Related Experiment Video
Updated: Jul 12, 2026

Targeting Drugs to Larval Zebrafish Macrophages by Injecting Drug-Loaded Liposomes
Published on: February 18, 2020
Single-dose azithromycin microsphere formulation: a novel delivery system for antibiotics.
1Department of Internal Medicine, University of South Carolina School of Medicine, Columbia, SC 29203, USA. damrol@sc.edu
Azithromycin extended release (Zmax) offers a novel single-dose treatment for pneumonia and sinusitis. Its sustained-release microspheres reduce gastrointestinal side effects, improving tolerability for single-dose azithromycin therapy.
Area of Science:
- Pharmacology
- Drug Delivery Systems
Background:
- Azithromycin is an effective antibiotic for bacterial infections.
- Previous single-dose azithromycin formulations were limited by gastrointestinal side effects.
- Community-acquired pneumonia and acute bacterial sinusitis are common infections.
Purpose of the Study:
- To evaluate the novel single-dose azithromycin extended-release formulation (Zmax).
- To assess the efficacy and tolerability of Zmax for treating community-acquired pneumonia and acute bacterial sinusitis.
Main Methods:
- Development of azithromycin incorporated into sustained-release microspheres.
- Utilizing 200-micrometer pores for slow drug release.
- Administration as a single dose.
Main Results:
- The extended-release formulation directs most of the azithromycin to the lower gastrointestinal tract.
- This sustained release mechanism reduces gastrointestinal side effects.
- Enables administration of a higher azithromycin dose, improving suitability for single-dose therapy.
Conclusions:
- Azithromycin extended release (Zmax) provides an improved option for single-dose antibiotic therapy.
- The formulation overcomes previous limitations of gastrointestinal side effects associated with single-dose azithromycin.
- Zmax is approved for treating community-acquired pneumonia and acute bacterial sinusitis.
Related Concept Videos
Oral Drug Delivery Systems: Introduction
Oral Drug Delivery Systems: Continuous-Release Systems
Bioavailability Enhancement: Drug Stability Enhancement and GI Retention
Intrauterine Drug Delivery Systems
Antibiotic Selection
Oral Drug Delivery Systems: Delayed-Release Systems
