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Medications

What Is Sildenafil? Uses, Side Effects, Dosage & FAQs

by Mariah Powers February 5, 2026

written by Mariah Powers

The Wellness Collective

What to Know About Sildenafil

Mariah Powers
February 5, 2026

Reviewed by Ashley Robinson, PharmD, Pharmacy Manager for TelyRx

Sildenafil is one of the most widely recognized prescription medications in the world, best known by its brand name, Viagra. It is FDA-approved to treat erectile dysfunction (ED) in men.

Sildenafil is famous for being the first oral pill approved for ED. It is a “demand” medication, meaning you take it shortly before you plan to have sex, rather than every day. While typically prescribed as 25 mg, 50 mg, or 100 mg tablets for ED, it is also sold under the brand name Revatio (in 20 mg tablets) to treat pulmonary arterial hypertension (high blood pressure in the lungs).

How Does Sildenafil Work?

Sildenafil is a phosphodiesterase type 5 (PDE-5) inhibitor.

During sexual arousal, your body releases nitric oxide, which triggers a chemical chain reaction to relax the smooth muscles in the penis and fill it with blood. Sildenafil protects the chemical responsible for this relaxation (cGMP) from being broken down by the enzyme PDE-5. This allows the blood vessels to stay open longer and wider, helping you get and keep an erection.

Note: It does not create an erection on its own; sexual stimulation is still required.

Drug Facts

Common Brands	Viagra, Revatio
Drug Class	Phosphodiesterase-5 (PDE-5) inhibitor
Generic Status	Generic version of Viagra
Availability	Prescription Only

Dosing

Note: Dosing information below is educational only. Your prescribing physician will determine your specific dose based on your individual health needs.

Sildenafil is taken “as needed.” It is not a once-daily pill. The typical starting dose is 50 mg. It is best taken approximately 1 hour before sexual activity. However, it can be taken anywhere from 30 minutes to 4 hours before.

Based on effectiveness and side effects, your doctor may increase the dose to a maximum of 100 mg. A lower starting dose of 25 mg is often recommended for men aged 65 and older, or those with kidney or liver impairment, to reduce the risk of side effects.

Do not take sildenafil more than once per 24 hours.

Always follow your healthcare provider’s instructions for exact dosing.

FDA-Approved Uses

Erectile Dysfunction (ED) – To treat the inability to get or keep an erection sufficient for sexual performance.
Pulmonary Arterial Hypertension (PAH) – Sold under the brand Revatio (usually 20 mg), it is used to relax blood vessels in the lungs to lower blood pressure and improve exercise capacity.

Common Off-Label Uses

You may see sildenafil prescribed for uses that are not “FDA-approved.” This is a very common and legal practice called “off-label” prescribing, where a doctor uses their clinical judgment to prescribe a drug for a different (but well-researched) purpose.

While primarily used for ED and PAH, healthcare providers sometimes prescribe sildenafil off-label for other conditions involving blood flow:

Raynaud’s Phenomenon – To help improve severe circulation issues in the fingers and toes caused by cold or stress.
High-Altitude Pulmonary Edema (HAPE) – It is sometimes used by mountain climbers to prevent or treat fluid buildup in the lungs at high altitudes.

Side Effects

Most side effects are mild to moderate and tend to fade as the drug leaves your system (usually within 4-6 hours).

Common Side Effects

Headache
Flushing (warmth or redness in the face/neck)
Indigestion or upset stomach
Nasal congestion (stuffy nose)
Vision changes, such as seeing a blue tinge to objects, difficulty telling blue from green, or sensitivity to light.
Dizziness

Serious Side Effects

Serious side effects are rare, but it’s important to know what to look for if they do occur. Stop taking sildenafil and seek emergency medical help if you experience:

Priapism – An erection that is painful or lasts longer than 4 hours. This is a medical emergency that can cause permanent damage to the penis if not treated immediately.
Sudden Vision Loss – Sudden loss of vision in one or both eyes (NAION).
Sudden Hearing Loss – Sudden decrease or loss of hearing, often accompanied by ringing in the ears.
Severe Low Blood Pressure – Dizziness, fainting, or lightheadedness.
Cardiovascular Symptoms – Chest pain, pressure, or severe shortness of breath during sexual activity.
Allergic Reaction – Hives, difficulty breathing, or swelling of the face/throat.

Call your doctor immediately if you experience any concerning or prolonged symptoms.

Starting at $24.99 per bottle

Sildenafil

Sildenafil is a medication used to treat erectile dysfunction. Dosing depends on age, tolerance, and response to the medication.

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Pharmacist Tips

Watch Your Meal – While you can take sildenafil with food, a high-fat meal (like a cheeseburger or steak) will delay the drug’s absorption. It may take longer to work or be less effective. For the fastest results, take it on an empty stomach.
Do NOT Mix with Nitrates – NEVER combine sildenafil with nitrates (nitroglycerin, isosorbide) or recreational “poppers” (amyl nitrite). This can cause a dangerous, potentially fatal drop in blood pressure.
Stimulation is Needed – The pill does not work like a switch. You still need sexual stimulation and arousal for the medication to work.
Alcohol Caution – Heavy drinking can worsen side effects like dizziness and low blood pressure. Ironically, excessive alcohol also makes it harder to get an erection, counteracting the medication.
Be Patient – It may take a few attempts to find the right timing and dose. Don’t give up if it doesn’t work perfectly the very first time.

Drug Interactions

Sildenafil interacts with several common medications.

DO NOT TAKE SILDENAFIL if you take:

Nitrates (nitroglycerin, isosorbide mononitrate/dinitrate).
Guanylate Cyclase Stimulators (Riociguat for pulmonary hypertension).

Use caution and inform your doctor if you take:

Alpha-blockers (tamsulosin/Flomax) – Used for prostate issues. Taking these together can cause low blood pressure. Your doctor may advise separating the doses by a few hours.
Blood Pressure Medications – Sildenafil adds to the blood-pressure-lowering effect.
Protease Inhibitors (Ritonavir) – Used for HIV.
Antifungals (Ketoconazole).
Grapefruit Juice – Can increase the levels of sildenafil in your blood, potentially worsening side effects.

Always give your doctor and pharmacist a complete list of all your medications, vitamins, and supplements to check for potential interactions.

FAQs

How long does Viagra (sildenafil) last?

Sildenafil typically stays active in your system for 4 to 6 hours. This does not mean you will have an erection for that long, but that you can achieve one during that window with stimulation.

How much sildenafil should I take for the first time?

The standard starting dose is usually 50 mg. However, if you are over 65 or have kidney/liver issues, your doctor will likely start you on 25 mg. Always follow your provider’s instructions.

How long does it take for sildenafil to take effect?

It typically takes 30 to 60 minutes to start working. It works fastest if taken on an empty stomach.

Can I take Viagra every day?

Sildenafil is generally prescribed for use “as needed” before sex, not as a daily scheduled pill. If you require ED treatment daily or want more spontaneity, talk to your doctor about tadalafil (Cialis), which has a specific low-dose “once-daily” option.

Can women take sildenafil?

Sildenafil is not FDA-approved for sexual dysfunction in women. While some studies have looked into it, results are mixed. It is FDA-approved for women only for the treatment of pulmonary arterial hypertension (PAH).

Does sildenafil make you last longer?

No. Sildenafil helps you get and keep an erection. It does not treat premature ejaculation (how fast you climax) or increase your libido (sex drive).

What should I do if sildenafil doesn’t work?

Don’t panic. It is common for it not to work perfectly the first time. It may take a few attempts for your body to adjust. Ensure you waited long enough (1 hour), didn’t eat a heavy meal beforehand, and were sexually stimulated. If it still doesn’t work after several attempts, talk to your doctor about adjusting the dose or trying a different medication like tadalafil.

Can I cut sildenafil pills in half?

