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Azithromycin may enhance the anti-blood-clotting effects of warfarin and possibly other anticoagulant medicines. Broad-spectrum antibiotics as Zithromax can sometimes cause inflammation of the bowel. Zithromax is used to treat infections of the middle ear, tonsillitis, and strep throat in children. Due to the differences in the way proteins are made in bacteria and humans, the macrolide antibiotics do not influence the production of proteins in humans. If you think you have developed any other infections while you are taking this medicine, so that they can be treated appropriately. Azithromycin is indicated for infections caused by chlamydia. Azithromycin works against several different bacteria, especially chlamydia and streptococcus. Zithromax is used to treat bacterial infections.