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Apple Smiles
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prep time:
total time:
makes:

4 or 5 medium red or green apples, cut into wedges

peanut butter

10 oz. bag miniature marshmallows

Spread peanut butter onto one side of each apple wedge.  Using miniature marshmallows, position the “teeth” in place onto one of the apple wedges.  Top with other apple wedge so that the peanut butter acts as a cement for the marshmallow dentures

The generic name: azithromycin
Brand Name: Zithromax, Zmax
DRUG CLASS AND MECHANISM: Azithromycin – a semi-synthetic macrolide antibiotic chemically related to erythromycin and clarithromycin (Biaxin). It is effective against a wide variety of bacteria such as Hemophilus influenzae, Streptococcus pneumoniae, Mycoplasma pneumoniae, Staphylococcus aureus, mycobacterium avium, and many others. Azithromycin, like all macrolide antibiotics, prevents bacteria growing by interfering with their ability to make proteins. Because of differences in the way proteins are made in bacteria and humans, macrolide antibiotics do not interfere with the production of proteins in humans. This is – an unusual antibiotic, in which it remains in the body for a long time (has a long half-life), given once a day dosing and for shorter treatment courses for most infections. The FDA approved azithromycin in November 1991.
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PREPARATION: Tablets: 250, 500, and 600 mg. Suspension: 100 mg / teaspoon, 200 mg / tsp, 167 mg / tsp or 1 g / packet. Powder for injection: 500 mg.
STORAGE: Tablets should be stored at room temperature between (59-86 ° F) 15-30 ° C. Suspension and solution for injection should be stored between (41-86 ° F) 5-30 ° C.
PRESCRIBED FOR: Azithromycin is effective against susceptible bacteria causing otitis media (middle ear infection), tonsillitis, laryngitis, bronchitis, pneumonia, and sinusitis. It is also effective against several sexually transmitted infections such as urethritis negonoreyny and cervicitis.
DOSING: Azithromycin (except Zmax) may be taken with or without food, but food decreases stomach upset. Zmax should be taken on an empty stomach 1 hour before or 2 hours after eating, because food reduces its absorption. The adult azithromycin dose is 500-2000 mg in multiple or single doses. For most infections azithromycin is taken once daily for a relatively short course of treatment (usually five days). The first dose is often – a “double dose,” twice as much as the remainder of these doses. For acute bacterial sinusitis, azithromycin way be taken once daily for three days. Zmax usually given as a single dose of 2 grams.
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DRUG INTERACTIONS: Azithromycin (except Zmax) should not be taken at the same time as aluminum – magnesium and – based series antacids such as Mylanta or Maalox, because antacids will bind azithromycin and prevent it to be absorbed from the intestine.
PREGNANCY: There are no relevant studies azithromycin in pregnant women. Azithromycin should only be used during pregnancy if clearly needed.
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