Z-Pak - An Overview

A Z-Pak, also spelled Z-Pack, is a 5-day course of azithromycin, a macrolide antibiotic used to treat a variety of infections. People who might need a Z-Pak prescription can use Push Health to connect with a medical provider online who can prescribe Z-Pak medication when appropriate to do so.

What Is A Z-Pak Used For?

A Z-Pak contains azithromycin - a macrolide antibiotic like clarithromycin (Biaxin) - and is prescribed for bacterial infections susceptible to azithromycin. The Z-Pak format originated as a branded Pfizer blister pack that made it easy to track doses across a 5-day course. Today, most pharmacies dispense generic Z-Pak prescription packages that are clinically identical to the original branded product. Common conditions for which a Z-Pak may be prescribed include bronchitis, community-acquired pneumonia, ear infections, sinus infections, and certain skin infections. The Z-Pak covers both typical and atypical respiratory bacteria which makes it particularly useful for respiratory infections where atypical organisms may be involved.

A Z-Pak does not treat viral infections. The common cold, COVID-19, influenza, and most cases of cough and sore throat are caused by viruses and this medication will have no effect on them. A licensed provider will only prescribe a Z-Pak when a bacterial infection is suspected or confirmed. For full clinical information on azithromycin - including dosing schedules, mechanism of action, drug interactions, and detailed FAQ - see the azithromycin page.

Z-Pak - Dosage and Cost

The standard Z-Pak contains six azithromycin tablets. Two 250 mg tablets are taken on day 1 (equaling a 500 mg loading dose) and one 250 mg tablet is taken once daily on days 2 through 5. Z-Pak prescription medication is moderately affordable at most pharmacies, typically costing under $20 for a standard 5-day course. A Z-Pak prescription is not available OTC (over the counter) and requires a prescription from a licensed medical provider.

Can I Buy A Z-Pak Online?

Because the Z-Pak blister pack requires a prescription, one cannot simply buy a Z-Pack online. Instead, it is necessary to get a Z-Pak prescription from a doctor or other licensed medical provider so that the Z-Pak can be dispensed by a qualified pharmacy. Push Health can connect people who might need a Z-Pack medication with a medical provider who can prescribe Z-Pak medication when appropriate to do so.

Z-Pak - Side Effects

Side effects of a Z-Pak (azithromycin) prescription medication include nausea, diarrhea, abdominal pain, vomiting, and dizziness. In general, most patients tolerate the medication well. More serious side effects that can occur from Z-Pak use include cardiac arrhythmias - specifically QTc interval prolongation which can increase the risk of heart rhythm abnormalities in patients with a pre-existing condition. Allergic reactions, including rash and hypersensitivity, can also occur. People with a known allergy to azithromycin or other macrolide antibiotics should not take Z-Pak medication. The Z-Pak is not recommended for people with a history of certain types of liver disease. Questions regarding the side effects of taking a Z-Pak prescription medication should be discussed with one's pharmacist and medical provider.

How to Get a Z-Pak Prescription with Push Health

Getting evaluated to get a Z-Pak prescription through Push Health is a straightforward process:

• Complete a brief health intake. Answer a few questions about your symptoms and medical history.
• Connect with a licensed medical provider. A provider will review your information and evaluate whether a Z-Pak prescription is appropriate. Same-day consultations are available.
• Receive your prescription electronically. When appropriate, your provider will send a Z-Pak prescription to the pharmacy of your choice. No office visit required.
• Get your medication. Pick it up at a retail pharmacy or have it delivered. A Z-Pak is available at most pharmacies and typically costs under $20.

No health insurance or subscription is required. Medical providers are available now.

More Z-Pak Information

• Z-Pak Ingredient - FDA