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AZITHROMYCIN VIR 500 mg FILM-COATED TABLETS

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About the medicine

How to use AZITHROMYCIN VIR 500 mg FILM-COATED TABLETS

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This page provides general information and does not replace a doctor’s consultation. Always consult a doctor before taking any medication. Seek urgent medical care if symptoms are severe.

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Introduction

Leaflet: information for the user

Azitromicina Vir 500 mg film-coated tablets EFG

Azithromycin dihydrate

Read the entire leaflet carefully before starting to take this medicine because it contains important information for you.

  • Keep this leaflet, as you may need to read it again.
  • If you have any doubts, consult your doctor or pharmacist.
  • This medicine has been prescribed to you only, and you should not give it to others, even if they have the same symptoms as you, as it may harm them.
  • If you experience side effects, consult your doctor or pharmacist, even if they are not listed in this leaflet. See section 4.

Contents of the leaflet:

  1. What Azitromicina Vir is and what it is used for
  2. What you need to know before taking Azitromicina Vir
  3. How to take Azitromicina Vir
  4. Possible side effects
  5. Storage of Azitromicina Vir
  6. Package contents and additional information.

1. What Azitromicina Vir is and what it is used for

Text about antibiotics and their correct use, dosage instructions, and proper disposal of leftover medicationAzithromycin belongs to a group of antibiotics called macrolide antibiotics. It is a broad-spectrum antibiotic, active against a wide variety of bacteria or "germs" that cause infections

It is used to treat the following infections:

  • of the upper and lower respiratory tract, such as otitis media, sinusitis, pharyngitis, bronchitis, and pneumonia,
  • of the skin and soft tissues,
  • in sexually transmitted diseases.
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2. What you need to know before taking Azitromicina Vir

Do not take Azitromicina Vir:

  • If you are allergic (hypersensitive) to the active substance azithromycin, to erythromycin, to another macrolide or ketolide antibiotic, or to any of the other components of this medicine (listed in section 6).

Warnings and precautions

Consult your doctor or pharmacist before starting to take Azitromicina Vir:

  • If you have a severe liver disease or severe kidney function impairment. In this case, inform your doctor.
  • If during treatment with this medicine your skin and/or the whites of your eyes turn yellow, inform your doctor immediately, as it could be a symptom of severe liver disease (which can be fatal).
  • If during treatment with this medicine or after finishing it, you experience diarrhea, abdominal pain, or fever, inform your doctor, as it is possible that, like with other antibiotics, during treatment with this medicine, a superinfection with resistant germs may occur, including fungi. If this is the case, inform your doctor.
  • If you have a disease called myasthenia gravis or if during treatment with azithromycin, you experience muscle weakness and fatigue, inform your doctor, as this medicine may contribute to worsening the symptoms of this disease or triggering it.
  • If you have heart rhythm disorders (arrhythmias) or if you have factors that predispose you to them (such as certain heart diseases, electrolyte imbalances in the blood, or certain medications), inform your doctor, as this medicine may contribute to worsening these disorders or triggering them.
  • If during treatment with azithromycin, you experience an allergic reaction, characterized by symptoms such as itching, redness, skin rash, swelling, or difficulty breathing. If this happens, inform your doctor immediately.

Children

It should not be administered to children under 6 months.

Other medicines and Azitromicina Vir

Inform your doctor or pharmacist if you are taking, have recently taken, or may need to take any other medicine, including those obtained without a prescription.

Azithromycin may interact with other medicines. Inform your doctor or pharmacist if you are taking any of the following medicines:

  • Ergotamine derivatives (such as ergotamine, used to treat migraines).
  • Cyclosporin (a medicine used in transplant patients).
  • Digoxin (a medicine used to treat heart arrhythmias).
  • Colchicine (used for gout and familial Mediterranean fever)
  • Antacids (medicines used for digestive problems). It is recommended to avoid simultaneous administration of both medicines at the same time of day.
  • Oral anticoagulants (medicines used to prevent blood clots).
  • Nelfinavir, zidovudine (medicines for the treatment of infections caused by the human immunodeficiency virus).
  • Terfenadine (a medicine used to treat allergies).
  • Rifabutin (a medicine for the treatment of pulmonary tuberculosis and non-pulmonary infections caused by mycobacteria).
  • Amiodarone, Propafenone (medicines for the treatment of ventricular and supraventricular tachycardias).

