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    [Posted 08/03/2018]AUDIENCE: Patient, Health Professional, Oncology ISSUE: The antibiotic azithromycin (Zithromax, Zmax) should not be given long-term to prevent a certain inflammatory lung condition in patients with cancers of the blood or lymph nodes who undergo a donor stem cell transplant. Results of a clinical trial found an increased rate of relapse in cancers affecting the blood and lymph nodes, including death, in these patients. We are reviewing additional data and will communicate our conclusions and recommendations when our review is complete. BACKGROUND: The serious lung condition for which long-term azithromycin was being studied called bronchiolitis obliterans syndrome is caused by inflammation and scarring in the airways of the lungs, resulting in severe shortness of breath and dry cough. Cancer patients who undergo stem cell transplants from donors are at risk for bronchiolitis obliterans syndrome. The manufacturer of brand name azithromycin is providing a Dear Healthcare Provider letter on this safety issue to health care professionals who care for patients undergoing donor stem cell transplants. Azithromycin is not approved for preventing bronchiolitis obliterans syndrome. purchase levitra online The most common side effects of Zithromax (Azithromycin) are nausea and headache. However, if you believe you are experiencing dangerous side effects to this medication, you should consult your doctor for an alternative treatment plan. If the medication is stopped abruptly, it may be ineffective for treating your infection. Only about 1 percent of patients stopped taking the medication entirely due to adverse effects. The most common include the following: In many cases, these side effects can be treated, making them manageable throughout the course of the medication. Some individuals may experience an allergic reaction to Zithromax. If you have ever had an allergic reaction to azithromycin, erythromycin, telithromycin, clarithromycin or troleandomycin, you should not take this medication. If you believe you are having an allergic reaction, you should contact your doctor immediately. Side effects that may indicate an allergic reaction include: Rash, hives and itching may not necessarily indicate an allergic reaction as these can be side effects.

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