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Is azithromycin affected by milk?

Understanding Azithromycin and Dairy Interactions
Azithromycin, a widely used macrolide antibiotic, is primarily prescribed for treating various bacterial infections, including respiratory infections and certain sexually transmitted diseases. A common question among patients is whether consuming dairy products, such as milk, affects the efficacy of this medication.
The Relationship Between Azithromycin and Dairy
Unlike some antibiotics, particularly tetracyclines, azithromycin is not significantly affected by dairy products. Tetracyclines can form insoluble complexes with calcium found in dairy, which can hinder the absorption of the antibiotic and reduce its effectiveness. However, azithromycin does not share this interaction. According to recent insights, the claim that dairy should be avoided while taking azithromycin is unfounded and not based on scientific evidence.
Key Considerations
While dairy does not interfere with azithromycin, patients should be cautious about other substances. For instance, antacids containing aluminum or magnesium can affect the absorption of azithromycin if taken within two hours before or after the antibiotic. This is crucial for ensuring that the medication works effectively.
Implications for Breastfeeding
For breastfeeding mothers, azithromycin is considered safe, as it passes into breast milk in minimal concentrations. This means that while the drug is present in breast milk, it is unlikely to cause adverse effects in infants . However, monitoring for gastrointestinal disturbances in breastfed infants is advisable, as any medication can potentially influence the infant’s gut flora.
Conclusion
In summary, patients taking azithromycin can safely consume dairy products without concern for reduced effectiveness of the antibiotic. However, attention should be paid to the timing of antacid consumption to avoid any potential interactions. As always, individuals should consult their healthcare provider for personalized advice regarding medication and dietary considerations.

How long after taking antibiotics can I eat dairy?

Dairy products include milk, butter, yogurt, and cheese. After taking an antibiotic you may need to wait for up to three hours before eating or drinking any dairy products. Grapefruit juice and dietary supplements containing minerals like calcium may also lessen the effect of antibiotics.

Which antibiotics should not be taken with milk?

Dairy products such as milk, yogurt, and cheese can interfere with certain medications, including antibiotics such as tetracycline, doxycycline, and ciprofloxacin.

Does milk reduce effectiveness of antibiotics?

It’s recommended that dairy products such as cheese, milk, butter, and yogurt should not be consumed until 3 hours after a dose of antibiotics is taken. Likewise, juices or supplements containing calcium may also reduce effectiveness.

Is it okay to take azithromycin with milk?

Is there any food or drink I need to avoid? You can eat and drink normally while taking azithromycin.

What foods should I avoid when taking azithromycin?

Stick to simple meals and do not eat rich or spicy food while you’re taking this medicine. Drink lots of fluids such as water or squash to avoid dehydration. Signs of dehydration include peeing less than usual or having dark, strong-smelling pee.

What happens if you accidentally take antibiotic with milk?

Neal Patel, RPS spokesperson, said: “Calcium in milk binds with the antibiotic and this change means it cannot get into the bloodstream to fight infection. Even if the milk affects just half of the drug, you’re only getting half the dose, which could mean the infection isn’t killed off by the end of the course.

What makes azithromycin less effective?

Do not take aluminum or magnesium-containing antacids two hours before or two hours after you take azithromycin because antacids can make azithromycin less effective. Discontinue azithromycin immediately and seek urgent medical advice if any sign of an allergic reaction (such as a rash or difficulty breathing) occurs.

What should you not drink with azithromycin?

Combining azithromycin with alcohol may not be advisable when the body is fighting an infection. It could also make side effects worse.

What cannot be mixed with azithromycin?

Cautions with other medicines

  • antacids for indigestion.
  • ergotamine or dihydroergotamine – for migraine.
  • warfarin, to help prevent blood clots.
  • ciclosporin or tacrolimus – medicines to stop your immune system overreacting.
  • colchicine, a medicine used for gout and some other inflammatory conditions.

What stops azithromycin from working?

If you are taking aluminum or magnesium-containing antacids, do not take them at the same time that you take Zithromax®. These medicines may keep azithromycin from working properly.

Natasha Lunn

Tash is an IBCLC and Business Coach helping fellow IBCLCs create fun, profitable businesses that are more than just an expensive hobby. Before becoming an IBCLC and starting her private practice - The Boobala, Tash graduated as an Osteopath in 2008 and has been in Private Practice in South West Sydney. She was also a volunteer Breastfeeding Counsellor and Community Educator with the Australian Breastfeeding Association for 6 years. Through her business, Your Lactation Biz, Tash coaches and creates products to help new and seasoned IBCLCs build businesses that suit their personality and lifestyle.

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