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Get an instant online Azithromycin (Z-Pack) prescription for bacterial infections

Struggling to find quick treatment for strep throat, STIs, or your skin infection? We understand your worry and urgency. When you’re sick, waiting days for an appointment or sitting in a clinic can feel overwhelming. Our doctors are available around the clock to assess your symptoms, answer your questions, and prescribe Azithromycin online if it’s the right treatment. 

  • Prescribed for 3-10 days, depending on infection type
  • Take the medicine by mouth 
  • Get your online Z-pack prescription sent to your local pharmacy the same day

How to get an Azithromycin prescription online?

Azithromycin is a prescription-only antibiotic, so you'll need to consult a doctor to obtain it. However, our telemedicine delivery service allows you to get a prescription within 5 minutes without booking an appointment.

1

Start a consultation

Simply open our app or website and start a chat to get connected with a licensed online doctor.

  • Cold & Flu
  • Sexual Health
  • Anemia
  • UTI
  • Skin
  • Covid

2

Medical evaluation

The doctor will carefully evaluate your situation. They may ask about your symptoms, how long you’ve had them, and any other health conditions or medications you’re taking.

Hi I’m Dr. Nicole. How may I help you?

Hi Dr. Nicole, I have a fever and a terrible sore throat. Can I get antibiotics for that, please?

3

Prescription sent to pharmacy

If the doctor finds that Azithromycin is warranted, they will write an electronic prescription and send it directly to your preferred local pharmacy within minutes.

Prescription

  • Azithromycin 250mg

  • Two tablets on day 1 and then one tablet for the next 4 days

Send Prescription

What is Z-Pack (Azithromycin)?

Azithromycin, sold under the Z-Pack and Zithromax brand names, is a prescription antibiotic used to treat multiple bacterial infections. It blocks the bacteria’s ability to produce essential proteins, preventing them from growing and multiplying, which helps alleviate symptoms of: 

  • Sexually transmitted diseases (e.g., chlamydia)
  • Penumonia
  • Sinus infection
  • Ear infections
  • Strep throat and tonsils
  • Skin infections 

Dosages and Strengths of Azithromycin

Azithromycin comes as tablets, oral liquid suspension, and IV injections. Here are the common dosages of each form:

  • Azithromycin tablet dosage: 250 mg and 500 mg
  • Oral suspension: 100mg/5mL and 200mg/5mL.
  • Injection: 500mg/vial

This medication is mainly prescribed orally at the starting dose of 250mg, depending on the severity of the medical condition.

 

Side Effects of Azithromycin

The most common side effects of Azithromycin are gastrointestinal and may include:

These side effects do subside within 4-5 days. In rare cases, Z-pack can affect the heart’s electrical rhythm, cause dark urine, injure the liver, and lead to severe skin rashes. Let your virtual doctor know if you experience severe side effects during your treatment. 

Contraindications and Precautions

  • Share your medication history with your healthcare provider to avoid allergic reactions. 
  • Don’t take it if you are allergic to other macrolide antibiotics, Erythromycin, or Ketolides.
  • This medication is safe to use during pregnancy. 
  • You can take the suspension with or without food.
  • If the oral dosage form is recommended, take it 1 hour before food to get excellent absorption.
  • In case of any liver problems, discuss it with your doctor before getting the prescription. 

FAQs about treating infections with Azithromycin

Can I get an Azithromycin (Z-Pack) prescription over the counter?

No, you cannot legally obtain Azithromycin over the counter. Obtaining Azithromycin without a doctor’s consultation can be dangerous and lead to side effects and antibiotic resistance. It’s important to contact a certified doctor online to get your prescription according to your symptoms.

How can I refill my Z-Pack (Azithromycin) online?

You can get a refill for Z-pack by talking to a virtual physician through Your Doctors Online. Here is how it will happen:

  • Register on our app
  • Speak to a certified Canadian physician.
  • Tell the physician about your symptoms. 
  • The licensed doctor will review your information. 
  • Once approved, we’ll send your e-prescription directly to the pharmacy of your choice.
  • You can pick up your Z-Pack the same day. 

Can I take Azithromycin if I’m pregnant or breastfeeding?

Yes, Azithromycin is considered one of the safer antibiotics during pregnancy. Doctors commonly prescribe it for certain infections in pregnant patients. Azithromycin also passes into breast milk only in low levels, so it’s unlikely to cause problems in a breastfeeding infant. However, you should always use any medication in pregnancy or while nursing under the guidance of your doctor, to ensure it’s truly needed.

Does Z-Pack treat viral infections (like colds or COVID-19)?

No, Azithromycin is effective only against bacterial infections. It will not cure or improve viral illnesses such as the common cold or flu. That is one reason Z-Pack for COID19 has not benefits in alleviating coughs, chest pain other related symptoms. Using antibiotics when you have a virus can do more harm than good and may contribute to antibiotic resistance. 

How quickly does Azithromycin work?

Azithromycin starts preventing bacterial growth soon after you take the first dose, but you might not feel the effects immediately. For many infections, you should begin to feel better within the first 2–3 days of starting Azithromycin. Completing the course is crucial even if you’re feeling better. If you’ve finished your prescribed course and you’re still not feeling improvement, let your doctor know.

Should I stop taking Azithromycin once I feel better?

No, you should always finish the full prescribed course of Azithromycin unless your doctor tells you otherwise. Even if your symptoms improve after a couple of days, continue taking all doses for the recommended duration. Stopping an antibiotic early can lead to the infection not being fully treated, allowing the remaining bacteria to develop resistance to the antibiotic. 

