This medicine contains azithromycin, which is one of a group of antibiotics called macrolides. It is used to treat infections caused by certain bacteria and other micro-organisms which include:

• Chest, throat or nasal infections (such as bronchitis, pneumonia,
• tonsillitis, sore throat (pharyngitis) and sinusitis)
• ear infections
• skin and soft tissue infections (such as an abscess or boil)
• sexually-transmitted diseases caused by organisms called Chlamydia trachomatis or Neisseria gonorrhoea.

You must talk to a doctor if you do not feel better or if you feel worse.

• if you/your child are allergic to Zisrocin or any other macrolide antibiotic such as erythromycin or clarithromycin or any of the ingredients listed in section 6. An allergic reaction may cause skin rash or wheezing
• if you are taking any ergot derivatives such as ergotamine (used to treat migraine) as these medicines should not be taken together with Zisrocin.

Talk to your doctor or pharmacist before taking Zisrocin if you/your child have or have had any of the following:

• kidney problems
• heart conditions
• diabetes
• liver problems: your doctor may need to monitor your liver function or stop the treatment
• and if you are taking any ergot derivatives such as ergotamine (used to treat migraine) as these medicines should not be taken together with Zisrocin.

Tell your doctor immediately if you feel your heart beating in your chest or have an abnormal heartbeat, or get dizzy or faint or suffer from any muscle weakness when taking Zisrocin.

If you develop diarrhoea or loose stools during or after treatment, tell your doctor at once. Do not take any medicine to treat your diarrhoea without first checking with your doctor. If your diarrhoea continues, please inform your doctor.

Other medicines and Zisrocin
Tell your doctor or pharmacist if you/your child are taking, have recently taken or might take any other medicines, including medicines obtained without a prescription.

In particular, Zisrocin may interact with the medicines listed below:

• ergot or ergotamine, see ‘Warnings and precautions’ section
• warfarin or any similar medicine to prevent blood clots
• ciclosporin (used to suppress the immune system to prevent and treat rejection of a transplanted organ or bone marrow)
• antacids (for indigestion)
• digoxin (used to treat heart failure)
• terfenadine (for hay fever or a skin allergy)

Zisrocin with food and drink
Zisrocin Capsules should be taken 2 hours before or after meals
Zisrocin Suspension is taken regardless meal time 

Pregnancy, breast-feeding and fertility
If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine

Driving and using machines
Zisrocin is not expected to affect your ability to drive or use machines.

How to take Zisrocin
Always take or give Zisrocin exactly as your doctor has told you. Check with your doctor or pharmacist if you are not sure.

Children under 45 kg
The usual dose in children is 10 mg for each kg of bodyweight, given as a single daily dose for 3 days

Adults and children over 45 kg
The usual dose in adults and in children over 7 stones (45 kg) is 500 mg taken as a single dose, for 3 days.  

You should tell your doctor if you/your child have kidney or liver problems as your doctor may need to alter the normal dose.

Doctors sometimes prescribe different doses to these. The label on the pack will tell you which dose you/your child should take. If you are still not sure, ask your doctor or pharmacist.

Always continue with the course of treatment even if you/your child feel better. If your
infection gets worse or you do not start to feel better within a few days or a new infection develops, go back and see your doctor.

Warning: if giving this medicine to a child, ensure that while receiving the medicine
he/she is supported in an upright position to avoid the risk of choking.

If you/your child takes more Zisrocin than they should
If you/your child take too much Zisrocin they may feel unwell. Tell your doctor or contact your nearest hospital casualty department immediately. Take any remaining medicine with you.

If you forget to take or give Zisrocin
If you forget to take Zisrocin take it as soon as you can. Take your next dose at the right time. Do not take a double dose to make up for a forgotten dose.

If you stop taking Zisrocin
If you/your child stop taking Zisrocin too soon, the infection may return. Take Zisrocin for the full time of treatment, even when you/your child begin to feel bette 

If you have any further questions about the use of this product, ask your doctor or pharmacist.

Keep this medicine out of the sight and reach of children.

Like all medicines Zisrocin can cause side effects although not everybody gets them.
Tell your doctor immediately if you experience any of the following symptoms after taking this medicine as the symptoms can be severe.

• Sudden wheeziness, difficulty in breathing, swelling of eyelids, face or lips, rash or itching (especially affecting the whole body)
• Severe or prolonged diarrhoea, which may have blood or mucus in it, during or after treatment with Zisrocin as this may be a sign of serious bowel inflammation
• Severe skin rash causing redness and flaking
• Rapid or irregular heartbeat
• Low blood pressure

The most common side effects that occur when taking Zisrocin are listed below. These may go away during treatment as your body adjusts to the medicine. Tell your doctor if any of these side effects continue to bother you:

Uncommon side effects (may affect up to 1 in 100 people):

• Yeast infections of the mouth and vagina (thrush)
• low numbers of leukocytes (type of white blood cells), low number of neutrophils (type of white blood cells)
• Allergic reactions of various severity
• blistering of the skin, mouth, eyes and genitals
• Skin more sensitive to sunlight than normal
• feeling nervous
• reduced sense of touch or sensation (hypoesthesia)
• Sleepiness or sleeplessness (insomnia)
• Poor hearing or ringing in the ears
• Heart palpitations, chest pain
• Constipation, stomach pain associated with diarrhoea and fever
• Inflammation of the liver (hepatitis), changes in liver enzymes
• General loss of strength
• Swelling
• General discomfort
• Abnormal laboratory test values (e.g. blood or liver tests)

Rare side effects (may affect up to 1 in 1,000 people):

• Agitation
• Vertigo
• Changes in liver function