Generally, yes. Unlike some extended-release medications, sildenafil tablets can usually be split if they are scored (have a line down the middle). However, it is always best to use the specific strength prescribed to you. Ask your pharmacist if your specific brand of generic sildenafil is safe to split.

Does sildenafil expire?

Yes, like all medications, sildenafil has an expiration date printed on the bottle or pharmacy label. Do not take expired medication, as it may not be effective and could potentially be unsafe.

How does sildenafil compare to tadalafil and vardenafil?

While all three are PDE-5 inhibitors used for ED, they have large differences in duration and food interactions:

Sildenafil (Viagra) – Lasts 4-6 hours. Works best on an empty stomach (high-fat meals delay it). Good for planned sexual activity.
Tadalafil (Cialis) – Lasts up to 36 hours. Can be taken with or without food. Ideal for spontaneity or “weekend” use.
Vardenafil (Levitra) – Lasts 4-6 hours (similar to sildenafil). It is slightly less affected by food than sildenafil and is sometimes effective for men who did not respond well to sildenafil.

Compare Medications

Compared: Sildenafil, Tadalafil, Vardenafil, or Avanafil?

Sildenafil is the original PDE-5 inhibitor, but there are alternatives.

Sildenafil (Viagra) – The “little blue pill.” Works in 30-60 minutes and lasts for 4-6 hours. Best on an empty stomach.
Tadalafil (Cialis) – The “weekend pill.” Lasts up to 36 hours. It can be taken with food and has a daily dosing option.
Vardenafil (Levitra) – Similar duration to sildenafil (4-6 hours) but is very potent and requires smaller doses (mg for mg).
Avanafil (Stendra) – The fastest-acting option, often working in as little as 15 minutes.

Disclaimer

Important: Information on this page is for educational purposes only. Prescribing decisions are made by independent, licensed providers. TelyRx operates technology-enabled pharmacies and a telehealth platform that connects patients with board-certified licensed providers. Prescriptions, when provider-approved and issued, are filled and shipped by TelyRx-affiliated pharmacies. We do not employ physicians or make prescribing decisions. Learn more about our editorial standards here.

Prescription medications made easy with TelyRx.

February 5, 2026 0 comments

Medications

What Is Wegovy? Uses, Side Effects, Dosage & FAQs

by blog February 5, 2026

written by blog

The Wellness Collective

What to Know About Wegovy (Semaglutide)

blog
February 5, 2026

Reviewed by Ashley Robinson, PharmD, Pharmacy Manager for TelyRx

Wegovy (semaglutide) is a once-weekly prescription injection, FDA-approved for chronic weight management with obesity. It is also for adults who are overweight (BMI ≥ 27) and have at least one weight-related condition like high blood pressure, type 2 diabetes, or high cholesterol. In 2024, it was also approved to reduce the risk of heart attack, stroke, and cardiovascular death in adults with both heart disease and obesity or overweight.

It is a GLP-1 receptor agonist that works by mimicking a natural gut hormone, which regulates appetite and slows digestion, helping you feel fuller longer. The most common side effects are gastrointestinal, including nausea, diarrhea, and constipation.

how does Wegovy work?

Wegovy is in a class of drugs called GLP-1 receptor agonists (or “incretin mimetics”). It works by copying the action of a natural hormone in your body called GLP-1.

Wegovy targets areas of the brain that are involved in regulating appetite and food intake. It also slows down “gastric emptying,” the process of food leaving your stomach. This dual action makes you feel full sooner and for a longer period, which helps reduce your overall calorie intake and leads to weight loss.

drug facts

Common Brands	Wegovy
Drug Class	GLP-1 Agonist
Generic Status	Generic not available
Availability	Prescription Only

dosing

Note: Dosing information below is educational only. Your prescribing physician will determine your specific dose based on your individual health needs.

Wegovy is administered via a single-use, auto-injector pen. The dose is “titrated,” meaning it is started low and increased gradually. This slow ramp-up is critical for minimizing gastrointestinal side effects.

Month 1 – 0.25 mg once weekly
Month 2 – 0.5 mg once weekly
Month 3 – 1 mg once weekly
Month 4 and beyond (Maintenance Dose) – 1.7 or 2.4 mg once weekly

Your doctor may adjust this schedule based on your tolerance and response. Always follow your healthcare provider’s instructions for exact dosing.

FDA-approved uses

Wegovy is prescribed as part of a long-term weight management plan that includes a reduced-calorie diet and increased physical activity. Its approved uses are:

Chronic Weight Management – In adults with obesity (BMI ≥ 30) or overweight (BMI ≥ 27) with at least one weight-related comorbidity. It is also approved for children 12 and older with obesity.
Cardiovascular Risk Reduction – To reduce the risk of major cardiovascular events (heart attack, stroke, death) in adults with established cardiovascular disease and obesity or overweight.
Metabolic Dysfunction-Associated Steatohepatitis (MASH) – To treat MASH (formerly NASH), a type of fatty liver disease, in adults with moderate-to-advanced liver scarring.

common off-label uses

You may see Wegovy prescribed for uses that are not “FDA-approved.” This is a very common and legal practice called “off-label” prescribing, where a doctor uses their clinical judgment to prescribe a drug for a different (but well-researched) purpose.

The active ingredient in Wegovy, semaglutide, is approved for treating Type 2 Diabetes under the brand name Ozempic. Wegovy itself is generally not prescribed off-label as it is already indicated for weight management.

side effects

The most frequently reported side effects are gastrointestinal (GI), especially when starting the medication and increasing the dose.

Common Side Effects

Nausea
Diarrhea
Vomiting
Constipation
Stomach (abdominal) pain
Headache
Fatigue
Indigestion / Acid Reflux
Bloating, burping, or gas

Serious Side Effects

Serious side effects are rare, but it’s important to know what to look for if they do occur. Stop using Wegovy and contact your doctor immediately if you experience any of the following:

BOXED WARNING – Risk of Thyroid C-cell Tumors – Wegovy has a “boxed warning” because in animal studies, it caused thyroid tumors. It is not known if this happens in people. Do not use Wegovy if you or any of your family have a history of medullary thyroid carcinoma (MTC) or Multiple Endocrine Neoplasia syndrome type 2 (MEN 2). Report any new lump in your neck, hoarseness, or trouble swallowing or breathing to your doctor.
Pancreatitis – Inflammation of the pancreas. Symptoms include severe, persistent pain in your abdomen that may radiate to your back, with or without vomiting.
Gallbladder Problems – Wegovy can cause gallstones or gallbladder inflammation. Seek medical attention for pain in your upper right stomach, fever, or yellowing of the skin/eyes.
Hypoglycemia (Low Blood Sugar) – This is a low risk for most, but the risk increases significantly if you also take diabetes medications like insulin or a sulfonylurea.
Kidney Problems – Severe vomiting or diarrhea can lead to dehydration, which can cause or worsen kidney failure.
Vision Changes – A potential worsening of diabetic retinopathy has been reported, especially in people with type 2 diabetes.
Suicidal Thoughts or Behavior – Pay attention to any changes in your mood, behavior, or thoughts of self-harm, and report them to your doctor.
Serious Allergic Reactions – Swelling of the face, lips, or throat, or difficulty breathing.

Call your doctor immediately if you experience any concerning or prolonged symptoms.

Starting at $349.99 per dose

Albuterol HFA Inhaler

Wegovy is used for chronic weight management and weight-associated comorbidities, including high cholesterol, diabetes, and high blood pressure.

