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You can’t sell anything if no-one knows about it. Sounds obvious, doesn’t it? Discovering a new band is an exhilarating experience, and the internet has now often become the first point of contact between artist and audience.

A recommendation from a friend is a powerful thing. We supply tools which allow fans to quickly, easily and effectively share your music via their own social mediums.

Personalising Engagement

So once you have fans in your database, how do you keep hold of them? You engage them.

So your fanbase is growing. It’s fully engaged with you and your music. Now we can talk about selling.

This process needs to be engaging, streamlined and efficient. Personalised product bundles, immediate digital fulfilment, well considered price points, prominent purchase buttons and ease of sales flow all contribute very effectively to this.

Using Topspin Media’s fully integrated promotional and sales platform, we collate and analyse data from both ongoing and past sales campaigns, and consistently and accurately evolve the process itself to optimise the sales and yield the highest results possible. We ensure the process is one that fans are happy and willing to repeat time and time again, as new material and sales items are released.

These guidelines will have given you an insight into what we do, showing you how important it is to treat your fanbase with the personalised care and respect they deserve. Working with creative, insightful artists and managers to develop campaigns that are completely tailored to the demands of their situations is what we love to do, and having worked with some truly forward thinking acts already, we’d love to hear from you.



AMOXil (Amoxicillin) Cheap - Buy Amoxicillin Online. Prices!

Saturday, June 29, 2013

Amoxil a sane pharmaceutical is a generic medication of the make names Amoxil, Amoxil Pediatric Drops, Moxatag, and Trimox. Normally, Generic for Amoxil can be establish in medication of dosage reliability 500mg tablets. It is available in different forms such as capsules, tablets, chewable tablets, and powder respecting uttered suspension. Their lively component can be Amoxicillin and yes it culls the heighten involving bacteria’s as admirably as cities lastly exterminates these people. Amoxicillin normally soles the obstruction within just 6 or7 days of their pre-eminent medication dosage. Generic Amoxil is the crush solutions your germ infections such as aerobic bacteria and anaerobic bacteria’s.

ts running ingredient is Amoxicillin and it culls the growth of bacteria and its colonies and eventually exterminates them. Generic Amoxil usually cures the bacterial infections within 5 to 7 days of its monogram dosage. It cures the infections caused sooner than both aerobic and anaerobic bacteria.

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Amoxil undertakes the activity of wiping out the bacterial attacks entirely. Its force system is dependent on its clarification component, Amoxicillin, which functions as an antibacterial.

To go into with the key component combines with the blood and gets to the area in which the bacteria are infecting the individual. After that it continues the assignment of finishing the beginning of the chamber palisade in the raw produced bacteria. This conduct the freshly grown bacteria aren't masterly to open to and they perish. Consequently the lift of the bacteria is entirely ceased.

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As a pattern activity, generic Amoxil decreases the availability of the important sustenance to the bacterial colonies. It does this on wrecking the transfer itinerary contained in the host.

The bacteria in which case starve and in the aim they pay one's debt to nature justified to this. In this manner, using the intake of this cure-all shows the assured culmination of the infections.



Warehouses

Washington Fruit maintains state-of-the-art packing and storage facilities. Considering the perishable nature of fresh fruit, it is imperative that we utilize the most effective technology possible to handle our products. Our packing, storage and shipping managers are constantly looking for ways to improve the fruit handling process with the goal of delivering better quality to the customer every day.

Washington Fruit and Produce packs all of its fruit in Yakima and maintains controlled atmosphere storage facilities in numerous locations around the area. Underwood Fruit & Warehouse packs and stores all of their fruit at the Bingen, WA facility. Additionally, Hansen Fruit packs, stores and ships fruit in their Yakima facilities. Efficient shipping and receiving facilities are also situated at each location.

Underwood Fruit completed a new state of the art cherry packing line in 2009. In 2010, Washington Fruit completed construction of the River Road facility. This new 220,000 sq.ft. storage, packing, and loading facility in Yakima incorporates state of the art food safety techniques, traceability systems, and sorting and packing technology (see River Road Facility and River Road Videos for more information).



Pronunciation: ay-ZITH-roe-MYE-sin

Generic Zithromax: Azithromycin

Warnings:

Zithromax is used for:

Treating mild to moderate infections caused by certain bacteria. It may also be used for other conditions as determined by your doctor. This medicine is a macrolide antibiotic. It slows the growth of, or sometimes kills, sensitive bacteria by reducing the production of important proteins needed by the bacteria to survive.

