Azithromycin, known commercially as Zithromax or Azasite, is an antibiotic used to treat various bacterial infections. These include ear infections, strep throat, pneumonia, traveler's diarrhea, and specific intestinal infections. It can also be used in conjunction with other medications to treat malaria. Azithromycin can be taken orally, intravenously, or as eye drops.
A team of researchers at the pharmaceutical company Pliva, based in Zagreb, Croatia, discovered the antibiotic azithromycin in 1980.
Pliva secured a patent for azithromycin in 1981, protecting its intellectual property rights.
In 1986, Pliva entered into a licensing agreement with Pfizer, granting Pfizer exclusive rights to sell azithromycin in Western Europe and the United States.
In 1988, Azithromycin received approval for medical use, marking a significant step towards its availability to patients.
Pfizer introduced azithromycin to the market under the brand name Zithromax in 1991, utilizing the license obtained from Pliva.
The patent protection for azithromycin expired in 2005, paving the way for generic versions of the drug to enter the market.
Azithromycin became the most frequently prescribed antibiotic for outpatients in the US in 2010, indicating its popularity among healthcare providers.
A 2012 study revealed that azithromycin might increase the risk of death, particularly among individuals with heart conditions, compared to those using other antibiotics or no antibiotics at all.
In 2013, the US Food and Drug Administration (FDA) issued a warning about azithromycin's potential to cause abnormal changes in the heart's electrical activity, which could lead to a life-threatening irregular heart rhythm.
In 2017, azithromycin secured its position as the second most prescribed antibiotic for outpatients in the United States.
Azithromycin was the 97th most commonly prescribed medication in the United States in 2021, highlighting its widespread use.
Azithromycin remained a highly prescribed antibiotic, ranking as the second most prescribed for outpatients in the United States in 2022.
As of 2024, research is still underway to fully understand the specific ways in which azithromycin interacts with a patient's microbiome, particularly how alterations in microbial composition influence the drug's effectiveness and patient outcomes.