View

pharmacist tips

Storage – Keep your new, unused Wegovy pens in the refrigerator. Do not freeze them. After starting, a pen can be kept at room temperature (up to 86°F or 30°C) for up to 28 days.
Missed Dose – If you miss a dose, take it as soon as you remember if your next scheduled dose is more than 2 days (48 hours) away. If your next dose is less than 2 days away, you may be able to skip the missed dose and get back on your regular schedule.
Manage Nausea – Nausea is the most common reason people stop. Manage it by eating smaller, more frequent meals, avoiding greasy or spicy foods, and staying well-hydrated.
Pregnancy – Wegovy may harm an unborn baby. You must stop taking it at least 2 months before you plan to become pregnant.
Injection Sites – Inject under the skin of your stomach (abdomen), thigh, or upper arm. It’s important to rotate your injection site each week to avoid skin irritation.
Stay Hydrated – The GI side effects can cause dehydration. Drink plenty of water or other fluids to protect your kidneys and help you feel better.

drug interactions

The most significant interactions for Wegovy are:

Oral Medications – Because Wegovy slows down your digestion, it can change how your body absorbs oral medications. It’s especially important to talk to your doctor about timing if you take pills that need to be absorbed quickly.
Insulin and Sulfonylureas (glipizide, glyburide) – Taking Wegovy with these diabetes medications can dramatically increase your risk of severe low blood sugar (hypoglycemia). Your doctor will likely need to lower the dose of your other diabetes medications.
Other GLP-1 Agonists – Do not use Wegovy if you are already taking another GLP-1 drug (like Ozempic, Mounjaro, Victoza, etc.).

Always give your doctor and pharmacist a complete list of all your medications, vitamins, and supplements to check for potential interactions.

FAQs

What’s the difference between Wegovy and Ozempic?

They are the exact same active ingredient: semaglutide. The differences are in their approved use and dosing. Wegovy is approved for chronic weight management and is titrated up to a 2.4 mg maintenance dose. Ozempic is approved for type 2 diabetes and has a maximum maintenance dose of 2 mg.

How much weight can you actually lose on Wegovy?

In clinical trials, adults taking Wegovy (along with diet and exercise) lost an average of 15% of their starting body weight over 68 weeks. Individual results will vary.

What happens when I stop taking Wegovy? Will I gain the weight back?

Wegovy is intended for long-term management. When you stop taking it, its effects on your appetite and digestion wear off. Studies show that most people regain a significant portion (up to two-thirds) of the weight they lost within a year of stopping the medication.

Can I get Wegovy if I’m not obese?

Wegovy is FDA-approved for adults with a BMI of 30 or higher (obesity) or a BMI of 27 or higher (overweight) if they also have at least one weight-related health condition like high blood pressure, high cholesterol, or type 2 diabetes.

What foods should I avoid while on Wegovy?

No foods are strictly “banned.” However, to manage side effects, many people find it necessary to avoid or greatly reduce high-fat, greasy, fried, spicy, and very sugary foods. These foods sit in your stomach longer and are more likely to cause nausea and indigestion.

How long does it take for Wegovy to start working for weight loss?

You may notice your appetite is reduced within the first few weeks, but the medication is dosed to increase slowly over 16-20 weeks. The most significant weight loss typically occurs once you reach the higher maintenance doses (1.7 mg and 2.4 mg).

compare medications

Compared: Wegovy, Ozempic, Zepbound, Mounjaro, or Saxenda?

Wegovy is a once-weekly GLP-1 agonist for weight loss. Here’s how it compares to its main counterparts in the same class.

Wegovy (Semaglutide) – A once-weekly single-action (GLP-1) injection approved for Chronic Weight Management.
Ozempic (Semaglutide) – The same once-weekly single-action (GLP-1) drug as Wegovy, but branded and dosed for Type 2 Diabetes.
Zepbound (Tirzepatide) – A once-weekly dual-action (GIP/GLP-1) injection approved for Chronic Weight Management.
Mounjaro (Tirzepatide) – The same once-weekly dual-action (GIP/GLP-1) drug as Zepbound, but branded for Type 2 Diabetes.
Saxenda (Liraglutide) – A once-daily single-action (GLP-1) injection approved for Chronic Weight Management.

Disclaimer

Prescription medications made easy with TelyRx.

February 5, 2026 0 comments

Medications

What Is Methylprednisolone? Uses, Side Effects, Dosage & FAQs

by Mariah Powers February 5, 2026

written by Mariah Powers

The Wellness Collective

What to Know About Methylprednisolone

Mariah Powers
February 5, 2026

Reviewed by Ashley Robinson, PharmD, Pharmacy Manager for TelyRx

Methylprednisolone is a powerful prescription corticosteroid medication, known by the brand name Medrol, used to rapidly treat inflammation, severe allergic reactions, and conditions resulting from immune system overactivity (like lupus or severe asthma flares).

It belongs to the same class of drugs as prednisone and hydrocortisone. It is often prescribed as an oral tablet, frequently as a pre-packaged Medrol Dosepak that involves a carefully timed, tapering schedule.

Methylprednisolone works by calming down your entire immune response, acting similarly to your body’s natural stress hormone, cortisol. Because of its broad effect, it can cause short-term side effects like increased appetite, insomnia, and fluid retention. More importantly, it must never be stopped suddenly, as doing so can lead to a dangerous condition called adrenal insufficiency.

How Does Methylprednisolone Work?

Methylprednisolone is a synthetic glucocorticoid. It works by interfering with the chemical pathways that trigger the inflammatory response. When your body experiences inflammation, an allergy attack, or an autoimmune flare, your immune system releases substances (like prostaglandins and cytokines). Methylprednisolone blocks the production and release of these substances, effectively suppressing the body’s overactive or damaging response.

Drug Facts

Common Brands	Medrol, Medrol Dosepak
Drug Class	Corticosteroid
Generic Status	Generic version of Medrol Dosepak
Availability	Prescription Only

Dosing

Note: Dosing information below is educational only. Your prescribing physician will determine your specific dose based on your individual health needs.

Methylprednisolone is used across many medical specialties due to its powerful anti-inflammatory effects.

Initial Dose – Dosing is highly individualized and depends entirely on the severity of the condition being treated.
Dosepak – This is a common tapered course where the dose gradually decreases daily. This method ensures the drug is stopped safely.
Long-Term Use – If prescribed long-term, the dose will be kept as low as possible and taken once daily, often with food.

Always follow your healthcare provider’s instructions for exact dosing.

FDA-Approved Uses

Inflammatory/Joint Conditions – Treating severe inflammation associated with conditions like rheumatoid arthritis, lupus, arthritis, and multiple sclerosis flares.
Allergic Reactions – Managing severe, acute allergic conditions (e.g., severe contact dermatitis, serum sickness).
Respiratory Conditions – Treating severe exacerbations of asthma and chronic obstructive pulmonary disease (COPD).
Skin Disorders – Treating severe skin conditions like Stevens-Johnson syndrome.
Gut Disorders – Treating flares of ulcerative colitis and other inflammatory bowel diseases.
Hormone/Blood Disorders – Use for low adrenal hormones and certain cancers of blood cells (e.g., leukemia).

Common Off-Label Uses

You may see methylprednisolone prescribed for uses that are not “FDA-approved.” This is a very common and legal practice called “off-label” prescribing, where a doctor uses their clinical judgment to prescribe a drug for a different (but well-researched) purpose.

While its official uses are broad, it is commonly used in short bursts to treat conditions like severe poison ivy or allergic contact rashes.

Side Effects

Side effects often depend on the dose and the duration of use. Short-term use typically causes milder, acute side effects, while long-term use presents the most serious risks.

Common Side Effects

Increased appetite (leading to potential weight gain)
Insomnia or nervousness (“Steroid high”)
Headache
Fluid Retention (edema, puffiness, swelling)
Increased blood sugar levels
Stomach pain or bloating
Muscle weakness

Serious Side Effects

Serious side effects are rare, but it’s important to know what to look for if they do occur.

