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Azithromycin (zithromax) is in a group of drugs called macrolide antibiotics. Azithromycin (zithromax) fights bacteria in the body. Azithromycin (zithromax) is used to treat many different types of infections caused by bacteria, such as respiratory infections, skin infections, ear infections, and sexually transmitted diseases. Azithromycin (zithromax) may also be used for purposes other than those listed in this medication guide.