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Zmax Oral

Generic Name: AZITHROMYCIN EXTENDED-RELEASE SUSPENSION - ORAL
Pronounced: (azz-ith-row-MY-sin)

Zmax Oral Side Effects

Diarrhea/loose stools, nausea, vomiting, stomach/abdominal pain, or headache may occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly.

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor immediately if any of these unlikely but serious side effects occur:

  • hearing loss
  • eye problems (e.g., drooping eyelids, blurred vision)
  • slurred speech
  • muscle weakness


Tell your doctor immediately if any of these rare but serious side effects occur:

  • dark urine
  • persistent nausea/vomiting
  • severe stomach/abdominal pain
  • yellowing of the eyes or skin


Seek immediate medical attention if any of these rare but serious side effects occur:

  • severe dizziness
  • fainting
  • fast/irregular heartbeat


This medication may rarely cause a severe intestinal condition (Clostridium difficile-associated diarrhea) due to a type of resistant bacteria. This condition may occur during treatment or weeks to months after treatment has stopped. Do not use anti-diarrhea products or narcotic pain medications if you have any of the following symptoms because these products may make them worse. Tell your doctor immediately if you develop:

  • persistent diarrhea
  • abdominal or stomach pain/cramping
  • blood/mucus in your stool


Use of this medication for prolonged or repeated periods may result in oral thrush or a new vaginal yeast infection (oral or vaginal fungal infection). Contact your doctor if you notice white patches in your mouth, a change in vaginal discharge or other new symptoms.

A very serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction may include:

  • rash
  • itching/swelling (especially of the face/tongue/throat)
  • severe dizziness
  • trouble breathing
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