Adrenal Insufficiency (Withdrawal) – The most critical risk when stopping abruptly. Symptoms include severe fatigue, weakness, poor appetite, nausea, dizziness, and low blood pressure. You must taper the dose exactly as directed.
New or Worsened Infection – Methylprednisolone suppresses the immune system, making you more vulnerable to infections (bacterial, fungal, viral, like chickenpox/measles) or reactivating past infections (like tuberculosis).
Cardiovascular/Electrolyte Risks – Can increase blood pressure and cause fluid retention, potentially worsening heart failure or causing dangerously low potassium levels.
Gastrointestinal Bleeding – The risk of stomach ulcers or internal bleeding is increased, especially when combined with NSAIDs or alcohol.
Long-Term Risks (Prolonged Use) – Includes the risk of osteoporosis (weak bones), Cushing’s syndrome (a rounded face, fat pad on the neck/back), cataracts, and glaucoma.
Mood and Behavior Changes – Can cause depression, mood swings, severe anxiety, or hallucinations.

Call your doctor immediately if you experience any concerning or prolonged symptoms.

Starting at $29.99 per dosepack

Methylprednisolone

Methylprednisolone is an oral steroid used to treat inflammation or pain caused by acute flares of arthritis, gout, and lupus.

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Pharmacist Tips

DO NOT STOP ABRUPTLY – If you are taking methylprednisolone for more than a few days, you must taper the dose exactly as directed. Never stop taking it suddenly to avoid a dangerous withdrawal state (adrenal insufficiency).
Take With Food – Always take your dose with breakfast or milk to minimize stomach upset and the risk of ulcers. Taking it early in the day, if possible, also helps prevent insomnia.
Monitor BP and Sugar – If you have a history of diabetes or high blood pressure, monitor your blood sugar and blood pressure regularly, as the medication can raise both.
Avoid Infection – While taking this medication, avoid people who are sick or who have highly contagious illnesses like chickenpox or measles.
Live Vaccines – Do not receive “live” vaccines (like MMR or Yellow Fever) while on high doses of this medication, as your suppressed immune system may not respond safely.
Limit Alcohol/NSAIDs – Avoid alcohol and non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen while on the steroid, as this combination greatly increases your risk of stomach bleeding.

Drug Interactions

Methylprednisolone has many potential drug interactions. Always provide your healthcare provider with a complete list of all medications, including over-the-counter drugs and supplements.

NSAIDs (Ibuprofen, Naproxen, Aspirin) – Greatly increases the risk of severe stomach ulcers and bleeding.
Diabetes Medications (Insulin, Oral Agents) – Methylprednisolone elevates blood sugar. Doses of your diabetes medications may need to be temporarily increased.
Diuretics (Water Pills) – Increases your risk of developing dangerously low potassium levels (hypokalemia).
Phenytoin and Rifampin – These medications can lower the amount of methylprednisolone in your body, making the steroid less effective.
Warfarin (Blood Thinner) – Steroids can affect the dosage and effectiveness of warfarin, requiring more frequent monitoring.
Aspirin (Long-Term Use) – Stopping methylprednisolone after long-term aspirin use may require monitoring for aspirin toxicity.

Always give your doctor and pharmacist a complete list of all your medications, vitamins, and supplements to check for potential interactions.

FAQs

Is methylprednisolone the same as prednisone?

No, they are different drugs but belong to the same corticosteroid class and treat the same conditions. Methylprednisolone is often preferred because it is already active, whereas prednisone must be converted by the liver. Methylprednisolone may also cause slightly less fluid retention.

Why does my doctor prescribe a “Dosepak?”

The Medrol Dosepak ensures you complete a tapered course. The dose is high initially and gradually decreases over 5 to 6 days. This taper helps your adrenal glands start producing their own natural cortisol again before the medication is stopped completely.

Can I take methylprednisolone if I have diabetes?

Use caution. Methylprednisolone will raise your blood sugar levels significantly. If you have diabetes, you must monitor your glucose levels closely and may need to temporarily increase your dose of insulin or oral diabetes medication, as directed by your doctor.

Why do I feel so restless and unable to sleep on methylprednisolone?

Corticosteroids mimic cortisol, a natural stress hormone. This can create a feeling of heightened energy, restlessness, and anxiety. Taking your full dose in the early morning, if possible, can help minimize nighttime sleeplessness.

Will I gain weight from a short course (like 6 days)?

While methylprednisolone increases appetite and can cause fluid retention, significant, long-term fat accumulation is usually only seen with weeks or months of high-dose therapy. Weight gain from a short course is usually temporary water retention.

How long does it take for methylprednisolone to work?

If injected intravenously, the effect can start within an hour. For oral tablets, they begin working as soon as it is absorbed (within a few hours). If injected into a joint, relief may take up to a week to become noticeable.

Can I use methylprednisolone if I am pregnant?

You must discuss this with your provider. Corticosteroids may increase the risk of low birth weight or other issues. Your doctor will weigh the risk of using the drug against the greater risk of having uncontrolled inflammation or asthma during pregnancy.

Can I drink alcohol while taking methylprednisolone?

It is best to avoid alcohol. Alcohol irritates the stomach lining, and since corticosteroids also increase the risk of stomach ulcers and gastrointestinal bleeding, combining them raises that risk significantly. Alcohol may also further suppress your immune system.

What should I do if I miss a dose?

If you are taking it once daily, take it as soon as you remember. If it is almost time for your next dose, skip the missed one and resume your schedule. Do not double up. If you are taking a Medrol Dosepak (which has specific pills for specific times of day), call your doctor or pharmacist. They can guide you on how to adjust the taper schedule correctly so you don’t disrupt the treatment.

Does methylprednisolone weaken my immune system?

Yes. By design, corticosteroids work by suppressing the immune system to stop inflammation. This means your body is less able to fight off new infections (bacterial, viral, or fungal). It can also cause dormant infections (like chickenpox or tuberculosis) to wake up. Wash your hands frequently and avoid people who are sick.

Does this medication cause anxiety or mood swings?

Yes, changes in mood are a well-known side effect of corticosteroids. You might feel unusually happy (euphoric), very irritable, anxious, or depressed. In rare cases, high doses can cause confusion or hallucinations. If you notice severe mood changes, contact your doctor.

Are there any foods I should avoid?

You should generally avoid grapefruit and grapefruit juice, as they can interact with the enzyme that breaks down the medication, potentially increasing side effects. It is also helpful to limit salty foods (sodium), as the medication already causes your body to hold onto water (fluid retention).

Compare Medications

Compared: Methylprednisolone, Prednisone, Dexamethasone, or Hydrocortisone?

Methylprednisolone is a powerful anti-inflammatory and is compared below with other commonly prescribed corticosteroids.

Methylprednisolone (Medrol) – An intermediate-acting corticosteroid often favored for its lower mineralocorticoid (salt-retaining) effects, meaning it typically causes less water retention than hydrocortisone.
Prednisone – An intermediate-acting corticosteroid that is inactive until converted by the liver. It has a slightly higher risk of fluid retention compared to methylprednisolone.
Dexamethasone – A long-acting corticosteroid that is significantly more potent than methylprednisolone. It is often reserved for more severe conditions requiring long duration or for use in the brain/CNS due to its ability to cross the blood-brain barrier.
Hydrocortisone – A short-acting corticosteroid that is identical to natural cortisol. It has the highest mineralocorticoid activity, meaning it causes the most salt and water retention.

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Prescription medications made easy with TelyRx.

February 5, 2026 0 comments

Medications Women's Health

What Is Amoxicillin? Uses, Side Effects, Dosage & FAQs

by Mariah Powers February 5, 2026

written by Mariah Powers

The Wellness Collective

What to Know About Amoxicillin

Mariah Powers
February 5, 2026

Reviewed by Ashley Robinson, PharmD, Pharmacy Manager for TelyRx

Amoxicillin is a broad-spectrum antibiotic that belongs to the penicillin class of medications. One of the most widely prescribed antibiotics worldwide, amoxicillin is commonly used to treat patients for ear infections, respiratory tract infections like strep throat and pneumonia, skin infections, and urinary tract infections.