Do NOT use Zithromax if:

- you are allergic to any ingredient in this medicine, to other macrolide antibiotics (eg, erythromycin), or to ketolide antibiotics (eg, telithromycin)

- you have a history of liver problems or yellowing of the skin or eyes caused by any doseform (eg, tablets, suspension, injection) of this medicine

- you have a certain type of irregular heartbeat (QT prolongation), low blood potassium or magnesium levels, or a very slow heartbeat

- you are taking amiodarone, cisapride, dofetilide, dronedarone, nilotinib, pimozide, procainamide, propafenone, quinidine, sotalol, or tetrabenazine

- Contact your doctor or health care provider right away if any of these apply to you.

Before using Zithromax:

- Some medical conditions may interact with this medicine. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

- if you are pregnant, planning to become pregnant, or are breast-feeding

- if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement

- if you have allergies to medicines, foods, or other substances

- if you have liver or kidney problems, a slow or irregular heartbeat, myasthenia gravis, or are on a low-salt (sodium) diet

- if you have a history of low blood potassium or magnesium levels

- if you are taking any medicine that may increase the risk of a certain type of irregular heartbeat (prolonged QT interval). Check with your doctor or pharmacist if you are unsure if any of your medicines may increase the risk of this type of irregular heartbeat

How to use Zithromax:

- Use this medicine as directed by your doctor. Check the label on the medicine for exact dosing instructions.

- This medicine comes as a powder that must be mixed with water before you take it. Your pharmacist will usually mix it for you. If you receive this medicine as a powder, check with your pharmacist for instructions on how to mix it. You should take this medicine within 12 hours after it is mixed with water.

- Take this medicine by mouth on an empty stomach at least 1 hour before or 2 hours after eating.

- Shake well before use.

- Contact your doctor if you vomit within 1 hour after you take this medicine. You may need additional medicine to treat your infection.

- If this medicine is for a child, measure the prescribed dose using a measuring device marked for medicine dosing. Ask your pharmacist for help if you are unsure of how to measure the dose. If any medicine remains after you give the dose, discard it appropriately, out of the reach of children and away from pets.

- To clear up your infection completely, take the entire dose of this medicine.

- Only one dose of this medicine is required. If you forget to take this medicine, take it as soon as you remember.

- Ask your health care provider any questions you may have about how to use this medicine.

Important safety information about Zithromax:

- This medicine may cause drowsiness, dizziness, or light-headedness. These effects may be worse if you take it with alcohol or certain medicines. Use this medicine with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.

- This medicine may cause you to become sunburned more easily. Avoid the sun, sunlamps, or tanning booths until you know how you react to this medicine. Use a sunscreen or wear protective clothing if you must be outside for more than a short time.

- Mild diarrhea is common with antibiotic use. However, a more serious form of diarrhea (pseudomembranous colitis) may rarely occur. This may develop while you use the antibiotic or within several months after you stop using it. Contact your doctor right away if stomach pain or cramps, severe diarrhea, or bloody or watery stools occur. Do not treat diarrhea without first checking with your doctor.

- Long-term or repeated use of this medicine may cause a second infection. Tell your doctor if signs of a second infection occur. Your medicine may need to be changed to treat this.

- Tell your doctor or dentist that you take this medicine before you receive any medical or dental care, emergency care, or surgery.

- If your symptoms do not get better within a few days or if they get worse, check with your doctor.

- Severe and sometimes fatal liver problems have been reported with the use of this medicine. Contact your doctor immediately if you develop symptoms of liver problems (eg, yellowing of the skin or eyes; dark urine; pale stools; severe or persistent nausea, vomiting, or loss of appetite; unusual itching). Discuss any questions or concerns with your doctor.

- Be sure to use the entire dose of this medicine. If you do not, the medicine may not clear up your infection completely. The bacteria could also become less sensitive to this or other medicines. This could make the infection harder to treat in the future.

- This medicine only works against bacteria; it does not treat viral infections (eg, the common cold).

- Use this medicine with caution in the ELDERLY; they may be more sensitive to its effects, especially irregular heartbeat.

- This medicine should be used with extreme caution in CHILDREN younger than 6 months old; safety and effectiveness in these children have not been confirmed.

- This medicine should be used with extreme caution in CHILDREN if it is used to treat a bacterial sinus infection; safety and effectiveness in these children have not been confirmed.

- PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using this medicine while you are pregnant. It is not known if this medicine is found in breast milk. If you are or will be breast-feeding while you take this medicine, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Zithromax:

- All medicines may cause side effects, but many people have no, or minor, side effects.

- Diarrhea or loose stools; headache; mild stomach pain; nausea; vomiting.

- Severe allergic reactions (rash; hives; itching; difficulty breathing or swallowing; tightness in the chest; swelling of the mouth, face, lips, throat, or tongue; unusual hoarseness; wheezing); bloody or watery stools; changes in hearing or hearing loss; chest pain; dark, red, raised areas of the skin; eye or vision problems; fainting; irregular heartbeat; mouth sores; muscle weakness; pounding in the chest; red, swollen, blistered, or peeling skin; ringing in the ears; seizure; severe dizziness; severe or persistent diarrhea; severe stomach cramps or pain; symptoms of liver problems (eg, yellowing of the skin or eyes; dark urine; pale stools; severe or persistent nausea, vomiting, or loss of appetite; unusual itching); trouble speaking or swallowing

- ; unusual vaginal itching, odor, or discharge

- .

- This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your doctor or health care provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 (1-800-332-1088). You may also report side Clomid effects at

www.fda.gov/medwatch

- .

If OVERDOSE is suspected:

www.aapcc.org), or emergency room immediately. Symptoms may include diarrhea; nausea; upset stomach; vomiting.

Proper storage of Zithromax:

Store this medicine between 59 and 86 degrees F (15 and 30 degrees C). Do not refrigerate or freeze. Use this medicine within 12 hours of mixing. Store away from heat, moisture, and light. Do not store in the bathroom. Keep this medicine out of the reach of children and away from pets.

General information:

- If you have any questions about this medicine, please talk with your doctor, pharmacist, or other health care provider.

- This medicine is to be used only by the patient for whom it is prescribed. Do not share it with other people. Do not use this medicine for other health conditions.

- If your symptoms do not improve within a few days or if they become worse, check with your doctor.

- Check with your pharmacist about how to dispose of unused medicine.

- This information is a summary only. It does not contain all information about this medicine. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.



Pronunciation: ay-ZITH-roe-MYE-sin

Generic Zithromax: Azithromycin

Warnings:

Zithromax is used for:

Treating mild to moderate infections caused by certain bacteria. It may also be used for other conditions as determined by your doctor. This medicine is a macrolide antibiotic. It slows the growth of, or sometimes kills, sensitive bacteria by reducing the production of important proteins needed by the bacteria to survive.

Do NOT use Zithromax if:

- you are allergic to any ingredient in this medicine, to other macrolide antibiotics (eg, erythromycin), or to ketolide antibiotics (eg, telithromycin)

- you have a history of liver problems or yellowing of the skin or eyes caused by any doseform (eg, tablets, suspension, injection) of this medicine

- you have a certain type of irregular heartbeat (QT prolongation), low blood potassium or magnesium levels, or a very slow heartbeat

- you are taking amiodarone, cisapride, dofetilide, dronedarone, nilotinib, pimozide, procainamide, propafenone, quinidine, sotalol, or tetrabenazine

- Contact your doctor or health care provider right away if any of these apply to you.

Before using Zithromax:

- Some medical conditions may interact with this medicine. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

- if you are pregnant, planning to become pregnant, or are breast-feeding

- if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement

- if you have allergies to medicines, foods, or other substances

- if you have liver or kidney problems, a slow or irregular heartbeat, myasthenia gravis, or are on a low-salt (sodium) diet

- if you have a history of low blood potassium or magnesium levels

- if you are taking any medicine that may increase the risk of a certain type of irregular heartbeat (prolonged QT interval). Check with your doctor or pharmacist if you are unsure if any of your medicines may increase the risk of this type of irregular heartbeat

How to use Zithromax:

- Use this medicine as directed by your doctor. Check the label on the medicine for exact dosing instructions.

- This medicine comes as a powder that must be mixed with water before you take it. Your pharmacist will usually mix it for you. If you receive this medicine as a powder, check with your pharmacist for instructions on how to mix it. You should take this medicine within 12 hours after it is mixed with water.

- Take this medicine by mouth on an empty stomach at least 1 hour before or 2 hours after eating.

- Shake well before use.

- Contact your doctor if you vomit within 1 hour after you take this medicine. You may need additional medicine to treat your infection.

