Zithromax is a semi-synthetic macrolide antibiotic chemically related to erythromycin which is active against majority of species of gram positive and gram negative microorganisms such as genus Staphylococcus; S. As a Macrolide antibiotic Zithromax inhibits bacterial protein synthesis and prevents bacteria from growth and propagation. In vitro it showed activity against Legionella pneumophila, Mycoplasma pneumoiae hominis, Helicobacter pylori, Toxoplasma gondii, Ureaplasma urealiticum. agalactiae, Haemophilus influenzae and parainfluenzae, Moraxela catarrhalis, Bacteroides fragilis, Escherichia coli, Bordetella ssp., Borrelia burgdorferi, Haemophilus ducreui, Nisseria gonorrhoeae Ø Chlamidia trachomati. It is used to treat infections of upper and low respiratory organs (tonsillitis, otitis, sinusitis, pneumonia), urogenital infections (urethritis, prostatitis, cervicitis, adnexitis caused by chlamydia, gonorrhea, early syphilis), intestinal infections, ulcer of stomach and duodenum. 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