As an antibiotic, amoxicillin is not effective for treating viruses. When amoxicillin is prescribed, patients are advised to take a full course of the antibiotic over multiple days. Side effects may occur, though most are mild and will resolve once the antibiotic course is complete.

How Does Amoxicillin Work?

Amoxicillin works as a bactericide by killing bacteria, rather than merely inhibiting their growth and survival. It attacks the enzymes that build and maintain cellular structure for bacteria, breaking down the cell walls that lead to rupture and destruction of the cell.

This selective targeting based on cellular structure allows amoxicillin to kill invading bacteria without harming healthy human cells, which lack a cell wall.

Drug Facts

Common Brands	Amoxil, Larotid, Moxilin, Sumox, Trimox
Drug Class	Penicillin antibiotic (aminopenicillin)
Generic Status	Generic version available
Availability	Prescription Only

Dosing

Note: Dosing information below is educational only. Your prescribing physician will determine your specific dose based on your individual health needs.

Amoxicillin is available as an oral tablet, oral capsule, or liquid suspension. Capsules and tablets can be swallowed whole, while the liquid should be measured out to ensure the correct dose. Specific doses are calculated based on age, body weight, and severity of symptoms.

Standard amoxicillin doses for adults typically falls in the range of 500 mg every 8 to 12 hours or 875 mg every 12 hours depending on the condition being treated and the severity of symptoms present.

Always follow your healthcare provider’s instructions for exact dosing.

FDA-Approved Uses

Amoxicillin is FDA-approved to treat a wide range of bacterial infections, including:

Upper and lower respiratory tract infections such as strep throat, sinusitis, pharyngitis, laryngitis, and pneumonia
Ear, nose, and throat infections
Skin and skin structure infections
Genitourinary tract infections caused by specific bacteria
Helicobacter pylori (H. pylori), a stomach infection that can cause ulcers; in these cases, amoxicillin is part of a multi-drug regimen

Amoxicillin may also be used as an infection prophylaxis during certain dental procedures for patients at high risk of developing infective endocarditis, a type of heart infection.

Common Off-Label Uses

You may see amoxicillin prescribed for uses that are not “FDA-approved.” This is a common and legal practice called “off-label” prescribing, where a doctor uses their clinical judgment to prescribe a drug for a different (but well-researched) purpose.

Common off-label uses for amoxicillin found in clinical practice and research include:

Lyme Disease: Amoxicillin may be used in specific regimens to treat early-stage Lyme disease. This is especially common for patients like pregnant women or young children who are unable to take other first-line drugs due to their contraindications.
Anthrax: Amoxicillin can be used as either a post-exposure prophylaxis or part of a regimen to treat inhalational anthrax.
Tuberculosis (TB): Amoxicillin may be used as part of a regimen with other medications to treat certain drug-resistant strains of tuberculosis.

Side Effects

Common Side Effects

The most common amoxicillin side effects are mild and temporary. These side effects typically resolve as the patient gets used to taking the medication and finishes their prescribed course.

The most common side effects include:

Nausea, vomiting, diarrhea, and other types of gastrointestinal distress
Non-itchy red rash
A metallic or unusual taste
Headache
Yeast overgrowth leading to higher risk of yeast infection

Serious Side Effects

Serious side effects are rare, but it’s important to know what to look for if they do occur.

Allergic reaction: People who are allergic to penicillin and other allergens present in amoxicillin may experience a serious allergic reaction. This may entail anaphylaxis, a sudden and life-threatening allergic reaction, or Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS), which is more delayed but can be fatal. Allergic reaction symptoms include itchy skin, hives, rapid heart rate, fever, and swelling of the face, lips, tongue, or throat.
Severe skin reaction: While very rare, amoxicillin can cause deadly skin conditions such as Stevens-Johnson Syndrome (SJS), Toxic Epidermal Necrolysis (TEN), and Acute Generalized Exanthematous Pustulosis (AGEP). Symptoms of these conditions include a painful rash, blisters, peeling skin, and reddening around the eyes, mouth, or genitals.
Antibiotic-associated diarrhea: Amoxicillin and other antibiotics can disrupt gut bacteria and cause an infection characterized by severe, watery, or bloody diarrhea along with a fever and rapid heart rate. This can occur during treatment up to 2 months after the patient has completed their antibiotic course.
Drug-Induced Enterocolitis Syndrome (DIES): DIES is a rare but severe reaction to taking certain medications, often characterized by vomiting and diarrhea. It usually occurs within a few hours of the patient taking their daily dose.

Call your doctor immediately or seek emergency care if you experience any concerning or prolonged symptoms.

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Amoxicillin Capsules

Amoxicillin is a broad-spectrum penicillin antibiotic y prescribed to treat common bacterial issues, including respiratory tract infections, ear infections, urinary tract infections (UTIs), and skin infections. This medication eliminates bacteria and helps resolve painful symptoms.

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Pharmacist Tips

Finish the Full Course: As with any antibiotic, it is advised to complete your full amoxicillin course – even if you start to feel better before the course is finished. Stronger bacteria often survive the first wave of amoxicillin attacks, so stopping the course early can ensure these bacteria are destroyed and not allowed to multiply or become resistant to the drug.
Take With Food as Needed: It is not required to take amoxicillin with food, but some people experience discomfort if they take it on an empty stomach. If you notice an upset stomach, it is advised to plan to take your amoxicillin with a small meal or snack.
Consider Cutting Down on Alcohol: Providers typically advise against drinking alcohol while taking antibiotics to treat an infection. Alcohol consumption can depress the immune system, delaying recovery. Furthermore, alcohol can worsen nausea, vomiting, diarrhea, and other common side effects of amoxicillin.
Tell Your Provider About Pre-Existing Conditions: The risk of developing a severe rash from taking amoxicillin is very high if you have mononucleosis, also known as “mono” or the “kissing disease.” Other pre-existing conditions to discuss with your doctor include kidney problems and a history of adverse reactions to taking antibiotics.
Take Probiotics as Directed: Many providers recommend probiotic supplements when you take amoxicillin to restore gut bacteria that gets wiped out during antibiotic therapy. Your doctor can determine whether you should take probiotics with amoxicillin and provide specific recommendations for which type of probiotic to use.
Check Birth Control: Before taking amoxicillin, talk to your doctor if you use hormonal birth control. Some studies suggest amoxicillin can decrease the effectiveness of oral contraceptives, so barrier methods might be necessary during treatment to avoid pregnancy.

Drug Interactions

Amoxicillin may interact with several other drugs by altering their metabolism, increasing the risk of side effects, or decreasing their efficacy. These include:

Allopurinol: Taking amoxicillin concurrently with allopurinol, a common medication for treating gout, increases the risk of developing a skin rash.
Probenecid: Another medication commonly used in gout treatment, probenecid may hinder the removal of amoxicillin from the body. This can potentially lead to higher and more sustained concentrations of amoxicillin in the bloodstream.
Blood Thinners: Amoxicillin can enhance the effect of blood thinners like warfarin and potentially increase risk of bleeding. If taken together, providers usually recommend close monitoring to record clotting times.
Tetracycline and Macrolide Antibiotics: Antibiotics like tetracycline, doxycycline, and erythromycin are bacteriostatics, meaning they disrupt bacterial growth rather than killing them outright. As such, they can interfere with amoxicillin’s bactericidal mechanisms and reduce amoxicillin’s overall effectiveness.
Hormone-Based Birth Control: Amoxicillin may compromise the effectiveness of hormone-based birth control methods, including those that contain estrogen or progestin. Many providers recommend backup contraception during an amoxicillin course.

Always give your doctor and pharmacist a complete list of all your medications, vitamins, and supplements to check for potential interactions.

FAQs

What kind of infections is amoxicillin good for?

