Forum Title: Zithromax for NGU - Safe and Effective?


Posted by: HealthSeeker23Posted on March 15, 2023 at 14:57

Hi everyone,

I've been diagnosed with non-gonococcal urethritis (NGU) by my doctor. She prescribed Zithromax (azithromycin), but I'm a bit worried about side effects and if this is the best option for me.

Has anyone here used Zithromax for NGU? How was your experience? Any tips or advice would be greatly appreciated!


Reply by: DoctorDPosted on March 16, 2023 at 9:45

Hello HealthSeeker23,

Thanks for posting and sharing your concerns. Azithromycin (Zithromax) is commonly prescribed for non-gonococcal urethritis because it's effective against the bacteria that often cause NGU.

Here are some key points to consider:

  1. Effectiveness: Zithromax can be highly effective, especially if the condition is caused by chlamydia or mycoplasma.
  2. Dosage and Duration: Typically, a single 1g dose (two 500mg tablets) is given orally. It's important to take the full dosage as prescribed.
  3. Side Effects: Common side effects might include nausea, vomiting, diarrhea, and abdominal pain. However, these are usually mild.
  4. Follow-up Care: Ensure you follow up with your healthcare provider after completing the treatment to confirm that it has worked.

If you have any specific concerns about the medication or its side effects, discuss them directly with your doctor. They can provide personalized advice based on your medical history and condition.

Feel free to ask more questions here if you need additional information!


Reply by: HealthSeeker23Posted on March 17, 2023 at 9:54

Thanks DoctorD for the detailed response! I do have a few follow-up questions:

  • What are some alternatives to Zithromax if it doesn't work or causes severe side effects?
  • Are there any dietary restrictions while taking this medication?

Would really appreciate your insights on these!


Reply by: DoctorDPosted on March 18, 2023 at 10:20

You're welcome, HealthSeeker23. I'm glad the information was helpful.

To address your follow-up questions:

  • Alternatives to Zithromax: If azithromycin isn't effective or causes severe side effects, other antibiotics might be considered based on sensitivity testing and clinical judgment. Common alternatives include doxycycline or levofloxacin.

  • Dietary Restrictions: There aren’t strict dietary restrictions while taking azithromycin; however, it's advisable to avoid grapefruit juice as it can interact with the medication. Also, some people may experience gastrointestinal side effects, so eating smaller, more frequent meals and avoiding spicy or fatty foods might help.

Always communicate openly with your healthcare provider about any symptoms or concerns you have during treatment. They are best equipped to guide you based on your specific situation.

If you need further advice or have more questions, feel free to reach out here!


Reply by: WorryWart78Posted on March 19, 2023 at 14:32

Hi HealthSeeker23 and DoctorD,

I had NGU a couple of months ago and was prescribed Zithromax. It worked well for me without any major side effects. I did experience some mild nausea initially but it passed quickly.

Just wanted to share my positive experience here as encouragement. Hope you find the treatment effective too!


Reply by: HealthSeeker23Posted on March 19, 2023 at 17:45

Thanks so much for your input, WorryWart78! Hearing a personal story definitely helps ease some of my worries.

DoctorD and everyone else, I really appreciate all the information provided. It’s been very helpful in making me feel more comfortable with starting this treatment.

If anyone has additional tips or experiences to share, please do so!


Reply by: DoctorDPosted on March 20, 2023 at 10:48

You're welcome, HealthSeeker23! It's great to hear from WorryWart78 as well. Having a supportive community can make a big difference in how you approach your treatment.

Some final tips:

  • Stay Hydrated: Drink plenty of water during the course of your medication.
  • Rest and Recovery: Give yourself time to recover, especially if you're feeling fatigued due to the illness or side effects from the antibiotic.
  • Avoid Sexual Activity: Until you've completed your treatment and any follow-up tests confirm that the infection is cleared.

Remember, each person’s experience can vary, so it's important to listen to your body and communicate with your healthcare provider if anything feels off.

Good luck, and I hope everything goes smoothly for you!


Feel free to continue the discussion here or reach out if you have more questions in the future!