Prophylactic Azithromycin Dosage

[Dean1065]

Our 8 year old 59 pound daughter was recently put on a daily dose of Azithromycin 200mg. She is on a double dose for the week due to a big strep outbreak at her school. After that she will return to 200mg per day.

 

A different doctor has now told us that that she should not be on that dose every day due to liver and other concerns due to buildup of the drug over time. I was hoping others that have experience with Azithromycin could tell me what they know about proper prophylactic dosages? Many thanks!

[WorriedDADNMOM]

Our Integrative pedi does 10 days during exacerbation then MWF 200ml or mg. We tried for 2 weeks then had severe outbreak of fever and tics. Did another course and are going to do MWF for longer term. This in conjunction with a whole bunch of supplements. Probiotics are key with LT abx.

 

Hope this helps.

[EAMom]

Our 8 year old 59 pound daughter was recently put on a daily dose of Azithromycin 200mg. She is on a double dose for the week due to a big strep outbreak at her school. After that she will return to 200mg per day.

 

A different doctor has now told us that that she should not be on that dose every day due to liver and other concerns due to buildup of the drug over time. I was hoping others that have experience with Azithromycin could tell me what they know about proper prophylactic dosages? Many thanks!

 

Our dd has been on 250mg/day Azith since 2008 (when she weighed 43 pounds-7years old). She's now about 89 pounds (11 years old) and still gets 250mg every day. Periodically we have even upped the dose to 500mg/day (for up to a month at a time). Our Stanford Univ. (LPCH) immunologist felt that dose would be safe for years. We have had her liver values checked periodically--everything has always been completely normal.

[T_Mom]

Our d has been on 250/mg a day for over a year, 75 lbs. no issues thus far.

[Dean1065]

Thank you that is helpful information.