- If this medicine is for a child, measure the prescribed dose using a measuring device marked for medicine dosing. Ask your pharmacist for help if you are unsure of how to measure the dose. If any medicine remains after you give the dose, discard it appropriately, out of the reach of children and away from pets.

- To clear up your infection completely, take the entire dose of this medicine.

- Only one dose of this medicine is required. If you forget to take this medicine, take it as soon as you remember.

- Ask your health care provider any questions you may have about how to use this medicine.

Important safety information about Zithromax:

- This medicine may cause drowsiness, dizziness, or light-headedness. These effects may be worse if you take it with alcohol or certain medicines. Use this medicine with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.

- This medicine may cause you to become sunburned more easily. Avoid the sun, sunlamps, or tanning booths until you know how you react to this medicine. Use a sunscreen or wear protective clothing if you must be outside for more than a short time.

- Mild diarrhea is common with antibiotic use. However, a more serious form of diarrhea (pseudomembranous colitis) may rarely occur. This may develop while you use the antibiotic or within several months after you stop using it. Contact your doctor right away if stomach pain or cramps, severe diarrhea, or bloody or watery stools occur. Do not treat diarrhea without first checking with your doctor.

- Long-term or repeated use of this medicine may cause a second infection. Tell your doctor if signs of a second infection occur. Your medicine may need to be changed to treat this.

- Tell your doctor or dentist that you take this medicine before you receive any medical or dental care, emergency care, or surgery.

- If your symptoms do not get better within a few days or if they get worse, check with your doctor.

- Severe and sometimes fatal liver problems have been reported with the use of this medicine. Contact your doctor immediately if you develop symptoms of liver problems (eg, yellowing of the skin or eyes; dark urine; pale stools; severe or persistent nausea, vomiting, or loss of appetite; unusual itching). Discuss any questions or concerns with your doctor.

- Be sure to use the entire dose of this medicine. If you do not, the medicine may not clear up your infection completely. The bacteria could also become less sensitive to this or other medicines. This could make the infection harder to treat in the future.

- This medicine only works against bacteria; it does not treat viral infections (eg, the common cold).

- Use this medicine with caution in the ELDERLY; they may be more sensitive to its effects, especially irregular heartbeat.

- This medicine should be used with extreme caution in CHILDREN younger than 6 months old; safety and effectiveness in these children have not been confirmed.

- This medicine should be used with extreme caution in CHILDREN if it is used to treat a bacterial sinus infection; safety and effectiveness in these children have not been confirmed.

- PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using this medicine while you are pregnant. It is not known if this medicine is found in breast milk. If you are or will be breast-feeding while you take this medicine, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Zithromax:

- All medicines may cause side effects, but many people have no, or minor, side effects.

- Diarrhea or loose stools; headache; mild stomach pain; nausea; vomiting.

- Severe allergic reactions (rash; hives; itching; difficulty breathing or swallowing; tightness in the chest; swelling of the mouth, face, lips, throat, or tongue; unusual hoarseness; wheezing); bloody or watery stools; changes in hearing or hearing loss; chest pain; dark, red, raised areas of the skin; eye or vision problems; fainting; irregular heartbeat; mouth sores; muscle weakness; pounding in the chest; red, swollen, blistered, or peeling skin; ringing in the ears; seizure; severe dizziness; severe or persistent diarrhea; severe stomach cramps or pain; symptoms of liver problems (eg, yellowing of the skin or eyes; dark urine; pale stools; severe or persistent nausea, vomiting, or loss of appetite; unusual itching); trouble speaking or swallowing

- ; unusual vaginal itching, odor, or discharge

- .

- This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your doctor or health care provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 (1-800-332-1088). You may also report side effects at

www.fda.gov/medwatch

- .

If OVERDOSE is suspected:

www.aapcc.org), or emergency room immediately. Symptoms may include diarrhea; nausea; upset stomach; vomiting.

Proper storage of Zithromax:

Store this medicine between 59 and 86 degrees F (15 and 30 degrees C). Do not refrigerate or freeze. Use this medicine within 12 hours of mixing. Store away from heat, moisture, and light. Do not store in the bathroom. Keep this medicine out of the reach of children and away from pets.

General information:

- If you have any questions about this medicine, please talk with your doctor, pharmacist, or other health care provider.

- This medicine is to be used only by the patient for whom it is prescribed. Do not share it with other people. Do not use this medicine for other health conditions.