Taking Azitromicina Vir with food and drinks

Azitromicina Vir tablets can be taken with or without food with a glass of water.

Pregnancy and breastfeeding

Consult your doctor or pharmacist before using any medicine.

If you are pregnant or breastfeeding, think you may be pregnant, or plan to become pregnant, consult your doctor or pharmacist before using this medicine.

Azithromycin is not recommended during pregnancy and breastfeeding unless, in the doctor's opinion, the benefit outweighs the risk to the child.

Driving and using machines

There is no evidence that azithromycin affects the ability to drive or operate machinery. However, since drowsiness and dizziness have been reported during treatment with azithromycin, the patient should be cautious when driving or operating machinery until it is established how azithromycin affects them individually.

Azitromicina Vir contains lactose

This medicine contains lactose. If your doctor has told you that you have an intolerance to certain sugars, consult with them before taking this medicine.

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3. How to take Azitromicina Vir

Follow the administration instructions of this medicine exactly as indicated by your doctor. In case of doubt, consult your doctor again.

The dose will be established by the doctor based on individual needs and the type of infection. As a general rule, the dose of medicine and the frequency of administration are as follows:

Adults (including elderly patients): 500 mg (1 tablet) once a day for 3 consecutive days, with a total dose of 1500 mg (3 tablets).

For the treatment of sexually transmitted diseases, the dose is 1000 mg (2 tablets) taken as a single oral dose.

Use in children and adolescents

Children and adolescents: The dose of 500 mg of this presentation is only suitable for children and adolescents over 45 kg in weight, for whom the same dose as for adults is recommended. For those with a lower weight, other presentations are recommended.

If you think the effect of Azitromicina Vir is too strong or too weak, inform your doctor or pharmacist.

Azitromicina Vir is administered orally. The tablets should be swallowed whole with a sufficient amount of liquid - a glass of water.

The score line is only for breaking the tablet if you find it difficult to swallow it whole.

If you take more Azitromicina Vir than you should

If you have taken more azithromycin than you should, consult your doctor, pharmacist, or call the Toxicology Information Service. Phone: 91 562 04 20, indicating the medicine and the amount taken. It is recommended to take the package and the leaflet of the medicine to the healthcare professional.

If you forget to take Azitromicina Vir

In case of forgetting a dose, use the medicine as soon as possible, continuing the treatment as prescribed. Do not take a double dose to make up for forgotten doses.

If you stop treatment with Azitromicina Vir

Do not stop treatment before completing it, as there is a risk of relapse of the disease.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.

The side effects reported during clinical trials and after marketing have been classified by frequency:

The very common side effects (at least 1 in 10 patients) are:

? diarrhea, nausea, abdominal pain, and flatulence

The common side effects (at least 1 in 100 patients) are:

? fatigue

? alteration of eating habits (anorexia)

? dizziness, tingling sensation, alteration of taste, headache

? visual disturbance

? deafness

? vomiting, indigestion

? skin redness or inflammation, itching

? joint pain

? alteration of blood test results (alteration of the number of some types of white blood cells, decrease in bicarbonate)

The uncommon side effects (at least 1 in 1,000 patients) are:

? decrease in the number of some types of white blood cells

? allergic reaction, including an inflammatory process of the deep skin (angioedema)

? nervousness

? abnormal sleep sensation, insomnia, loss of tactile sensation

? stomach inflammation, constipation

? hearing disturbance, tinnitus

? sensitivity to sun exposure (photosensitivity), appearance of reddish rashes, generalized rash with blisters and peeling skin, which occurs especially around the mouth, nose, eyes, and genitals (Stevens-Johnson syndrome)

? palpitations

? Candida infection, vaginal infection

? liver inflammation

? chest pain, generalized swelling, discomfort, fatigue.

