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Observations placeholder

Azithromycin and Zithromax



Type of Spiritual Experience


Number of hallucinations: 341


A description of the experience

Azithromycin -  is an azalide, a subclass of macrolide antibiotics. It is one of the world's best-selling antibiotics, marketed under the name Zithromax .  It is also marketed with alternative names in the followng countries

  • Amixef in Peru
  • Azithral and Azee-500 in India
  • APO-Azithromycin and Co Azithromycin in Canada
  • Azi-500 in the Philippines
  • Azitrox in the Czech Republic and Romania
  • Azibact-250, Azithral, Aziva, Maazi and Zithrome in India
  • Hemomicin in Serbia and Ukraine
  • Samitrogen/Azitromicina in Mexico
  • Simpli-3 in Bangladesh
  • Sumamed in Bulgaria, Croatia, the Czech Republic, Hungary, Republic of Macedonia, the Russian Federation, Slovakia and Slovenia
  • Vinzam/Zitromax in Spain
  • Zedd in Australia
  • (Zithromac) in Japan
  • Zithromax in Australia, Belgium, Canada, Egypt, Finland, Greece, Italy, Lebanon, Malaysia, Philippines, Portugal, South Africa, Thailand, the United Kingdom, and the United States

Azithromycin 500 mg is available to buy over the counter as Clamelle in the UK if the customer can provide evidence of a positive chlamydia test.

On Dec, 28, 2016 24,465 people reported to have side effects when taking Zithromax.  Among them, 154 people (0.63%) have Hallucination

On Jan, 19, 2017 24,465 people reported to have side effects when taking Zithromax.  Among them, 38 people (0.16%) have Hallucination, Auditory

On Dec, 26, 2016 17,210 people reported to have side effects when taking Azithromycin.  Among them, 124 people (0.72%) have Hallucination

On Jan, 19, 2017 17,210 people reported to have side effects when taking Azithromycin.  Among them, 25 people (0.15%) have Hallucination, Auditory

Time on Azithromycin when people have Hallucination  :

  < 1 month 1 - 6 months 6 - 12 months 1 - 2 years 2 - 5 years 5 - 10 years 10+ years
Hallucination 71.43% 7.14% 0.00% 0.00% 7.14% 14.29% 0.00%

Gender of people who have Hallucination when taking Azithromycin  :

  Female Male
Hallucination 62.92% 37.08%

Age of people who have Hallucination when taking Azithromycin  :

  0-1 2-9 10-19 20-29 30-39 40-49 50-59 60+
Hallucination 5.33% 10.67% 14.67% 0.00% 17.33% 22.67% 0.00% 29.33%

Severity of Hallucination when taking Azithromycin  :

  least moderate severe most severe
Hallucination 0.00% 0.00% 0.00% 100.00%


Azithromycin is  used to treat certain bacterial infections.  It is used especially for treating bacterial infections carried by insects such as mosquitoes, chiggers, sand flies, lice, mites, ticks, parasites such as fleas and so on.  In other words it is very often used to treat the bacteria we become infected by when we are bitten by these insects or inadvertently ingest parasites in food.  It prevents bacteria from growing by interfering with their protein synthesis.   It binds to the 50S subunit of the bacterial ribosome, and thus inhibits translation of mRNA.  Azithromycin is derived from erythromycin.  It has a similar antimicrobial spectrum as erythromycin, but is used against certain Gram-negative bacteria, in particular, Haemophilus influenzae.   If we take first of all the bacterial but non parasitic diseases.   It is used to treat: 

  • Gastrointestinal infections - such as ‘traveler's diarrhea’ and salmonella
  • Cellulitis  - inflammation of connective tissue with severe inflammation of dermal and subcutaneous layers of the skin. Cellulitis can be caused by normal skin flora or by exogenous bacteria
  • Pneumonia
  • Typhoid and cholera
  • Sexually transmitted infections -  such as non-gonococcal urethritis, chlamydia, syphilis, cervicitis and chancroid.  Chancroid is characterised by painful sores on the genitalia
  • Neisseria meningitidis, often referred to as meningococcus,  -  a bacterium that can cause meningitis and other forms of meningococcal disease such as meningococcemia, a life threatening sepsis. N. meningitidis is a major cause of morbidity and deathy during childhood.  Approximately 2500 to 3500 cases of N. meningitidis infection occur annually in the United States, with a case rate of about 1 in 100,000. Children younger than 5 years are at greatest risk. Rates in sub-Saharan Africa can be as high as 1 in 1000 to 1 in 100
  • Granuloma inguinale - a bacterial disease caused by K. granulomatis characterized by ulcerative genital lesions.
  • Pertussis, also known as whooping cough - a highly contagious bacterial disease caused by Bordetella pertussis. Symptoms develop into severe coughing fits, which produce the namesake high-pitched "whoop" sound in infected babies and children when they inhale air after coughing

