Patient was educated on contraindications for using Azithromycin as follows:
- Long term Azithromycin intake can lead to hepatic injury, thus compromising liver function. So, Azithromycin is contraindicated in individuals with history of hepatic injury and altered liver functions.
- Long term Azithromycin intake can lead to renal injury, thus compromising renal function. So, Azithromycin is contraindicated in individuals with history of diminished renal function.
- Azithromycin undergoes minimal metabolism in the body and is primarily excreted in the bile unchanged. Individuals with history of biliary obstruction and stasis tend to retain the drug in the body longer, thus resulting in toxicity. Azithromycin should be avoided or used with extreme caution in such individuals.
- Individuals with history of seizures and hallucinations can present with exacerbation of these symptoms with Azithromycin. Azithromycin should be avoided or used with extreme caution in individuals with seizure history.
- Azithromycin intake can increase the risk for skin rash and photosensitivity. Individuals with history of photosensitivity and taking Azithromycin should avoid natural and bright lights or use sunscreens, to prevent any photosensitive responses from developing.
