Can azithromycin be taken during the fourth month of pregnancy?

Azithromycin is commonly available in tablet and capsule formulations. Whether azithromycin can be taken at four months of pregnancy generally depends on the specific medical condition and guidance from a physician. The details are as follows:

At four months of pregnancy, if there is a confirmed bacterial infection and the doctor determines that uncontrolled infection may affect maternal and fetal health, and no safer alternative medications are available, azithromycin may be taken under medical supervision. Azithromycin belongs to a relatively safe category of medications during pregnancy. When used appropriately for a short duration, its impact on the fetus is minimal. The doctor will adjust the dosage based on the severity of the infection to control the infection while minimizing potential risks.

At four months of pregnancy, azithromycin is not recommended if symptoms are mild or caused by non-bacterial conditions, or if there is a history of allergy to azithromycin or abnormal liver or kidney function. Taking the medication in these situations will not improve symptoms and may increase risks such as gastrointestinal discomfort or allergic reactions in the pregnant woman. Unnecessary use could also have unknown effects on fetal development; therefore, physical care or other safer interventions should be prioritized.

Prior to taking azithromycin at four months of pregnancy, a comprehensive evaluation by a qualified healthcare provider is essential—self-medication and purchasing drugs without prescription are strongly discouraged. The medication must be taken strictly according to the prescribed dose and duration; altering the dose or stopping the medication arbitrarily is not advised. If adverse reactions such as rash, worsening nausea and vomiting, or abdominal pain occur after taking the drug, discontinue use immediately and seek medical attention promptly. Additionally, regular prenatal check-ups are necessary to monitor fetal development.