Will 500mg of Azithromycin cure chlamydia?

A single dose of 1 g of Azithromycin for Chlamydia is usually sufficient to alleviate vaginal itching, burning, and other symptoms. This can be taken as four 250 mg tablets or two 500 mg tablets.

What can I take instead of Z-Pack?

If you are not able to find Z-pack in your local pharmacy, you can take other brands of Azithromycin, depending on where you are located, such as:

  • Zithromax®
  • Apo-Azithromycin® 
  • Teva-Azithromycin®
  • Zithromax®
  • Zmax

What are some alternatives to Azithromycin?

If you can’t take Azithromycin, your doctor may prescribe other antibiotics online, such as:

  • Doxycycline (Vibramycin®, Doryx®) – a tetracycline often used for skin, respiratory, or tick-borne infections
  • Amoxicillin (Augmentin®) – a penicillin-based combo for broader bacterial coverage
  • Cephalexin (Keflex®) – a first-generation cephalosporin for throat, skin, and urinary infections
  • Levofloxacin (Levaquin®) – a fluoroquinolone reserved for certain resistant infections 

Always consult your physician to determine the best alternative based on your allergy profile and the specific infection.

How fast will my online prescription for Azithromycin be ready?

It depends on the telemedicine service you are using. With Your Doctors Online, you can get your diagnosis and prescription in as little as 5 minutes. 

Is it safe to drink alcohol while taking Azithromycin?

Yes, you can drink alcohol while taking Azithromycin (Z-Pak), as there are no direct interactions between the two. However, consuming alcohol may exacerbate side effects such as nausea, dizziness, and stomach upset, and can impair your immune system, potentially hindering your recovery. It’s advisable to wait at least 48-72 hours after completing your treatment before consuming alcohol.

When is Azithromycin not the first choice of treatment?

Azithromycin is a widely used antibiotic, but recent guidelines from the CDC and other health authorities have identified the following situations where it should not be the first-line treatment:

In these cases, alternative antibiotics are recommended based on current clinical guidelines. Our doctors will not prescribe Azithromycin for online strep throat treatment as a first choice. 

Can I get Azithromycin online for Chlamydia treatment?

Yes, Azithromycin can be obtained online for chlamydia treatment through licensed telehealth services. However, it’s important to note that current guidelines recommend doxycycline as the first-line treatment for chlamydia due to its higher efficacy, especially for rectal infections. Azithromycin may be prescribed as an alternative for individuals who cannot take doxycycline, such as pregnant women or those with specific allergies.

Yes, obtaining Azithromycin online is legal when prescribed through a licensed healthcare provider via a legitimate telemedicine platform. Under the Ryan Haight Act and CPSO regulations, non-controlled substances like Azithromycin can be prescribed through telehealth without an initial in-person visit.

Do you accept insurance?

No, we do not accept insurance. But we understand how important affordable care is. Our private teleclinic is here to support you and your family with fast, compassionate service. Simply register in our app, and you’ll have instant access to consultations, treatment plans, and medical advice at any hour. Choose from our flexible subscription and family-sharing options to keep everyone you love healthy, without the hassle of insurance claims.

Is Azithromycin safe for strep throat if I’m allergic to penicillin?

Yes, Azithromycin is a safe alternative for treating strep throat if you’re allergic to penicillin. As a macrolide antibiotic, it works differently from penicillins yet still targets the same bacteria, helping clear your infection without risking an allergic reaction.

Can Azithromycin be used to treat ear infections?

Although not a first-line treatment, Azithromycin can treat certain ear infections, such as acute otitis media (AOM), a middle ear disease. Similarly, you can be prescribed Doxycycline for ear infections, but it’s important to consult a healthcare provider to determine the most appropriate treatment based on the specific type and severity.

What time of day should Z-Pack (Azithromycin) be taken?

It is advisable to take Azithromycin at the same time each day. Usually, the morning time is recommended, as some patients have reported trouble sleeping after taking the pills. The pills should be taken at least 1 hour before food or 2 hours after eating.

What bacteria does Azithromycin not treat?

While it is effective against many gram-positive bacteria causing sinus infection, strep throat, impetigo, and cellulitis, Azithromycin is ineffective against infections caused by gram-negative bacteria and resistant strains. This may include: 

  • Hospital-acquired pneumonia and urinary tract infections caused by Pseudomonas aeruginosa
  • Non-gonococcal urethritis caused by Mycoplasma genitalium: Associated with non-gonococcal urethritis

Which medication should be avoided with Z Pack (Azithromycin)?

Certain medications can interact negatively with Azithromycin and may reduce its absorption, increase the risk of heart problems, and bleeding. These include:

  • Antacids containing aluminum or magnesium
  • Drugs that prolong the QT interval
  • Warfarin

Always inform your healthcare provider about all medications and supplements you’re taking to avoid potential interactions.

Azithromycin vs Amoxicillin, which is better?

Azithromycin and Amoxicillin are effective antibiotics, but Azithromycin offers broader coverage and a shorter treatment course (5 days vs. 7–10 days). Amoxicillin is the preferred option for strep throat and other common infections. Azithromycin is a safe alternative for penicillin-allergic patients, though rising resistance has shifted first-line treatment back toward Amoxicillin. In a nutshell, it depends on your conditions and body composition to determine which antibiotic prescription is better for you. 

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