Patient was educated on the side effects of using Azithromycin as follows:

  1. Nausea and vomiting
  • This is the most common side effect of Azithromycin. Taking the antibiotic with some food and water can minimize the effects of nausea and vomiting.
  1. Diarrhea
  • Human intestines have a lot of bacteria, both good and bad, living in a sensitive balance with each other.
  • This helps maintain the normal natural intestinal environment. Azithromycin works by killing the bacteria. While doing this, Azithromycin does not differentiate between good and bad bacteria.
  • Consequently, apart from killing the bad infectious bacteria, Azithromycin also kills the good bacteria in the intestinal system, thus compromising the balance between good and bad bacteria.
  • This can result in reduction in the number of good bacteria and increase in the number of Azithromycin resistant bad bacteria, leading to irritation of the intestinal mucosa and diarrhea.
  • Diarrhea secondary to the clostridium difficile bacteria in the intestines, is a standard example for this.
  1. Renal damage
  • Long term Azithromycin intake can lead to renal damage, thus compromising kidney function.
  • Renal injury and altered kidney function can result in increased creatinine levels in the body, accumulation of other wastes resulting in altered levels of consciousness, and reduced urine formation.