Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 9/18/2025

Azithromycin 1g Single Dose: Indications and Usage

Specific Indications for Azithromycin 1g Single Dose

  • For children who weigh >45kg but are aged <8 years with chlamydial infections, a single 1g oral dose is the recommended regimen, as stated by the Centers for Disease Control and Prevention (CDC) 1, 2
  • For children aged >8 years with chlamydial infections, a single 1g oral dose is recommended as first-line therapy, according to the CDC 1, 2

Limitations and Cautions

  • Azithromycin should be prescribed with caution to patients with impaired hepatic function, as recommended by the CDC 3
  • Patients should be cautioned not to take azithromycin with aluminum- or magnesium-containing antacids simultaneously, as advised by the CDC 3
  • Gastrointestinal side effects may occur, but are generally less common than with erythromycin, as reported by the CDC 3

Other Uses of Azithromycin

  • For pertussis treatment in adults, 500mg on day 1, followed by 250mg per day on days 2-5 is recommended, as suggested by the CDC 3

Special Populations

  • Azithromycin is classified as an FDA Pregnancy Category B drug, according to the CDC 3