Amoxicillin is a broad-spectrum antibiotic used to effectively treat a wide range of common bacterial infections. These include upper and lower respiratory tract infections like strep throat and pneumonia, ear infections, skin infections, and urinary tract infections. Amoxicillin is also commonly used to treat H. pylori infections that cause stomach ulcers.

Can amoxicillin cause a sore throat?

While amoxicillin is commonly used to treat sore throats brought on by bacterial infection, it can also cause a sore throat. However, this is not a direct side effect of taking the medication. Sore throat could be an early symptom of a severe allergic reaction or an underlying medical condition not related to the amoxicillin treatment.

What should you avoid while taking amoxicillin?

It is advised to avoid alcohol throughout your amoxicillin course. You should also avoid taking the medication if you have a known penicillin allergy or mononucleosis.

How quickly does amoxicillin work?

Amoxicillin begins working very quickly once you begin your antibiotic course. Most patients begin to see their symptoms improve within 3 days of beginning their treatment. You should contact your doctor if you do not notice improvement after 3 days, as this may indicate your infection either is not bacterial or is resistant to amoxicillin.

What helps antibiotics work better?

The best way to ensure your amoxicillin treatment is effective is to take every dose for the entire antibiotic schedule. Proper rest and hydration helps support your immune system, and your doctor may recommend taking a probiotic supplement to maintain gut health for the duration of the amoxicillin course.

Does amoxicillin cause rashes?

Yes, a rash is a common side effect of taking amoxicillin. A flat, red, and non-itchy rash is a common side effect of taking the drug. However, more serious symptoms such as itchy skin, hives, swelling, or blisters may indicate a severe allergic reaction like anaphylaxis or DRESS. If you notice severe symptoms, contact your doctor immediately.

Can you drink alcohol with amoxicillin?

It is generally advised not to drink alcohol while taking amoxicillin. Alcohol can slow down your immune response and make it harder for your body to fight an infection. It can also worsen gastrointestinal side effects of amoxicillin, such as nausea, vomiting, and diarrhea.

Does amoxicillin make you tired?

Tiredness or fatigue is not a common side effect of taking amoxicillin, but it may be a symptom of the bacterial infection your body is fighting. Extreme weakness or fatigue, especially when accompanied by vomiting and bloody diarrhea, may indicate a more severe condition such as DIES or a C. diff infection. You should seek immediate medical attention if you experience these more severe symptoms during your amoxicillin course.

Does amoxicillin expire?

Yes, amoxicillin capsules and tablets have a standard expiration date that should be printed clearly on the packaging. The liquid suspension, once mixed by the pharmacist, has a much shorter shelf life and must be discarded after 14 days – even if there is liquid remaining.

What happens if you miss a dose of amoxicillin?

Missing a dose can compromise the success of your treatment and potentially increase the risk of the bacteria developing resistance. If you forget to take a dose, it is advised to take it as soon as you remember unless it is almost time for your next dose, in which case you’d skip the missed dose altogether and resume your regular schedule. It is never advised to take two doses at the same time.

Is amoxicillin the same as penicillin?

Amoxicillin is not technically the same as penicillin, but they are closely related. Amoxicillin is an antibiotic that belongs to the penicillin drug class, and is considered an advanced, broad-spectrum form of penicillin. It treats a wider range of infections than narrow-spectrum Penicillin V and, when taken orally, has better absorption.

Can amoxicillin cause a yeast infection?

Yes, amoxicillin kills bacteria indiscriminately. This means good, protective bacteria that maintain a healthy body may get caught in the crossfire. Eliminating good bacteria can lead to overgrowth of yeast and result in an oral thrush or vaginal yeast infection.

Compare Medications

Compared: Amoxicillin, Augmentin, Penicillin, Cephalexin, or Doxycycline?

Amoxicillin is a broad-spectrum antibiotic with an average treatment course of 7-10 days. Here’s how it compares to some leading amoxicillin alternatives:

Augmentin: Augmentin is a very broad-spectrum antibiotic used to treat infections caused by amoxicillin-resistant bacteria.
Penicillin: Penicillin is a narrow-spectrum antibiotic primarily used to treat infections from Gram-positive bacteria.
Cephalexin: Cephalexin is primarily used to treat infections in the skin and soft tissue, respiratory tract, urinary tract, ears, and bones.
Doxycycline: Doxycycline inhibits bacterial growth, rather than killing bacteria outright. The course length for doxycycline depends on the infection being treated.

Disclaimer

Important: Information on this page is for educational purposes only. Prescribing decisions are made by independent, licensed providers. TelyRx operates technology-enabled pharmacies and a telehealth platform that connects patients with board-certified licensed providers. Prescriptions, when provider-approved and issued, are filled and shipped by TelyRx-affiliated pharmacies. We do not employ physicians or make prescribing decisions.

Prescription medications made easy with TelyRx.

February 5, 2026 0 comments

Medications

What Is Azithromycin? Uses, Side Effects, Dosage & FAQs

by Mariah Powers February 5, 2026

written by Mariah Powers

The Wellness Collective

What to Know About Azithromycin (Zithromax)

Mariah Powers
February 5, 2026

Reviewed by Ashley Robinson, PharmD, Pharmacy Manager for TelyRx

Azithromycin is one of the most prescribed antibiotics in the United States, known for its convenience and effectiveness against a wide range of bacterial infections.

It’s often prescribed as the popular “Z-Pak,” a 5-day course where you take a double dose on the first day. It is also used as a single dose to treat certain sexually transmitted infections like chlamydia. Azithromycin works by stopping bacteria from multiplying, allowing your body to clear the infection. It is a macrolide antibiotic, making it a good alternative for people with penicillin allergies.

how does azithromycin work?

Azithromycin is a “macrolide” antibiotic. It works by targeting the bacteria’s ribosomes, which are the tiny “factories” that build proteins. By attaching to these ribosomes, azithromycin stops the bacteria from making the proteins they need to grow, multiply, and function.

This doesn’t always kill the bacteria outright, but it stops their spread, giving your body’s immune system the chance to take over and eliminate the infection.

drug facts

Common Brands	Zithromax
Drug Class	Macrolide antibiotic
Generic Status	Generic version of Zithromax
Availability	Prescription Only

dosing

Note: Dosing information below is educational only. Your prescribing physician will determine your specific dose based on your individual health needs.

Chlamydia (Single-Dose) – The standard treatment is a single, one-time dose of 1 gram (1,000 mg).

Always follow your healthcare provider’s instructions for exact dosing.

FDA-approved uses

Azithromycin is FDA-approved to treat a variety of common bacterial infections, including:

Respiratory Infections – Certain types of community-acquired pneumonia, bronchitis, and sinus infections (sinusitis).
Strep Throat & Tonsillitis – Pharyngitis/tonsillitis.
Ear Infections – Acute otitis media.
Skin Infections – Uncomplicated skin and skin structure infections.
Sexually Transmitted Infections (STIs) – Uncomplicated chlamydia and genital ulcer disease (chancroid).
Pelvic Inflammatory Disease (PID).
COPD Exacerbations – Sudden worsening of chronic obstructive pulmonary disease.

common off-label uses

You may see azithromycin prescribed for uses that are not “FDA-approved.” This is a prevalent and legal practice called “off-label” prescribing, where a doctor uses their clinical judgment to prescribe a drug for a different (but well-researched) purpose. Azithromycin is commonly prescribed for:

Traveler’s Diarrhea – It is sometimes prescribed for the treatment of severe traveler’s diarrhea.
Acne – Lower doses may be used long-term for their anti-inflammatory effects in treating acne.

side effects

The most common side effects are related to the stomach and digestive system.