- If your symptoms do not improve within a few days or if they become worse, check with your doctor.

- Check with your pharmacist about how to dispose of unused medicine.

- This information is a summary only. It does not contain all information about this medicine. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.



Generisches Zithromax





Azithromyzin Tablette

Was ist dies für ein Medikament?

AZITHROMYZIN ist ein makrolides Antibiotikum, das das Wachstum von bakteriellen Zellen behindert und für ein breites Spektrum von Infektionen im Körper Anwendung findet. Azithromyzin hilft auch bei Geschlechtskrankheiten, Harnwegsentzündungen, die von Chlamydia verursacht wird. Es wirkt nicht bei Erkältungen, Grippe oder anderen Infektionen.

Was muss mein Arzt bzw. meine Ärztin vor der Behandlung wissen?

Informieren Sie sie über folgende Umstände:

Nierenkrankheiten; Leberkrankheiten

Lungenentzündung

Magenprobleme (besonders Kolitis)

Chronische Krankheiten; Eine ungewöhnliche oder allergische Reaktionen auf Azithromyzin

Andere makrolide Antibiotika (wie Erythromyzin), Lebensmittel, Farb- oder Konservierungsstoffe

Schwanger oder versuchen, schwanger zu werden.

Stillen

Wie soll ich dieses Medikament nehmen?

Sie nehmen Azithromyzin oral. Schlucken Sie die Tabletten mit einem Glas Wasser mit oder ohne etwas zu Essen. Regelmäßig und nur so oft wie es Ihr Arzt oder Ärztin verschrieben hat. Nehmen Sie den gesamten Kurs, auch wenn Sie glauben, dass sich Ihre Beschwerden gebessert haben. Beraten Sie sich mit einem Kinderarzt/Ärztin falls das Medikament von Kindern eingenommen werden soll. Es können besondere Vorsichtsmaßnahmen nötig sein. Überdosierung: Wenn Sie mehr Tabletten eingenommen haben, als Ihr Arzt bzw. Ihre Ärztin verschrieben hat, wenden Sie sich sofort an das nächstgelegene Krankenhaus oder an Ihren Arzt bzw. Ihre Ärztin.

ACHTUNG: Dieses Medikament ist ausschließlich für Sie bestimmt. Geben Sie es nicht weiter an Andere.

Was soll ich machen, wenn ich die Einnahme vergesse?

Wenn Sie eine Dosis vergessen haben, nehmen Sie sie baldmöglichst ein. Ist jedoch der Zeitpunkt der Einnahme der nächsten Dosis gekommen, lassen Sie die vergessene Dosis aus. Verdoppeln Sie keinesfalls die Dosis. Zwischen den Dosen sollten 12 Stunden liegen.

Welche Wechselwirkungen kann es geben?

Antazid

Astemizol; Digoxin

Dihydroergotamin

Ergotamin

Magnesium Salze

Terfenadin

Triazolam

Warfarin

Geben Ihrem Arzt bzw. Ihrer Ärztin eine Liste aller Ihrer verschreibungspflichtigen und nicht verschreibungspflichtigen Medikamente, Wirkstoffe, Kräuterprodukte und Nahrungsergänzungsmittel. Geben Sie auch an, ob Sie Rauchen, Alkohol trinken oder Drogen nehmen. All diese Substanzen können die Wirksamkeit des Medikaments verändern bzw. beeinträchtigen. Beraten Sie sich mit Ihrem Arzt bzw. Ärztin bevor Sie irgendeines Ihrer Medikamente absetzen oder wieder einnehmen.

Mit welchen Nebenwirkungen muss ich rechnen?

Folgende Nebenwirkungen sollten Sie Ihrem Arzt bzw. Ihrer Ärztin mitteilen:

Dunkel-gelber oder brauner Urin;

Atembeschwerden; schwerer oder wässriger Durchfall;

Hautausschlag, Jucken;

Unregelmäßiger Herzschlag, Herzklopfen oder Brustschmerzen;

Erbrechen;

Gelbfärbung der Augen oder Haut

Folgende Nebenwirkungen müssen nicht behandelt werden (Kontaktieren Sie Ihren Arzt bzw. Ihre Ärztin falls sie andauern oder als störend empfunden werden):

Durchfall;

Schwindel, Schwindel;

Verlust des Hörvermögens;

Kopfschmerzen;

Sonnenempfindlichkeit;

Übelkeit;

Magenschmerzen oder Krämpfe;

Müdigkeit;

Vaginale Irritation, Jucken oder Ausfluss

Diese Liste enthält nicht alle möglichen Nebenwirkungen.