? alteration of liver function tests (increase in liver enzymes GOT and GPT and increase in bilirubin in blood), alteration of potassium levels in blood, increase in urea and creatinine in blood.

The rare side effects (at least 1 in 10,000 patients) are:

? vertigo

? agitation

? liver function alteration

? skin rash characterized by the rapid appearance of red skin areas with small blisters (small white/yellowish bumps).

The side effects of unknown frequency (cannot be estimated from the available data) are:

? heart rhythm disorders, torsades de pointes

? decrease in platelet count in blood, anemia.

? convulsions, hyperactivity, loss of consciousness, alteration and/or loss of smell, loss of taste, muscle weakness and fatigue (myasthenia gravis).

? pancreatitis, change in tongue color

? kidney inflammation and acute kidney failure

? severe skin reactions such as erythema multiforme, toxic epidermal necrolysis.

? diarrhea caused by Clostridium difficile

? decrease in blood pressure

? severe allergic reaction (rarely fatal)

? yellowing of the skin, severe liver damage that can occasionally be fatal

? aggressive reactions, anxiety

? prolongation of the QT interval

If you think any of the side effects you are experiencing is serious or if you notice any side effect not mentioned in this leaflet, inform your doctor or pharmacist.

Reporting of side effects

If you experience any type of side effect, consult your doctor or pharmacist, even if it is a possible side effect not listed in this leaflet. You can also report them directly through the Spanish Medicines and Healthcare Products Agency (AEMPS) website: https://www.aemps.gob.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Azitromicina Vir

This medicine does not require special storage conditions.

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

Do not use this medicine after the expiration date stated on the package after CAD. The expiration date is the last day of the month indicated.

Medicines should not be disposed of via wastewater or household waste. Place the packages and medicines you no longer need in the pharmacy's SIGRE collection point. If in doubt, ask your pharmacist how to dispose of packages and medicines you no longer need. This will help protect the environment.

6. Package contents and additional information

Composition of Azitromicina Vir

  • The active substance is azithromycin. Each tablet contains 500 mg of azithromycin (equivalent to 524 mg of azithromycin dihydrate)
  • The other components (excipients) are: pregelatinized corn starch, crospovidone, anhydrous calcium hydrogen sulfate, sodium lauryl sulfate, magnesium stearate, hypromellose, titanium dioxide (E171), lactose, and glycerol triacetate.

Appearance of the product and package contents

Azitromicina Vir is presented in the form of film-coated tablets, white in color, capsule-shaped, scored on one side and smooth on the other, in packages containing 3 and 150 tablets.

The score line is only for breaking the tablet and facilitating swallowing, but not for dividing into equal doses.

Not all package sizes may be marketed.

Marketing authorization holder and manufacturer

INDUSTRIA QUÍMICA Y FARMACÉUTICA VIR, S.A.

C/ Laguna, 6-68-70. Polígono Industrial Urtinsa II.

28923 Alcorcón (Madrid)

Spain.

Date of last revision of this leaflet: May 2019

Detailed and updated information on this medicine is available on the website of the Spanish Agency for Medicines and Healthcare Products (AEMPS) https://www.aemps.gob.es

Online doctors for AZITHROMYCIN VIR 500 mg FILM-COATED TABLETS

Discuss questions about AZITHROMYCIN VIR 500 mg FILM-COATED TABLETS, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

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Doctor

Daniel Cichi

Family medicine 24 years exp.

Dr Daniel Cichi is a family medicine doctor with over 20 years of clinical experience. He provides online consultations for adults, supporting patients with acute symptoms, chronic conditions, and everyday health concerns that require timely medical guidance.

His background includes work in emergency care, ambulance services, and family medicine, which allows him to assess symptoms quickly, identify warning signs, and help patients choose the safest next steps – whether that means home care, treatment adjustment, or in-person evaluation.

