Azithromycin

Standby antibiotic, Azithromycin 250mg x 4 tablets for treatment of travellers' diarrhoea for use when needed, available to buy online from Dr Fox.

Read medical information and answer medical questions to buy treatment online.

Medical information

Written and reviewed by a team of doctors. Dr Fox is regulated by the CQC, GPhC, & MHRA.

Recommended reading: background information on travellers' diarrhoea and NHS Fit for Travel travellers' diarrhoea information.

Travellers most likely to benefit from antibiotics:

  • Going to remote rural areas distant from medical help.
  • With pre-existing bowel problems such as inflammatory bowel disease where infection may trigger a relapse e.g. ulcerative colitis, Crohn's disease, coeliac disease, and previous bowel surgery.
  • with pre-existing medical conditions which may be worsened by severe infection or dehydration, e.g. poorly controlled diabetes, renal impairment, heart failure, HIV, and reduced immunity.
  • With a tendency to severe travellers' diarrhoea (on the basis of previous travel experience) or taking immunosuppressive treatment.

Azithromycin antibiotic

Azithromycin is effective in reducing the symptoms of travellers' diarrhoea, particularly if taken with Loperamide. The symptoms of traveller's diarrhoea should improve within 24 hours of starting antibiotic.

In addition the anti-sickness tablet Avomine can be taken to reduce fluid loss and discomfort. Avomine should not be taken at the same time as azithromycin.

Dosage

Treatment with Azithromycin is a single dose of 4 tablets taken together at one time. Take the dose as soon as you get diarrhoea, not before. It is not a preventative.

Side effects

If there are any side effects the most common are stomach upset, nausea and diarrhoea. For details see the patient information leaflet supplied with the tablets.

Seeking help

Symptoms should start to improve within 24 hours of starting azithromycin. Medical advice should be sought if symptoms are not improving after 2 or 3 days, or are worsening, or if any of the following occur:

  • Profuse diarrhoea and vomiting lead to dehydration
  • Blood and green or yellow slime in the motions with severe abdominal pains
  • Diarrhoea associated with rashes
  • High fever and headache with diarrhoea (particularly in malaria areas)

Treating diarrhoea

  • The antidiarrhoeal Loperamide and anti-sickness tablets also reduce symptoms.
  • Try to get plenty of rest
  • Drink plenty of fluids, even if vomiting (at least 3-4 litres/day)
  • Continue to eat simple foods such as rice and dried bread, appetite permitting
  • Pay attention to personal hygiene, to prevent spread

Azithromycin 250mg Patient Leaflet


Antibiotic guardianship

Antibiotic Guardian logo

To combat antibiotic resistance please:

  • Only use antibiotics when needed
  • Never share antibiotics
  • Always complete course as instructed
  • Take unused medicine to local pharmacy for disposal

Buy treatment
Dr Tony Steele

Authored 22 March 2010 by Dr Tony Steele
Last updated 23 October 2019

Reviewed by Dr B. Babor, Dr A. Wood, Dr P. Hunt
Last reviewed 07 February 2019

References

How to buy Azithromycin online

Azithromycin 250mg is prescription only medicine.

To buy Azithromycin online you will need to complete an online consultation before you can make an order.

  1. Read medical information about Azithromycin
  2. Answer medical questions to check for eligibility

Once completed patients choose treatment, register details, and pay online. A doctor will review your order and issue the prescription electronically to our pharmacy. Medicine is then delivered direct to you.

Prices

AzithromycinQuantityCost
Azithromycin 250mg4 tablets (1 course)£9.90

Dr Fox charges a small prescription fee per order.

Prescription fees

Dr Fox supplies medicine on prescription and charges a small prescription fee based on the order value of each prescription.

Prescriptions are issued by our doctors online and sent electronically to our pharmacy.

If you have your own private or NHS paper prescription please post to our pharmacy (details).

Dr Fox prices are 25%–50% lower than other UK online clinics.

Order valuePrescription fee
up to £10£1.00
up to £20£2.00
up to £40£3.00
over £40£4.00

Delivery charges

UK delivery only: £2.90 per consultation via Royal Mail 24 Signed For (1-3 working days with tracking).

Parcel forwarding services are not permitted. Use only UK home or work delivery address.

Returns and refunds - unwanted items can be returned within 14 working days for a full refund.

  1. Medical questions
  2. Choose treatment
  3. Complete order

Answer medical questions to order(travellers' diarrhoea)

Have you read the medical information?

Read the medical information.

Are you aware self-treatment with antibiotics is ONLY suitable for the following people?

  • Travellers to remote rural areas, who are distant from medical help.
  • Travellers with pre-existing bowel problems such as inflammatory bowel disease where infection may trigger a relapse.
  • Travellers with pre-existing medical conditions which may be worsened by severe infection or dehydration, i.e. poorly controlled diabetes, renal impairment etc.
  • Travellers with a tendency to severe travellers’ diarrhoea (on the basis of previous travel experience).

Are you travelling to Europe, North America, or Australasia?

Are you allergic to Azithromycin or erythromycin?

Have you been diagnosed with liver, kidney or heart disease?

Are you taking any of the following medications regularly?

  • Ciclosporin - for reducing immunity after transplant
  • Digoxin - for irregular heart or heart failure
  • Ergotamine - taken rarely for migraine
  • Terfenadine - antihistamine for hay fever and allergy
  • Theophylline - for asthma used rarely
  • Disopyramide - for irregular heart used rarely
  • Rifabutin - rarely used antibiotic
  • Coumarins - anticoagulant for thinning the blood -includes warfarin
  • Avomine or other antisickness tablets containing promethazine - NOT to be taken at the same time as azithromycin

Are you planning to take azithromycin whilst pregnant or breast-feeding?

Are you aware traveller's diarrhoea should start to improve within 24 hours of starting antibiotic?

Do you have any further medical information or questions?

Is there anything you do not understand or do you need further help?

Do all the following apply to you?

Product reviews

Azithromycin rated 4.7/5 in 67 product reviews

See over 20,000 service reviews of Dr Fox

Azithromycin 250mg

Worked efficiently

17/06/2019 16:48
Anonymous Verified

Azithromycin 250mg

Worked well and ideal as I usually forget to take tablets when I’m on a weeks course

12/06/2019 13:34
Anonymous Verified

Azithromycin 250mg

Effective, does the job

26/05/2019 08:20
Anonymous Verified

Azithromycin 250mg

Excellent at all tines

15/05/2019 14:05
Anonymous Verified

Azithromycin 250mg

Did the job!!

21/03/2019 04:31
Anonymous Verified

Read more reviews

The order process

Answer short medical questionnaire

Choose treatment, register, and pay

Doctor issues prescription online

Medicine posted direct from pharmacy