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Gramokil (Azithromycin)

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Gramokil is an antibiotic useful for the treatment of a number of bacterial infections. This includes middle ear infections, strep throat, pneumonia, traveler's diarrhea, and certain other intestinal infections. It may also be used for a number of sexually transmitted infections including chlamydia and gonorrhea infections. Along with other medications, it may also be used for malaria.

Other names for this medication:
Amsati, Azalid, Azibiot, Azicid, Azicin, Azimac, Azimakrol, Azimax, Azimex, Azimit, Azinil, Azithrocine, Azithromax, Azitral, Azitrin, Azitrom, Azitrotek, Azitrox, Aziwok, Azomax, Azomycin, Bactrazol, Binozyt, Disithrom, Gramokil, Hemomycin, Kromicin, Maczith, Magnabiotic, Medimacrol, Momicine, Neozith, Novozitron, Orobiotic, Phagocin, Ribotrex, Rozith, Simpli, Texis, Thiza, Tritab, Ultreon, Zimax, Zithromac, Zymycin

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Also known as: Azithromycin


Gramokil is a semi-synthetic macrolide antibiotic of the azalide class. Like other macrolide antibiotics, Gramokil inhibits bacterial protein synthesis by binding to the 50S ribosomal subunit of the bacterial 70S ribosome. Binding inhibits peptidyl transferase activity and interferes with amino acid translocation during the process of translation. Its effects may be bacteriostatic or bactericidal depending of the organism and the drug concentration. Its long half life, which enables once daily dosing and shorter administration durations, is a property distinct from other macrolides.

Gramokil is the local analog (generic) of more famous drug Gramokil that has the same active substance (ingredient) and in result the same therapeutic effect. The main difference is that Gramokil is registered by a small local pharmaceutical company. The presence of the same active substance guarantees an identical pharmaceutical (therapeutic) effect on the body.

It is possible to buy Gramokil only in the pharmacies of the country where it is produced. With us, you can buy its more famous analog Gramokil, which is approved by the FDA and is sold worldwide. The same active substance guarantees the identity of the drugs and the identity of the pharmaceutical properties (they have only different names and packaging, in which they are sold).


You should take Gramokil orally with a full glass of water 1 hour before or 2 hours after food. Take Gramokil at the same time every day. Gramokil treats different types of bacterial infections and can be used both by adults and by children. For children: The dosage is dependent upon the child's weight. In treatment of otitis media, take Gramokil for 1-5 days. For adults: To treat pneumonia or throat/tonsil infection, the recommended dose is two 250 mg tablets on the first day and then one 250 mg tablet once a day for 4 more days. For the prevention of MAC (mycobacterium avium complex), the recommended dosage of Gramokil is 1,200 mg per week. For the treatment of skin or infections, the recommended dosage is two 250 mg tablets on the first day and one 250 mg tablet for another 4 days.


If you overdose Generic Gramokil and you don't feel good you should visit your doctor or health care provider immediately. Symptoms of Generic Gramokil overdosage: discomfort feeling in stomach, diarrhea, retching, nausea.


Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Do not refrigerate or freeze the extended-release oral liquid. After water has been added to the powder, use the dose within 12 hours and throw away any unused liquid after your dose.

You may store the oral liquid at room temperature or in the refrigerator. Do not freeze the bottle. Do not keep the oral liquid for more than 10 days. Throw away any unused liquid after all doses are completed.

Side effects

The most common side effects associated with Gramokil are:

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Side effect occurrence does not only depend on medication you are taking, but also on your overall health and other factors.


Do not take antacids that contain aluminum or magnesium within 2 hours of taking Gramokil.

Before taking Gramokil, tell your doctor if you are using any of the following drugs: nelfinavir (Viracept); digoxin (Lanoxin, Lanoxicaps); ergot medicine such as methysergide (Sansert), ergotamine (Ergostat, Medihaler, Cafergot, Ercaf, Wigraine), dihydroergotamine mesylate (D.H.E., Migranal Nasal Spray); triazolam (Halcion); carbamazepine (Carbatrol, Tegretol); cyclosporine (Neoral, Sandimmune); phenytoin (Dilantin); cholesterol-lowering medicines such as lovastatin (Mevacor), atorvastatin (Lipitor), or cerivastatin (Baycol); a calcium channel blocker such as diltiazem (Cartia XT, Diltiazem, Tiazac), felodipine (Plendil), nicardipine (Cardene), nifedipine (Procardia, Adalat), nimodipine (Nimotop), verapamil (Calan, Covera-HS); HIV medicines such as indinavir (Crixivan), ritonavir (Norvir), saquinavir (Invirase); alprazolam (Xanax), diazepam (Valium), midazolam (Versed), triazolam (Halcion); theophylline (Theo-Dur, Theolair, Theochron); warfarin (Coumadin); pimozide (Orap); or another antibiotic, especially clarithromycin (Biaxin) or erythromycin (E-Mycin, E.E.S, Ery-Tab).

If you are using any of these drugs, you may not be able to use Gramokil, or you may need dosage adjustments or special tests during treatment.

There are many other medicines that can interact with Gramokil. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors.

Do not start using a new medication without telling your doctor. Keep a list with you of all the medicines you use and show this list to any doctor or other healthcare provider who treats you.

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Staging and neoadjuvant therapy of squamous cell carcinoma of esophagus. Movements of Diplodus sargus (Sparidae) within a Portuguese coastal Marine Protected Area: Are they really protected?. In addition the incorporation of DD in the sequential treatment of CTCL/MF and data suggesting potential combination therapies employing this novel agent will be discussed. Expertise and the perception of kinematic and situational probability information. Chest CT on admission showed three cavitating lesions within preexisting nodules. Translation-independent circadian control of the cell cycle in a unicellular photosynthetic eukaryote. Principal measures: Hearing Handicap Inventory for the Elderly, Hearing Handicap Questionnaire, Speech, Spatial and Qualities of Hearing Scale, word recognition test, and soundfield localization test. Early detection of methicillin resistant staphylococci (MRS) from clinical specimens enables institution of appropriate antimicrobial therapy. To the majority of the population, recurrent episodes of hypoxia are more likely encountered in life than sustained hypoxia.

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Incidence of main clinical manifestations and death rates are reported. Alcoholic liver disease and hepatitis C: a frequently underestimated combination. Necropsy revealed a large mass in the right cerebral hemisphere and caudal brain herniation through the foramen magnum. Isolated lymphadenopathy in Leishmania infantum infection: three case reports. While thymectomy is flagyl dosage 400 mg side effects an accepted treatment for myasthenia gravis (MG), video-assisted thoracoscopic surgery (VATS) thymectomy has recently become a popular surgical treatment, especially for non-thymomatous MG (NTMG). Care of the Family of an Infant With a Congenital Heart Defect During the NICU Hospitalization. An increasing number of lumbar fusions are being performed with minimally invasive exposures, despite a perception that minimally invasive lumbar interbody fusion procedures are unable to affect segmental and regional lordosis. Left ventricular mass also has been significantly greater (p less than 0.04) and the total peripheral resistance significantly lowered (p less than 0.05) in the D group.

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Application of cone-beam computed tomography in the treatment of impacted maxillary teeth. Review article: the modern management of portal vein thrombosis. Patients with LTBI were subjected to standard isoniazid chemoprophylaxis and after 1 month, they resumed anti-TNF-alpha treatment with subsequent QFT and TST testing after 6 months. The overall incidences of all tumors increased in both sexes during the 60-year period. trachomatis attending the gynecology outpatient department of Safdarjung hospital (New Delhi, India) were enrolled.

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