Patients commonly consult Dr Daniel Cichi for:

  • acute symptoms: fever, infections, flu-like illness, cough, sore throat, shortness of breath;
  • chest discomfort, palpitations, dizziness, fatigue, and blood pressure concerns;
  • digestive problems: abdominal pain, nausea, diarrhoea, constipation, reflux;
  • muscle, joint, and back pain, minor injuries, post-traumatic symptoms;
  • chronic conditions: hypertension, diabetes, high cholesterol, thyroid disorders;
  • review and interpretation of lab tests, imaging reports, and medical documents;
  • medication review and treatment adjustment;
  • medical advice while travelling or living abroad;
  • second opinions and guidance on whether in-person care is needed.
Dr Cichi’s consultations are structured and practical. He focuses on clear explanations, risk assessment, and actionable recommendations, helping patients understand their symptoms and make informed decisions about their health.
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€55
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Doctor

Hocine Lokchiri

General medicine 21 years exp.

Dr. Hocine Lokchiri is a French consultant with over 20 years of experience in General and Emergency Medicine. He works with adults and children, helping patients with urgent symptoms, infections, sudden health changes and everyday medical concerns that require timely evaluation. His background includes clinical practice in France, Switzerland and the United Arab Emirates, which allows him to navigate different healthcare systems and manage a wide range of conditions with confidence. Patients value his calm, structured approach, clear explanations and evidence-based decision-making.

Online consultations with Dr. Lokchiri are suitable for many situations when someone needs quick medical guidance, reassurance or a clear next step. Common reasons for booking include:

  • fever, chills, fatigue and viral symptoms
  • cough, sore throat, nasal congestion, breathing discomfort
  • bronchitis and mild asthma flare-ups
  • nausea, diarrhoea, abdominal pain, digestive infections
  • rashes, allergic reactions, redness, insect bites
  • muscle or joint pain, mild injuries, sprains
  • headache, dizziness, migraine symptoms
  • stress-related symptoms, sleep disturbances
  • questions about test results and treatment plans
  • management of chronic conditions in stable phases
Many patients reach out when symptoms appear suddenly and cause concern, when a child becomes unwell unexpectedly, when a rash changes or spreads, or when it’s unclear whether an in-person examination is necessary. His emergency medicine background is particularly valuable online, helping patients understand risk levels, identify warning signs and choose safe next steps.

Some situations are not suitable for online care. If a patient has loss of consciousness, severe chest pain, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack, he will advise seeking immediate local emergency services. This improves safety and ensures patients receive the right level of care.

Dr. Lokchiri’s professional training includes:

  • Advanced Trauma Life Support (ATLS)
  • Basic and Advanced Cardiac Life Support (BLS/ACLS)
  • Pediatric Advanced Life Support (PALS)
  • Prehospital Trauma Life Support (PHTLS)
  • eFAST and critical care transthoracic echocardiography
  • aviation medicine
He is an active member of several professional organisations, including the French Society of Emergency Medicine (SFMU), the French Association for Emergency Physicians (AMUF) and the Swiss Society of Emergency and Rescue Medicine (SGNOR). In consultations, he works with clarity and precision, helping patients understand their symptoms, possible risks and the safest treatment options.
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€58
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Doctor

Lina Travkina

Family medicine 13 years exp.

Dr. Lina Travkina is a licensed family and preventive medicine doctor based in Italy. She provides online consultations for adults and children, supporting patients across all stages of care – from acute symptom management to long-term health monitoring and prevention.

Areas of medical care include:

  • Respiratory conditions: colds, flu, acute and chronic bronchitis, mild to moderate pneumonia, bronchial asthma.
  • ENT and eye conditions: sinusitis, tonsillitis, pharyngitis, otitis, infectious and allergic conjunctivitis.
  • Digestive issues: gastritis, acid reflux (GERD), IBS, dyspepsia, bloating, constipation, diarrhoea, functional bowel symptoms, intestinal infections.
  • Urological and infectious diseases: acute and recurrent cystitis, bladder and kidney infections, prevention of recurrent UTIs, asymptomatic bacteriuria.
  • Chronic conditions: hypertension, diabetes, hypercholesterolemia, metabolic syndrome, thyroid disorders, excess weight.
  • Neurological and general symptoms: headache, migraine, dizziness, fatigue, sleep disturbances, reduced concentration, anxiety, asthenia.
  • Chronic pain support: back, neck, joint, and muscle pain, tension syndromes, pain associated with osteochondrosis and chronic conditions.

