Azithromycin Price in South Africa (2024)

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In recent times, Azithromycin has gained prominence in the medical world, particularly due to its role in combating Covid-19. As a macrolide-type antibiotic, Azithromycin is widely used to manage and treat various bacterial infections. Here, we delve into the current market landscape of Azithromycin in South Africa, its uses, potential side effects, and dosage guidelines.

Prices of Azithromycin in South Africa

Azithromycin is readily accessible in South Africa, with prices varying depending on brand, capsule count, and dosage strength. On average, branded Azithromycin can cost around R150 per sachet, while unbranded versions may be available for approximately R120 per sachet. Additionally, Azithromycin suspension for pediatric use typically ranges from R2500 to R3500, depending on the brand and dosage.

One of the prevalent brands in the South African market is Zithromax by Pfizer. A sachet of branded 250 milligram Azithromycin may be priced around R1200, while the 500 milligram variant is available for approximately R1500.

Azithromycin can be conveniently purchased from pharmacies, drug stores, and online platforms across the country.

Uses of Azithromycin

Azithromycin is effective in treating various bacterial infections, including respiratory, skin, ear, and eye infections. It is crucial to note that Azithromycin, like other antibiotics, is ineffective against viral infections such as the common cold and flu. Therefore, it should only be used when prescribed by a healthcare professional.

Additionally, Azithromycin has been recommended for the management of certain sexually transmitted infections, highlighting its versatility in addressing different bacterial conditions.

How to Use Azithromycin

Before initiating Azithromycin treatment, it is essential to thoroughly read the Patient Information Leaflet or consult with a healthcare provider. Typically, the medication is taken orally, with or without food, as directed by a doctor or pharmacist. In cases of stomach upset, taking Azithromycin with food is advisable.

Dosage instructions are tailored to each patient’s medical condition and response to treatment. It is crucial to adhere to the prescribed dosage and complete the full course of medication, even if symptoms improve before completion. Abruptly discontinuing the medication can contribute to bacterial growth and the resurgence of infection.

To optimize effectiveness, Azithromycin should be taken at evenly spaced intervals. Avoiding concurrent intake of antacids containing aluminum or magnesium is important, as they can reduce Azithromycin absorption. Wait at least 2 to 3 hours before taking antacids after Azithromycin administration.

Possible Side Effects

Common side effects of Azithromycin include stomach upset, loose stools, nausea, vomiting, or abdominal pain, which are typically mild and transient. However, it is essential to notify a healthcare provider if these symptoms persist or worsen.

In rare instances, more severe side effects such as hearing changes, eye problems, muscle weakness, liver issues, or allergic reactions may occur. Prompt medical attention is warranted if experiencing severe symptoms like dizziness, irregular heartbeat, or fainting.

Moreover, Azithromycin may rarely lead to a severe intestinal condition due to resistant bacteria, which can manifest during or after treatment. Patients experiencing persistent diarrhea or abdominal pain should seek medical assistance promptly.


Azithromycin serves as a valuable tool in managing bacterial infections, offering efficacy and convenience. However, its use should be guided by healthcare professionals to ensure proper dosage, administration, and monitoring for potential side effects. By understanding the nuances of Azithromycin therapy, patients can optimize treatment outcomes and maintain overall health.


1.Is Azithromycin effective against viral infections?

No, Azithromycin is an antibiotic designed to combat bacterial infections and is not effective against viral illnesses like the common cold or flu.

2.Can Azithromycin be taken with antacids?

It is advisable to avoid concurrent intake of Azithromycin and antacids containing aluminum or magnesium, as they may interfere with Azithromycin absorption. Allow a gap of 2 to 3 hours between Azithromycin and antacid administration.

3.What should I do if I experience severe side effects while taking Azithromycin?

If you encounter severe symptoms such as dizziness, irregular heartbeat, or persistent diarrhea, seek immediate medical attention and inform your healthcare provider about your concerns.

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