Was soll ich beachten, wenn ich dieses Medikament nehme?

Gehen Sie zu Ihrem Arzt oder Ihrer Ärztin, wenn Sie Ihre Symptome nicht bessern oder neue hinzukommen und wenn Sie wässrigen oder schweren Durchfall haben. Rufen Sie sofort Hilfe, wenn Sie eine allergische Reaktion auf Azithromyzin, wie Hautausschlag, Jucken, Schluckbeschwerden, Anschwellen des Gesichts, Lippen oder der Zunge, haben. Meiden Sie direktes Sonnenlicht, tragen Sie Sonnenschutz und entsprechende Kleidung. Gehen Sie nicht ins Solarium oder benutzen Sie nicht UV-Lampen.

Antazid kann Azithromyzin an seiner Wirkung hindern. Wenn Sie Magenschmerzen haben und etwas dagegen machen wollen, lassen Sie mindestens 2 Stunden nach der Einnahme von Azithromyzin oder 4 Stunden vor der nächsten Einnahme.

Wenn eine Operation ansteht, teilen Sie das bitte dem durchführenden Arzt oder der durchführenden Ärztin mit, dass Sie Azithromyzin nehmen.

Wie ist das Medikament aufzubewahren?

Arzneimittel für Kinder unzugänglich aufbewahren. Lagerung bei einer Raumtemperatur nicht über 30 Grad Celsius. Vor Feuchtigkeit schützen. Die Packung gut verschlossen halten. Lesen Sie die Packungsbeilage oder fragen Sie Ihren Apotheker oder Apothekerin. Nicht aufgebrauchte Medikamente nach deren Haltbarkeitsdatum entsorgen.



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Pronunciation: ay-ZITH-roe-MYE-sin

Generic Zithromax: Azithromycin

Warnings:

Zithromax is used for:

Treating mild to moderate infections caused by certain bacteria. It may also be used for other conditions as determined by your doctor. This medicine is a macrolide antibiotic. It slows the growth of, or sometimes kills, sensitive bacteria by reducing the production of important proteins needed by the bacteria to survive.

Do NOT use Zithromax if:

- you are allergic to any ingredient in this medicine, to other macrolide antibiotics (eg, erythromycin), or to ketolide antibiotics (eg, telithromycin)

- you have a history of liver problems or yellowing of the skin or eyes caused by any doseform (eg, tablets, suspension, injection) of this medicine

- you have a certain type of irregular heartbeat (QT prolongation), low blood potassium or magnesium levels, or a very slow heartbeat

- you are taking amiodarone, cisapride, dofetilide, dronedarone, nilotinib, pimozide, procainamide, propafenone, quinidine, sotalol, or tetrabenazine

- Contact your doctor or health care provider right away if any of these apply to you.

Before using Zithromax:

- Some medical conditions may interact with this medicine. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

- if you are pregnant, planning to become pregnant, or are breast-feeding

- if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement

- if you have allergies to medicines, foods, or other substances

- if you have liver or kidney problems, a slow or irregular heartbeat, myasthenia gravis, or are on a low-salt (sodium) diet

- if you have a history of low blood potassium or magnesium levels

- if you are taking any medicine that may increase the risk of a certain type of irregular heartbeat (prolonged QT interval). Check with your doctor or pharmacist if you are unsure if any of your medicines may increase the risk of this type of irregular heartbeat

How to use Zithromax:

- Use this medicine as directed by your doctor. Check the label on the medicine for exact dosing instructions.

- This medicine comes as a powder that must be mixed with water before you take it. Your pharmacist will usually mix it for you. If you receive this medicine as a powder, check with your pharmacist for instructions on how to mix it. You should take this medicine within 12 hours after it is mixed with water.

- Take this medicine by mouth on an empty stomach at least 1 hour before or 2 hours after eating.

- Shake well before use.

- Contact your doctor if you vomit within 1 hour after you take this medicine. You may need additional medicine to treat your infection.

- If this medicine is for a child, measure the prescribed dose using a measuring device marked for medicine dosing. Ask your pharmacist for help if you are unsure of how to measure the dose. If any medicine remains after you give the dose, discard it appropriately, out of the reach of children and away from pets.

