Zpack And Antacids. Taking an antacid that far after the azithromycin. I take ranitidine or omeprazole for reflux. A verified doctor answered. You are just fine.
Azithromycin starts to work quickly often within the first couple of days after you start taking it. It is in fact the minerals in the chewable antacids such as calcium magnesium and aluminum that can bind up the antibiotic and not let it work very well. I take ranitidine or omeprazole for reflux. However do not take antacids that contain aluminum or magnesium within 2 hours before or after you take azithromycin. This includes rolaids maalox mylanta milk of magnesia pepcid complete and others. Send thanks to the doctor.
These antacids can make zithromax less effective when taken at the same time.
How long to wait between meds since zith is not good with antacids. If you take antacids such as mylanta or maalox be sure to take them at least two hours before or at least four hours after you take your dose of azithromycin. Dear z pack the sticker on your antibiotic is referring to chewable antacids such as rolaids or tums. You ll probably feel well enough to resume your normal activities soon after you start the drug. You are just fine. If you take zithromax with an antacid that contains calcium aluminum or magnesium then the zithromax should be taken at least 1 hour before or 2 hours after the antacid.