Azithromycin -though a safe drug, has this unusual presentation in a 30 yr old female having URI, with coated tongue, prominent taste buds, ulcer tongue and swelling lips. Coated due to candida and lip swelling due to allergic reaction. Gastric intolerance, colitis also common and should be avoided in liver demage cases. Azithromycin is overused especially by physicians, general practioneers etc, although it is not the drug of choice in ENT infections where co-amoxiclav or cephalosporins are preferred drug.
Another issue is not often, explained to patient, to take it empty stomach in morning and no beverage or breakfast for 45 minutes; although one can also advise to take tablet with no food/beverage 2 hr before and one hour after, tablet taking. Let us think several times before prescribing to diminish over usage. Dosage also should be 500mg twice daily in adult…
