azithromycin could be helpful in bronchiectasis patients with over 3 exacerbations per year
- related: chronic bronchiectasis
- tags: #permanent
Avoid frequent exacerbations at all cost.
Azithromycin 500 mg 3x/week or 250 mg daily can reduce exacerbations and inflammations (BLESS, BAT, EMBRACE). 1
Check non-TB mycobacterium before starting chronic azithromycin to minimize risk of MAC resistance (use azithromycin with caution in patients with nonTB mycobacterium infections).
- monitor hearing and vestibular toxicity.2