Azithromycin Sandoz Special Precautions

Talk to the doctor or pharmacist before taking Azithromycin Sandoz if the patient has: Liver problems: the doctor may need to monitor the liver function or stop the treatment.
Kidney problems: if the patient has severe kidney problems, the dose may have to be adjusted.
Nervous (neurological) or mental (psychiatric) problems.
Heart problems such as a: weak heart (heart failure), very slow heart rate, irregular heart beat, or a condition called "long QT syndrome" (found by an electrocardiogram) since azithromycin may increase the risk of abnormal heart rhythm.
Low potassium or magnesium levels in the blood.
Myasthenia gravis, a certain type of muscle weakness
If the patient had infections with azithromycin, erythromycin, lincomycin and/or clindamycin resistant pathogens or methicillin resistant staphylococci (possibility of cross-resistance).
Tell the doctor immediately: if the patient develops diarrhoea or loose stools during or after treatment. Do not take any medicine to treat the diarrhoea without first checking with the doctor. If the diarrhoea continues, inform the doctor.
If the patient feels their heart beating in the chest or has an abnormal heartbeat, gets dizzy or faint, or suffers from muscle weakness when taking Azithromycin Sandoz.
If the patient feels they are having an allergic reaction (e.g. difficulty in breathing, dizziness, swelling of the face or throat, rash, wheals, blistering), Stop taking this medicine and seek urgent medical advice.
If the patient develops signs of liver problems (e.g. dark urine, profound loss of appetite or yellowing of the skin or whites of the eyes), Stop taking this medicine and seek urgent medical advice.
If the patient is giving this medicine to an infant (less than 6 weeks of age) and they vomit or become irritable when fed.
If the patient notices that the symptoms aggravate during or shortly after the treatment (possibility of superinfection/resistance).
Azithromycin Sandoz contains lactose: If the patient has been told by the doctor that they have an intolerance to some sugars, contact the doctor before taking this medicinal product.
Azithromycin Sandoz contains sodium: This medicine contains less than 1 mmol sodium (23 mg) per dose, that is to say essentially 'sodium-free'.
Driving and using machines: Azithromycin Sandoz is unlikely to impair the ability to drive and operate machinery.
Visual impairment and blurred vision may have an effect on a patient's ability to drive or operate machinery.
However, if side effects like dizziness, sleepiness or convulsions occur, be careful when driving or operating machinery.