Azithromycin for Ear Infection

azithromycin for ear infection
Medically reviewed by Dr. Devindra Bhatt

Overview

Ear infections like otitis media can wreak havoc on your day, making even simple tasks feel unbearable, and should be treated with the right antibiotics at the right time. Azithromycin can be one of the safest and most effective options to treat it if prescribed by your healthcare provider. Usually, amoxicillin (penicillin) antibiotics are considered the first-line treatment option (preferred) for ear infections except in cases of allergy or resistance. When first-line antibiotics fail to work for any reason, your healthcare provider will prescribe azithromycin according to the severity of an infection, your age, and weight!

Can azithromycin treat an ear infection?

Azithromycin can effectively treat an ear infection, especially when the patient is allergic to other antibiotics like penicillin. Azithromycin effectively treats ear infections like otitis media if prescribed according to your age and medical condition. 

It has also been proven to have maximum positive effects on treating susceptible bacteria by stopping their growth and multiplication. Some of the infections that can effectively be treated with azithromycin are : 

  • Acute Otitis Media
  • Chronic Suppurative Otitis Media (CSOM)
  • Otitis Externa (Swimmer’s Ear)
  • Bullous Myringitis.

It’s not necessarily important that your healthcare provider prescribe you azithromycin or Zithromax after your diagnosis comes positive for any of the above-mentioned medical conditions because it varies from person to person. Getting an accurate and personalized diagnosis is essential to get the right prescription. 

Untreated Ear infections, like acute ear infections, can lead to temporary hearing loss! Talk to a doctor now to discuss symptoms and get your personalized prescription!

While azithromycin is highly effective for treating ear infections, it’s crucial to remember that it’s a versatile antibiotic commonly used for various conditions, including respiratory infections, skin infections, and STIs like chlamydia and gonorrhea. However, consulting a healthcare professional is essential to ensure it’s the right treatment for your specific condition and to prevent unnecessary antibiotic resistance or side effects.” – says Dr.Richard Honekar

What is the dosage of azithromycin for ear infections?

The correct dosage of antibiotics like azithromycin can only be determined after discussing your symptoms and the severity of your medical infection. Dose, dosage, and frequency change from person to person, considering the age and weight of an individual. 

Usually, for ear infections like otitis media, healthcare providers prescribe: 

A single-dose regimen of Azithromycin for adults: 500 mg on day 1, followed by 250 mg once daily for 4 days. 

For children or paeds suffering from ear infections, the dose of Azithromycin ranges between 10–12 mg/kg on the first day, followed by 5 mg/kg daily for a few more days (regimen determined after the weight calculation)

You should know! 

Azithromycin stays in your body longer than you expect—even after completing the course prescribed by a healthcare provider. It stays in the body and gets released slowly to fight infections. Having said that, getting a personalized dose of azithromycin and consulting a doctor to avoid unwanted side effects is important. Prioritize discussing your symptoms with your doctor for an effective prescription dose!

Choosing the wrong antibiotic could lead to complications like hearing loss or eardrum rupture. Consult a doctor now before it’s too late!

Is azithromycin or amoxicillin better for ear infections?

Amoxicillin belongs to the penicillin class of antibiotics and is considered a first-line antibiotic for ear infections. At the same time, azithromycin is prescribed when the patient is allergic to penicillin or other antibiotics. 

They can not be compared based on efficacy, as they are the most effective options when others fail to work for bacterial infections like ear infections. 

According to recent studies published by the NIH, azithromycin was superior to amoxicillin-clavulanate in terms of efficacy for both age groups, but again, it varies from person to person. 

Is azithromycin FDA-approved for ear infections?

Yes, azithromycin is FDA-approved for treating certain bacterial infections, including ear, skin, and gastric infections. It is also prescribed to patients having STIs like chlamydia and gonorrhea

It is important to consider that azithromycin is a prescribed antibiotic and should not be taken without proper consultation, dose adjustment, and weight measurement. The course of antibiotics should also be completed until prescribed to avoid any antibiotic resistance development. 

When to consult a doctor?

Ear infections, minor or major, will have distinguishing symptoms like inflammation in the area, fever, cold, and pain. These signs indicate bacterial infection and should not be ignored for OTC options or home remedies, as they might lead to temporary hearing loss, eardrum rupture, and other related problems. 

Connecting with an online doctor immediately and getting prescription antibiotics without delay can prevent serious medical conditions.

FAQs about the azithromycin for ear infection

How long does azithromycin take to work for ear infections?

It is highly dependent on person to person. Regardless of age, you will start to notice the improvements in symptoms after 2-3 days. One of the benefits of taking azithromycin is that it shows its effects within 2-3 days, and the prescribed course is shorter than other antibiotics. 

Should you drink a lot of water with azithromycin?

It is recommended to stick to simple meals and stay well-hydrated while taking this medication. Fatty, rich foods should be avoided. Drinking plenty of fluids, especially water, will help prevent dehydration.

How soon after azithromycin can I eat?

When taking azithromycin, consume your regular meals 1 hour before the medication or 2 hours after you have taken the capsule. This will allow the medication to be absorbed quickly into the bloodstream from the gastric cavity. 

Your Doctors Online uses high-quality and trustworthy sources to ensure content accuracy and reliability. We rely on peer-reviewed studies, academic research institutions and medical associations to provide up-to-date and evidence-based information to the users.

Get started today

Talk to online doctors now and get medical advice, online prescriptions, and referrals within minutes. On-demand healthcare services at your fingertips.

talk to online doctor 24/7 free