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DAR No 7: Azithromycin ophthalmic solution (Azidrop®) for purulent bacterial or trachomal conjunctivitis

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Similar efficacy at a higher cost


  • Azithromycin in topical ophthalmic form is indicated in the treatment of susceptible strains of bacterial conjunctivitis and trachoma related conjunctivitis caused by Chlamydia trachomatis.
  • The majority of purulent bacterial conjunctivitis cure spontaneously, and azithromycin has shown a similar efficacy and safety profile to tobramycin. There are no trials comparing other antibiotics.
  • Although its posology is much more convenient, its cost is considerably higher than the other ophthalmic alternatives available.
  • In the management of trachoma it has not proven superior to the administration of a single dose of oral azithromycin.
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