Common Side Effects

Diarrhea
Nausea
Vomiting
Stomach pain or cramping
Gas

Serious Side Effects

While rare, azithromycin can cause serious side effects. Stop taking the medication and contact your doctor immediately if you experience any of the following:

Serious Allergic Reaction – Hives, swelling of the face, lips, or tongue, difficulty breathing or swallowing (angioedema), or severe skin reactions (blistering, peeling).
Irregular Heart Rhythm (QT Prolongation) – This is a rare but dangerous heart rhythm change. Seek immediate medical help if you feel faint, dizzy, or have a fast, pounding, or irregular heartbeat.
Liver Problems – Stop taking the medication and call your doctor if you notice yellowing of the skin or eyes (jaundice), severe fatigue, dark urine, or right-sided stomach pain.
Severe Diarrhea (C. difficile) – Any antibiotic can cause an overgrowth of a bacteria called C. difficile, leading to severe, watery, or bloody diarrhea (often with fever and stomach cramps). This can happen during or even weeks after finishing the antibiotic.

Call your doctor immediately if you experience any concerning or prolonged symptoms.

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Azithromycin

Azithromycin is used for the treatment of traveler’s diarrhea due to the ingestion of contaminated food of water in specific regions.

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pharmacist tips

Finish the Full Course – This is the most important tip. Even if you feel 100% better, you must finish the entire course of antibiotics. Stopping early can allow the bacteria to rebound and become resistant to the antibiotic.
Take With or Without Food – You can take azithromycin tablets with or without food. If it upsets your stomach, try taking it with a small meal or snack.
Antacids – Do not take aluminum or magnesium-containing antacids (like Maalox or Mylanta) at the same time as azithromycin. Take the antacid at least 2 hours before or 2 hours after your antibiotic dose.
Managing Diarrhea – Mild diarrhea is common. If your doctor approves, taking a probiotic (separated by at least 2 hours from your antibiotic) may help. If the diarrhea is severe, watery, or contains blood, call your doctor immediately.
Check for Interactions – Azithromycin can interact with blood thinners (like warfarin), heart rhythm medications, and some seizure medications. Always give your doctor and pharmacist a full list of your medications.

drug interactions

Azithromycin can have significant interactions. Be sure your doctor knows if you take:

Antacids (Aluminum/magnesium) – Can decrease absorption.
Heart Rhythm Medications (Amiodarone, Sotalol) – Increases risk of QT prolongation.
Blood Thinners (Warfarin) – Can increase bleeding risk.
Statins (Atorvastatin) – May have an increased risk of muscle problems.
Colchicine
Digoxin
Phenytoin

Always give your doctor and pharmacist a complete list of all your medications, vitamins, and supplements to check for potential interactions.

FAQs

Is azithromycin a type of penicillin?

No. Azithromycin is in the “macrolide” class of antibiotics. It is a completely different class from penicillin. It is often prescribed specifically for people who are allergic to penicillin.

What’s the difference between azithromycin and amoxicillin?

They are in different antibiotic classes and kill bacteria differently. Amoxicillin (a penicillin) is often the first choice for infections like strep throat or ear infections. Azithromycin is a good alternative for those with penicillin allergies or for “atypical” bacteria that amoxicillin doesn’t cover (like in some types of pneumonia).

Can I drink alcohol while taking azithromycin?

It’s generally best to avoid alcohol. While there is no direct, dangerous interaction known, alcohol can increase stomach side effects like nausea and dizziness. It can also weaken your immune system, making it harder for your body to fight the infection.

How long does azithromycin take to work?

You may start to feel better within 1 to 2 days, but the medication continues to work in your body for several days even after you finish your last dose.

Will azithromycin cure the flu or a cold?

Azithromycin is an antibiotic, which means it only works against bacterial infections. The common cold and the flu are caused by viruses. Taking an antibiotic for a viral infection will not make you better, won’t help your symptoms, and can contribute to antibiotic resistance.

How long after taking azithromycin for chlamydia should I wait to have sex?

The CDC recommends abstaining from all sexual activity for 7 days after taking a dose of azithromycin. This gives the medication time to fully clear the infection and prevents you from transmitting it to a partner.

Does azithromycin interact with birth control pills? Azithromycin itself does not have a direct, proven interaction that makes hormonal birth control (like the pill, patch, or ring) less effective. However, if the antibiotic causes severe vomiting or diarrhea, your body may not absorb your oral birth control pill properly, which could increase your risk of pregnancy.

compare medications

Compared: Azithromycin, Amoxicillin, or Doxycycline?

Azithromycin is a macrolide antibiotic known for its short treatment course. Here’s how it compares to other common antibiotics.

Azithromycin (Zithromax) – A macrolide antibiotic with a unique dosing schedule (1-5 days) and good coverage for “atypical” bacteria.
Z-Pak – A specific, convenient 5-day pre-packaged course of azithromycin with tapered dosing (2 pills on day 1, 1 pill on days 2-5).
Amoxicillin (Amoxil) – A penicillin antibiotic that is often a first-line choice for strep and ear infections, but typically requires a 7- to 10-day course.
Doxycycline – A tetracycline antibiotic that is also a first-line choice for chlamydia (as a 7-day course) and is used for respiratory and skin infections.
Clarithromycin (Biaxin) – Another macrolide antibiotic similar to azithromycin, but it often requires a 7- to 14-day course and has more drug interactions.
Levofloxacin (Levaquin) – A fluoroquinolone antibiotic used for more severe infections (like pneumonia), but it has a higher risk of serious side effects (tendon rupture).

Disclaimer

Prescription medications made easy with TelyRx.

February 5, 2026 0 comments

Medications

What Is Ozempic? Uses, Side Effects, Dosage & FAQs

by Mariah Powers February 5, 2026

written by Mariah Powers

The Wellness Collective

What to Know About Ozempic (Semaglutide)

Mariah Powers
February 5, 2026

Reviewed by Ashley Robinson, PharmD, Pharmacy Manager for TelyRx

Ozempic (semaglutide) is a once-weekly prescription injection used in adults with type 2 diabetes. It is FDA-approved to improve blood sugar control (along with diet and exercise) and to reduce the risk of major cardiovascular events, like heart attack or stroke, in adults who have both type 2 diabetes and known heart disease.

Ozempic is a GLP-1 agonist, which works by mimicking a natural hormone in your body. This action helps the pancreas release insulin, stops the liver from making too much sugar, and slows down digestion. This slowing of digestion is what causes the most common side effects, such as nausea, vomiting, and diarrhea, especially when starting the medication.

It’s also why the drug often leads to reduced appetite and weight loss, a common off-label use.

how does ozempic work?

Ozempic belongs to a class of drugs called GLP-1 receptor agonists (or “incretin mimetics”). It works by copying the actions of a natural hormone in your body called glucagon-like peptide-1 (GLP-1).

When you eat, your body releases GLP-1. Ozempic mimics this hormone to:

Stimulate Insulin Release – It signals your pancreas to release more insulin when your blood sugar is high.
Reduce Liver Sugar – It tells your liver to decrease the amount of sugar it makes and releases into your bloodstream.
Slow Digestion – It slows down “gastric emptying,” the process of food leaving your stomach.

This combination of effects helps lower your blood sugar after meals, control your A1c, and often makes you feel fuller longer, which can reduce your appetite.

drug facts

Common Brands	Ozempic
Drug Class	GLP-1 Agonist
Generic Status	No generic available
Availability	Prescription Only

dosing

Note: Dosing information below is educational only. Your prescribing physician will determine your specific dose based on your individual health needs.

Ozempic is a once-weekly subcutaneous (under the skin) injection. The dose is “titrated,” meaning it starts low and slowly increases to help your body adjust and to minimize gastrointestinal side effects.

Starting Dose – The typical starting dose is 0.25 mg once a week for 4 weeks. This is not a long-term therapeutic dose.
Titration – After 4 weeks, your doctor may increase your dose to 0.5 mg once a week.
Further Increases – If your blood sugar is not at its target, your doctor may increase the dose further to 1 mg once a week or a maximum of 2 mg once a week.

