Please keep in mind that being a very powerful antibiotic the azithromycin can cause serious heart issues in predisposed and immunocompromised patients. Hence the FDA warning.
If the first dose worsens your heart palpitations then I would switch to a different antibiotic that's not in the macrolide class.
azithromycin is far from being a powerful antibiotic. actually is among weakest and generally never administered alone, but as an addition to more strong abx , to prevent the build of resistanceI meant powerful as in strong. I don't know how effective it is against lyme & co on an intracellular level.
Yes I know that it's usually combined with tetracyclines or other abx to increase the overall effectiveness.
Believe me the azithromycin by itself is strong or powerful. Otherwise some people wouldn't get those horrible heart issues from it. A weak medicine will not mess with your heart like that. Does it actually kill the pathogens? Who knows. It definitely has the potential to cause fatal cardiac arrythmias though (hence the FDA warning). So caution is advised. Especially for people with pre-existing heart problems.
Other more healthy people on the other hand seem to tolerate it quite well. So it can also be useful to some people.I don’t think the side effects of the abx equate to strength and/or effectiveness.
ie - Azithromycin having a black box warning doesn’t mean it’s more effective for treating Lyme than minocycline (no black box warning)
Moderator, Lyme Forum
Symp started April/2013; Buhner's Lyme May 15-July24/14; Igenex pos. July 3/14
Doxy: July 4-Aug.24/14;Zithro July26-Aug24/14; Amox + Proben. Aug. 29/14;
added biaxin Sept. 26/14
Disc. amox,added Ceftin Nov. 20th.;
Disc. biaxin added Buhner bart herbs Dec/14;Jan/15 pulsing Tinda (w/ Ceftin);
Abx/herb break Apr-July/15; July-mino; Aug. added Rif;
Nov./15 mino - to biaxi
Post Edited (Girlie) : 4/28/2018 11:24:36 AM (GMT-6)