contraception working? Will it reduce my fertility? Is there any food or drink I need to avoid? You can eat and drink normally while taking azithromycin.
Werth says. Furthermore, according to the National Sleep Foundation, alcohol consumption can interfere with sleep quality. And since sleep is so important to the healing process, it is probably best to avoid anything that will keep you from getting enough ZZZs while your immune system is working on fighting that bacterial infection. In terms of actual safety, the good news is that there is not a direct contraindication between alcohol use and most antibiotics.
However, the keyword here is most. But some others are, and mixing them with alcohol could be risky, Dr. The drugs in question? Flagyl metronidazole ; this includes prescriptions for vaginal forms as well as oral tablet form , Tindamax tinidazole , Bactrim sulfamethoxazole-trimethoprim and Zyvox linezolid are the main offenders.
Be sure to check labels for hidden sources of alcohol; mouthwashes or cough medicines may contain alcohol. Your pharmacist is a great resource if you need help!
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