Additional care areas:

  • Preventive consultations and check-up planning.
  • Medical advice and follow-up consultations.
  • Test interpretation and diagnostic guidance.
  • Structured support for undiagnosed complaints.
  • Second opinion on diagnoses and treatment plans.
  • Nutritional and lifestyle support for vitamin deficiencies, anaemia, metabolic issues.
  • Post-operative recovery support and pain management.
  • Preconception counselling and postpartum support.
  • Immunity support and strategies to reduce frequency of infections.

Dr. Travkina combines evidence-based medicine with an attentive, personalised approach. Her consultations focus not only on treatment, but also on prevention, recovery, and long-term wellbeing.

If during the consultation it becomes clear that your case requires in-person assessment or specialised care outside of her scope, the session will be terminated and the payment fully refunded.

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€70
5.0 (760)
Doctor

Alina Tsurkan

Family medicine 13 years exp.

Dr. Alina Tsurkan is a licensed family medicine physician based in Portugal, offering online consultations for adults and children. She provides professional primary care, with a focus on prevention, accurate diagnosis, and long-term management of acute and chronic conditions.

Dr. Tsurkan supports patients with a wide range of health issues, including:

  • Respiratory infections: cold, flu, bronchitis, pneumonia, and lingering coughs.
  • ENT conditions: sinusitis, tonsillitis, otitis (ear infections), sore throat, allergic rhinitis.
  • Eye conditions: allergic or infectious conjunctivitis, red eyes, irritation.
  • Digestive issues: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), constipation, bloating, nausea.
  • Urinary and reproductive health: urinary tract infections (UTIs), cystitis, prevention of recurrent infections.
  • Chronic diseases: hypertension, elevated cholesterol, weight management.
  • Neurological complaints: headaches, migraines, sleep disturbances, fatigue, general weakness.
  • Children’s health: fever, infections, digestive issues, follow-ups, vaccination guidance.

She also provides:

  • IMT medical certificates for driving licence exchange in Portugal.
  • Personalised preventive care and wellness consultations.
  • Interpretation of test results and medical reports.
  • Follow-up care and medication review.
  • Support in managing multiple coexisting conditions.
  • Remote prescription management and medical documentation.

Dr. Tsurkan’s approach is evidence-based and holistic. She works closely with each patient to develop an individualised care plan that addresses both symptoms and root causes. Her goal is to empower patients to take control of their health and maintain well-being through lifestyle adjustments, routine check-ups, and early intervention.

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€55

Frequently Asked Questions

Is a prescription required for AZITHROMYCIN VIR 500 mg FILM-COATED TABLETS?
AZITHROMYCIN VIR 500 mg FILM-COATED TABLETS requires a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.
What is the active substance in AZITHROMYCIN VIR 500 mg FILM-COATED TABLETS?
The active ingredient in AZITHROMYCIN VIR 500 mg FILM-COATED TABLETS is azithromycin. This information helps identify medicines with the same composition but different brand names.
Who manufactures AZITHROMYCIN VIR 500 mg FILM-COATED TABLETS?
AZITHROMYCIN VIR 500 mg FILM-COATED TABLETS is manufactured by Industria Quimica Y Farmaceutica Vir S.A.. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of AZITHROMYCIN VIR 500 mg FILM-COATED TABLETS online?
Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether AZITHROMYCIN VIR 500 mg FILM-COATED TABLETS is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.
What are the alternatives to AZITHROMYCIN VIR 500 mg FILM-COATED TABLETS?
Other medicines with the same active substance (azithromycin) include ARATRO 200 mg/5 ml POWDER FOR ORAL SUSPENSION IN A BOTTLE, ARATRO 500 mg FILM-COATED TABLETS, ARATRO 500 mg ORAL SUSPENSION POWDER IN SACHET. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.
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