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    [Posted 08/03/2018]AUDIENCE: Patient, Health Professional, Oncology ISSUE: The antibiotic azithromycin (Zithromax, Zmax) should not be given long-term to prevent a certain inflammatory lung condition in patients with cancers of the blood or lymph nodes who undergo a donor stem cell transplant. Results of a clinical trial found an increased rate of relapse in cancers affecting the blood and lymph nodes, including death, in these patients. We are reviewing additional data and will communicate our conclusions and recommendations when our review is complete. BACKGROUND: The serious lung condition for which long-term azithromycin was being studied called bronchiolitis obliterans syndrome is caused by inflammation and scarring in the airways of the lungs, resulting in severe shortness of breath and dry cough. Cancer patients who undergo stem cell transplants from donors are at risk for bronchiolitis obliterans syndrome. The manufacturer of brand name azithromycin is providing a Dear Healthcare Provider letter on this safety issue to health care professionals who care for patients undergoing donor stem cell transplants. Azithromycin is not approved for preventing bronchiolitis obliterans syndrome. You can request chlamydia treatment online from our online doctor. If you have been diagnosed with chlamydia already by a doctor or clinic, just fill in our online assessment, and we can assess your suitability for treatment with an antibiotic. If approved, the doctor will pass a prescription to our pharmacy team, who will fill the prescription and dispatch your medicine to your delivery address. All medicines sourced by the pharmacy are from Australian wholesalers, who are fully licensed in Australia, so you can be confident that you are receiving genuine medication. If you have not yet been diagnosed, you can order a free chlamydia test kit in some states, which you can use to test for the STI. If you have tested positive, just come back to us, and fill in the assessment, so the doctor can prescribe antibiotics where appropriate. It is currently the most common STI in Australia, and is caused by chlamydia trachomatis (the bacterial name). Chlamydia is sometimes a symptomless STI, and so people can have the chlamydia infection and not know it.

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