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Zithromax

Azithromycin

A short-course antibiotic for respiratory and other infections.

Macrolide antibiotic ↗ Not in shortage
Generic name
Azithromycin
Brand name
Zithromax
Marketed by
Pfizer
First FDA approval
1 Nov 1991

Where Azithromycin is approved

All regulators →

Of the three regulators tracked here, the first to approve Azithromycin was the US, on 1 Nov 1991. It is approved in 2 of the 3 regulators tracked here.

USUnited States (FDA)
1 Nov 1991
Zithromax
NDA050670 on Drugs@FDA
First original NDA/BLA approval
EUEuropean Union (EMA)
No centralised EU authorisation (it may be authorised nationally)
First centralised authorisation
CACanada (Health Canada)
24 May 1994
Zithromax
Notice of Compliance 5310
First new-drug NOC

From the regulators' own registers: FDA Drugs@FDA, the EMA medicines list and Health Canada's Notice of Compliance database. Dates are the first listed approval of a product containing only this substance; combination products and nationally authorised EU medicines are not counted.

What health systems spend on Azithromycin

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ENNHS England
£4.6m
945,958 items dispensed, Aug 2025 to Jul 2026
-14% on the previous 12 months
Net ingredient cost, community prescriptions
USUS Medicaid
$57.6m
5,378,522 prescriptions in 2025 · Azithromycin, Azithromycin, azithromycin
-18% on 2024
Amount Medicaid reimbursed, before rebates

From NHSBSA Prescription Cost Analysis (Open Government Licence v3.0) and CMS State Drug Utilization Data. Both are gross amounts: neither system publishes its discounts or rebates per drug. Products combining several substances are not counted here.

How Azithromycin works

All drug targets →
  • Bacterial 70S ribosome inhibitor Inhibitor
    ChEMBL only
Diseases it has been tested for in clinical trials, by furthest phase
  • Acute otitis mediaPhase 3
  • COVID-19Phase 3
  • COVID-19–associated multisystem inflammatory syndrome in childrenPhase 3
  • Helicobacter pylori infectious diseasePhase 3
  • Intraventricular hemorrhagePhase 3
  • Mycobacterium avium complex diseasePhase 3
  • Orthocoronavirinae infectious diseasePhase 3
  • Orthomyxoviridae infectious diseasePhase 3
  • Respiratory tract infectionPhase 3
  • Ureaplasma urethritisPhase 3
70 diseases in all

Mechanisms and diseases from ChEMBL via the Open Targets Platform (release 26.09), ChEMBL record CHEMBL529, CC BY-SA 3.0. Targets checked against the IUPHAR/BPS Guide to PHARMACOLOGY (2026.3), ligand 6510, CC BY-SA 4.0. Trial phases are not approvals: approved uses are shown from the regulators' own records where we hold them.

Patient leaflets for Azithromycin

The package leaflet is the official guide for patients that comes with every medicine. These links go to the regulators that publish it.

Leaflets differ between brands and countries; always read the one that comes with your own medicine. This is regulatory information, not medical advice.

Reference identifiers for Azithromycin

ATC codes
S01AA26, J01FA10
ChEMBL
CHEMBL529
DrugBank
DB00207
PubChem CID
447043
CAS number
83905-01-5
FDA UNII
F94OW58Y8V
Wikidata
Q165399
Wikipedia
Azithromycin

Codes that identify this medicine in other databases, from Wikidata (CC0), matched by its ChEMBL ID. The ATC code is the WHO classification of what the medicine is used for.

What Zithromax is used for

ZITHROMAX is a macrolide antibacterial drug indicated for the treatment of the following infections caused by designated susceptible microorganisms: • Community-acquired pneumonia in adults ( 1.1 ) • Pelvic inflammatory disease in adults ( 1.2 ) To reduce the development of drug-resistant bacteria and maintain the effectiveness of ZITHROMAX and other antibacterial drugs, ZITHROMAX should be used only to treat or prevent infections that are proven or strongly suspected to be caused by susceptible bacteria. ( 1.3 ) 1.1 Community-Acquired Pneumonia ZITHROMAX is indicated for the treatment of adult patients with community-acquired pneumonia due to the following susceptible microorganisms: Chlamydophila pneumoniae, Haemophilus influenzae, Legionella pneumophila, Moraxella catarrhalis, Mycoplasma pneumoniae, Staphylococcus aureus, or Streptococcus pneumoniae in patients who require initial in…

How it works

12.1 Mechanism of Action Azithromycin is a macrolide antibacterial drug [see Microbiology (12.4) ]

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How this page is built

The facts on this page are pulled directly from official U.S. FDA datasets — they are not written from memory. Each field below names the dataset it came from, so you can check it yourself.

Plain-English summaries and drug-class explainers are written and reviewed by Sreepriya Prasannan (MSc Digital Transformation of Life Sciences (Innopharma Education / Griffith College); MSc & BSc Botany). Data is retrieved automatically from the sources above and cross-checked with AI-assisted verification (Anthropic's Claude) — brand and generic names are matched against the exact FDA product record so that a combination product or a different formulation cannot be mistaken for the drug on this page. An editor reviews the result before publication. We describe this in full in our editorial standards and corrections policy. The FDA data on this page was last retrieved on 4 Oct 2026. How every register is built: methodology · fixes we have made: corrections log.

Please verify before you rely on this. This page is general information for life-science and pharmaceutical professionals. It is not medical advice, and it has not been reviewed by a clinician — our editorial team holds life-science qualifications, not clinical ones. It is not exhaustive and may not reflect the most recent label change. Always check the official prescribing information (US Prescribing Information or EU SmPC) and speak to your doctor or pharmacist before acting on anything here. Drugs in the same class are not automatically interchangeable, and approvals, brand names and indications differ between the US, the EU/Ireland (EMA/HPRA) and other regions. Spotted an error? Tell us — we correct promptly and log it.