- To clear up your infection completely, take the entire dose of this medicine.

- Only one dose of this medicine is required. If you forget to take this medicine, take it as soon as you remember.

- Ask your health care provider any questions you may have about how to use this medicine.

Important safety information about Zithromax:

- This medicine may cause drowsiness, dizziness, or light-headedness. These effects may be worse if you take it with alcohol or certain medicines. Use this medicine with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.

- This medicine may cause you to become sunburned more easily. Avoid the sun, sunlamps, or tanning booths until you know how you react to this medicine. Use a sunscreen or wear protective clothing if you must be outside for more than a short time.

- Mild diarrhea is common with antibiotic use. However, a more serious form of diarrhea (pseudomembranous colitis) may rarely occur. This may develop while you use the antibiotic or within several months after you stop using it. Contact your doctor right away if stomach pain or cramps, severe diarrhea, or bloody or watery stools occur. Do not treat diarrhea without first checking with your doctor.

- Long-term or repeated use of this medicine may cause a second infection. Tell your doctor if signs of a second infection occur. Your medicine may need to be changed to treat this.

- Tell your doctor or dentist that you take this medicine before you receive any medical or dental care, emergency care, or surgery.

- If your symptoms do not get better within a few days or if they get worse, check with your doctor.

- Severe and sometimes fatal liver problems have been reported with the use of this medicine. Contact your doctor immediately if you develop symptoms of liver problems (eg, yellowing of the skin or eyes; dark urine; pale stools; severe or persistent nausea, vomiting, or loss of appetite; unusual itching). Discuss any questions or concerns with your doctor.

- Be sure to use the entire dose of this medicine. If you do not, the medicine may not clear up your infection completely. The bacteria could also become less sensitive to this or other medicines. This could make the infection harder to treat in the future.

- This medicine only works against bacteria; it does not treat viral infections (eg, the common cold).

- Use this medicine with caution in the ELDERLY; they may be more sensitive to its effects, especially irregular heartbeat.

- This medicine should be used with extreme caution in CHILDREN younger than 6 months old; safety and effectiveness in these children have not been confirmed.

- This medicine should be used with extreme caution in CHILDREN if it is used to treat a bacterial sinus infection; safety and effectiveness in these children have not been confirmed.

- PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using this medicine while you are pregnant. It is not known if this medicine is found in breast milk. If you are or will be breast-feeding while you take this medicine, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Zithromax:

- All medicines may cause side effects, but many people have no, or minor, side effects.

- Diarrhea or loose stools; headache; mild stomach pain; nausea; vomiting.

- Severe allergic reactions (rash; hives; itching; difficulty breathing or swallowing; tightness in the chest; swelling of the mouth, face, lips, throat, or tongue; unusual hoarseness; wheezing); bloody or watery stools; changes in hearing or hearing loss; chest pain; dark, red, raised areas of the skin; eye or vision problems; fainting; irregular heartbeat; mouth sores; muscle weakness; pounding in the chest; red, swollen, blistered, or peeling skin; ringing in the ears; seizure; severe dizziness; severe or persistent diarrhea; severe stomach cramps or pain; symptoms of liver problems (eg, yellowing of the skin or eyes; dark urine; pale stools; severe or persistent nausea, vomiting, or loss of appetite; unusual itching); trouble speaking or swallowing

- ; unusual vaginal itching, odor, or discharge

- .

- This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your doctor or health care provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 (1-800-332-1088). You may also report side effects at

www.fda.gov/medwatch

- .

If OVERDOSE is suspected:

www.aapcc.org), or emergency room immediately. Symptoms may include diarrhea; nausea; upset stomach; vomiting.

Proper storage of Zithromax:

Store this medicine between 59 and 86 degrees F (15 and 30 degrees C). Do not refrigerate or freeze. Use this medicine within 12 hours of mixing. Store away from heat, moisture, and light. Do not store in the bathroom. Keep this medicine out of the reach of children and away from pets.

General information:

- If you have any questions about this medicine, please talk with your doctor, pharmacist, or other health care provider.

- This medicine is to be used only by the patient for whom it is prescribed. Do not share it with other people. Do not use this medicine for other health conditions.

- If your symptoms do not improve within a few days or if they become worse, check with your doctor.

- Check with your pharmacist about how to dispose of unused medicine.

- This information is a summary only. It does not contain all information about this medicine. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.
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