Azithromycin for urinary tract infection

Urinary tract infections can involve the bladder, urethra or kidneys. Antibiotics work best when they match the bacteria involved and reach the infected part of the urinary system. Azithromycin may be considered in particular circumstances, but taking leftover tablets or using someone else’s prescription can delay effective care. A urine sample may help distinguish infection from irritation, a stone or another cause of urinary symptoms.

Arrange a clinical assessment if you have burning urination, urgency, lower abdominal discomfort or cloudy urine. Take any prescribed antibiotic exactly as directed and do not stop early unless the prescriber tells you to. Drink fluids according to your usual medical advice, especially if you have a fluid restriction. Ask whether a urine test is needed, and mention allergies, pregnancy, kidney problems and all medicines you take.

Seek urgent medical help for fever, chills, vomiting, pain in the side or back, confusion, marked weakness or difficulty passing urine. These symptoms can indicate a kidney infection, obstruction, dehydration or a serious infection needing prompt assessment. If symptoms are worsening or do not improve after starting treatment, contact the prescriber rather than adding another antibiotic.

Ask: Do my symptoms fit a urinary tract infection? Should I provide a urine sample? Why is this antibiotic suitable for me? What should I do if symptoms persist or return?