Patient was educated on precautions to be exercised while taking Zithromax as follows:

  1. Patients with history of diminished hearing and ototoxicity are at increased risk for hearing loss with Zithromax. Individuals taking Zithromax must observe a close watch regarding the same and report any changes with hearing to the physician immediately.
  2. Watch closely for development of any opportunistic infections, such as, oral candidiasis with white patches in the mouth, to be reported to the physician.
  3. Observe compliance with any regular lab work ordered. As Zithromax carries the risk for damage to the liver and kidneys, hepatic and renal function could be periodically monitored, to prevent any risk for toxicity. Watch closely to report any symptoms of itching, jaundice with yellowing of skin and sclera, dark urine, altered metabolism with nausea and vomiting, pain in the right upper abdominal quadrant, and fatigue suggesting damage to the liver. Any symptoms of renal injury and altered kidney function, such as, altered levels of consciousness and reduced urine formation, should be closely watched for and reported to the physician.
  4. Complete the course of the antibiotic that it was prescribed for. Do not give up on the antibiotic, against your doctor’s recommendation, even if the symptoms of infection are controlled.