It is also used to treat the diseases carried by insects and other parasites 

  • Babesiosis  - a malaria-like parasitic disease caused by infection with Babesia, a genus of protozoal piroplasms
  • Malaria  - Azithromycin is used against malaria when used in combination with artesunate or quinine
  • Bartonella (formerly known as Rochalimaea)  -  a genus of Gram-negative bacteria. Bartonella are transmitted by ticks, fleas, sand flies and mosquitoes. At least eight Bartonella species or subspecies are known to infect humans
  • Leptospirosis  (also known as Weil's syndrome, canicola fever, canefield fever, nanukayami fever, 7-day fever, Rat Catcher's Yellows, Fort Bragg fever, black jaundice and Pretibial fever) is caused by infection with bacteria of the genus Leptospira
  • Lyme disease, is caused by at least three species of bacteria belonging to the genus Borrelia.   Borrelia burgdorferisensu stricto is the main cause of Lyme disease in the United States, whereas Borrelia afzelii and Borrelia garinii cause most European cases. Lyme disease is a tick-borne disease, the cause of the disease remained a mystery until 1981
  • Mycobacterium avium complex (MAC) - a group of genetically related bacteria belonging to the genus Mycobacterium
  • Scrub Typhus   - typhus is any of several similar diseases caused by Rickettsiae - a parasite. Typhus should not be confused with typhoid fever, as the diseases are unrelated.  Scrub typhus on the other hand is a form of typhus caused by Orientia tsutsugamushi.  Although it is similar in presentation to other forms of typhus, it is caused by an agent in a different genus. Scrub typhus is transmitted by mites or "chiggers", particularly Leptotrombidium deliense which are found in areas of heavy scrub vegetation.
  • Toxoplasmosisis a parasitic disease caused by the protozoan Toxoplasma gondii.

But there are some doctors now who are starting to use the antibiotic as a preventative measure.  Most notably it has been used to “prevent bacterial infections in infants and those with weaker immune systems”. Furthermore it appears that is also used inappropriately when the person is not infected by bacteria, but has a virus or a sore throat or a cold.   For example it is used to treat  Nose and throat infections - most often those causing middle ear infections, sinusitis, streptococcal pharyngitis -  strep throat

And here it appears is where the hallucinations are starting to appear.  These are the reactions one would expect when given a toxin………….

Neuropsychiatric manifestations associated with azithromycin in two brothers - Schiff E, May K, Goldstein LH.; Department of Internal Medicine B, B'nai Zion Medical Center, Haifa, Israel.

 BACKGROUND:  Neurologic adverse events reported in premarketing clinical trials of azithromycin have been mild, occurring in less than 1% of the patients, and include dizziness, headache, vertigo, and somnolence. Serious adverse neuropsychiatric effects of azithromycin have never been reported in the pediatric population and only seldom in adults.

 CASE REPORT; We report two brothers aged 6 and 15 years with severe and prolonged complex neuropsychiatric manifestations associated with azithromycin treatment. Both brothers experienced visual and auditory hallucinations, and one brother additionally experienced multiple partial complex seizures, severe headaches, and recurrent cortical blindness. All symptoms commenced within 24 h after the initial dose of azithromycin and resolved slowly, within 2-4 weeks.

DISCUSSION:Possible genetic and environmental explanations are discussed, such as polymorphism in uptake of efflux transporters at different levels, particularly at the blood brain barrier level.


Delirium in the elderly resulting from azithromycin therapy
Acute delirium reported in two elderly people after taking azithromycin took longer to resolve than similar side effects experienced after the use of clarithromycin, reports a case study from researchers in California.
Although studies report that about 1% of people taking azithromycin will experience adverse central nervous system symptoms -- such as vertigo, headache, and anxiety -- no studies have reported more serious complications such as delirium or psychosis.
Lawrence A. Cone, MD, DSc, and colleagues from the Eisenhower Medical Center, in Rancho Mirage, California, report on 2 cases of acute delirium reported in two elderly patients after taking azithromycin. In both cases, delirium started within 72 hours of taking azithromycin and lasted from 48 to 72 hours after stopping treatment.
One patient was a 78-year old man placed on ceftriaxone 1 g IV/day and azithromycin initially 500 mg, followed by 250 mg orally/day after being hospitalised with dyspnoea, low-grade fever and productive cough. The patient started having visual hallucinations after the third day in hospital and azithromycin was withdrawn 24 hours later. His hallucinations resolved over the following 72 hours.
The other patient was an 88-year old woman treated with the same combination of drugs upon entering the hospital with fever, a dry cough, and dyspnea. This patient started having visual hallucinations with paranoia after 4 days of treatment. Discontinuation of azithromycin within 24 hours resolved the hallucinations, but she experienced paranoia and confusion for 2 more days.
Although other neuropsychiatric side effects are associated with agents similar to azithromycin, such as clarithromycin, the longer duration of symptoms in the azithromycin-treated patients that these symptoms take longer to resolve because of the longer half-life of azithromycin, the authors suggest.
In addition, they add, older women may experience more frequent adverse reactions with azithromycin because they have 30% to 50% higher peak plasma levels of the drug compared to younger patients and to older men.

On Jan, 19, 2017 24,465 people reported to have side effects when taking Zithromax.  Among them, 402 people (1.64%) have Death

On Dec, 26, 2016 17,210 people reported to have side effects when taking Azithromycin.  Among them, 383 people (2.23%) have Death

Time on Azithromycin when people have Death  :

  < 1 month 1 - 6 months 6 - 12 months 1 - 2 years 2 - 5 years 5 - 10 years 10+ years
Death 91.67% 8.33% 0.00% 0.00% 0.00% 0.00% 0.00%




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