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The Z-pack contains the 6 pills which are taken over a period of usually 5 days (500 mg on day 1 followed by 250 mg daily on day 2-5). 1 Constituting instructions for ZITHROMAX Oral Suspension 300, 600, 900, 1200 mg bottles. 1 Zithromax is usually prescribed to treat bacterial infections, such as pneumonia, bronchitis, and ear infections. Yes No Finish How JustAnswer works. It also has activity against Mycoplasma pneumoniae, Treponema pallidum, Chlamydia species and Mycobacterium avium complex. Then, 250 mg on Day 2 through Day 5. Additionally make certain you inform your do if any of your originally mild side results (such as headache, belly upset, issues with hearing, anxious feeling, sleep loss, lessened feeling of odor, looseness of the bowels, irregularity, lightheadedness, skin rash, vaginal itchiness. 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