FDA-approved uses

Type 2 Diabetes – To improve blood sugar control in adults with type 2 diabetes, used as an addition to diet and exercise.
Cardiovascular Risk Reduction – To lower the risk of major cardiovascular events (like heart attack, stroke, or cardiovascular death) in adults who have both type 2 diabetes and established heart disease.
Kidney Disease Risk Reduction – To reduce the risk of new or worsening kidney problems (nephropathy) in adults with type 2 diabetes and chronic kidney disease

common off-label uses

You may see Ozempic prescribed for uses that are not “FDA-approved.” This is a very common and legal practice called “off-label” prescribing, where a doctor uses their clinical judgment to prescribe a drug for a different (but well-researched) purpose.

Ozempic is very commonly prescribed “off-label” for weight loss. Its active ingredient, semaglutide, is FDA-approved for this specific use under the brand name Wegovy.

side effects

The most common side effects are gastrointestinal and are most likely to happen when you first start the medicine or after a dose increase.

Common Side Effects

Nausea (the most common side effect)
Diarrhea
Vomiting
Constipation
Stomach (abdominal) pain
Indigestion or burping

Serious Side Effects

Serious side effects are rare, but it’s important to know what to look for if they do occur.

BOXED WARNING – Risk of Thyroid C-cell Tumors – In animal studies, Ozempic caused thyroid tumors, and it is not known if this happens in people as well. It is not recommended to use Ozempic if you or any of your family have a history of medullary thyroid carcinoma (MTC) or Multiple Endocrine Neoplasia syndrome type 2 (MEN 2). Report any new lump in your neck, hoarseness, or trouble swallowing or breathing to your doctor.
Pancreatitis – Inflammation of the pancreas. Stop using Ozempic and call your doctor if you have severe, persistent pain in your abdomen that may spread to your back, with or without vomiting.
Hypoglycemia (Low Blood Sugar) – Your risk of low blood sugar is higher if you take Ozempic with other diabetes medications, especially insulin or sulfonylureas (like glipizide or glyburide).
Kidney Problems – Severe vomiting or diarrhea can lead to dehydration, which can cause or worsen kidney problems.
Gallbladder Problems – Ozempic can cause gallstones or gallbladder inflammation. Seek medical attention for pain in your upper right stomach, fever, or yellowing of the skin/eyes.
Vision Changes – Tell your doctor if you have any changes in vision, as it can worsen existing diabetic retinopathy.
Serious Allergic Reactions – Stop using Ozempic and get emergency help if you have swelling of the face, lips, or throat, or difficulty breathing.

Call your doctor immediately if you experience any concerning or prolonged symptoms.

Starting at $287.49 per dose

Ozempic

Ozempic® (semaglutide) is an injectable medication used to improve blood sugar control in adults with type 2 diabetes.

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pharmacist tips

Storage – Store your new, unused Ozempic pens in the refrigerator. After you use a pen for the first time, you can store it in the refrigerator or at room temperature (below 86°F) for up to 56 days (8 weeks).
Missed Dose – If you miss a dose, take it as soon as you remember, as long as it’s within 5 days of the missed dose. If more than 5 days have passed, it is recommended to skip the missed dose and take your next dose on your regular scheduled day.
Changing Dose Day – If you need to, you can change the day of the week you take your injection, as long as there are at least 2 days (48 hours) between your doses.
Injection Site – Inject Ozempic under the skin of your stomach (abdomen), thigh, or upper arm. Be sure to rotate your injection site each week.
Hydration – Nausea, vomiting, and diarrhea can cause dehydration. It’s very important to drink plenty of fluids to stay hydrated and help protect your kidneys.
Pregnancy – Ozempic may harm an unborn baby. You should stop using it at least 2 months before you plan to become pregnant.
Never Share Pens – Do not share your Ozempic pen with anyone else, even if you change the needle. This can lead to infection.

drug interactions

Two important interactions to be aware of are:

Insulin and Sulfonylureas – Taking Ozempic with these other diabetes medications significantly increases your risk of severe low blood sugar (hypoglycemia). Your doctor will likely need to lower the dose of your insulin or sulfonylurea.
Oral Medications – Because Ozempic slows down your digestion, it can change how your body absorbs oral pills such as contraceptives, thyroid medications, and blood thinners

Always give your doctor and pharmacist a complete list of all your medications, vitamins, and supplements to check for potential interactions.

FAQs

Is Ozempic insulin?

No, Ozempic is not insulin. It is a GLP-1 agonist that helps your body release its own insulin when your blood sugar is high. It will not work for people with type 1 diabetes.

What is the difference between Ozempic and Wegovy?

They are the exact same active ingredient (semaglutide). Ozempic is FDA-approved and dosed for type 2 diabetes (up to 2 mg). Wegovy is FDA-approved and dosed for chronic weight management (up to 2.4 mg).

What is the difference between Ozempic and Mounjaro?

Both are once-weekly injections for type 2 diabetes, but they work slightly differently. Ozempic is a single-action GLP-1 agonist. Mounjaro (tirzepatide) is a dual-action agonist, targeting both GLP-1 and GIP receptors.

How long does it take for Ozempic to work?

You may start to see a change in your blood sugar levels within the first week, but the full effect can take 8 weeks or longer as your dose is gradually increased. For weight management, it varies greatly from person to person.

Can I drink alcohol while taking Ozempic?

You should be cautious. Alcohol itself can affect your blood sugar (both raising it and lowering it). It can also increase the risk of side effects like nausea or pancreatitis. It’s best to talk to your doctor about alcohol consumption on Ozempic.

How many doses are in an Ozempic pen?

It depends on the pen and your prescribed dose. For example, a “red” pen that delivers 0.5 mg doses contains four 0.5 mg doses. A “blue” pen that delivers 1 mg doses contains four 1 mg doses. Your pen should be discarded 56 days after the first use, even if there is medicine left.

What’s the best injection site for Ozempic?

There is no “best” site, but you can inject it into your stomach (abdomen), thigh, or upper arm. Many people find the stomach is the easiest. The most important thing is to rotate your injection site each week to avoid skin irritation.

What if my Ozempic pen is left out of the fridge?

Once a pen is used for the first time, it can be safely stored at room temperature (below 86°F) or in the refrigerator for up to 56 days. Do not use a pen that has been left out for more than 56 days and never use a pen that has been frozen.

compare medications

Compared: Ozempic, Wegovy, Rybelsus, Mounjaro, or Liraglutide?

Ozempic is one of several popular incretin-mimetic drugs.

Ozempic (Semaglutide) – A once-weekly single-action (GLP-1) injection approved for Type 2 Diabetes and cardiovascular risk reduction.
Wegovy (Semaglutide) – The same once-weekly single-action (GLP-1) drug as Ozempic, but branded and dosed for Chronic Weight Management.
Rybelsus (Semaglutide) – The only oral pill version of semaglutide, taken daily and approved for Type 2 Diabetes.
Mounjaro (Tirzepatide) – A once-weekly dual-action (GIP/GLP-1) injection approved for Type 2 Diabetes.
Victoza (Liraglutide) – A once-daily single-action (GLP-1) injection approved for Type 2 Diabetes, sold at a significantly lower cost than other GLP-1s.

Disclaimer

Prescription medications made easy with TelyRx.

February 5, 2026 0 comments

Medications

What Is Tadalafil? Uses, Side Effects, & FAQs

by Mariah Powers February 5, 2026

written by Mariah Powers

The Wellness Collective

What to Know About Tadalafil

Mariah Powers
February 5, 2026

Reviewed by Ashley Robinson, PharmD, Pharmacy Manager for TelyRx

Tadalafil, best known by its brand name Cialis, is used to treat erectile dysfunction (ED). It is also FDA-approved to treat the urinary symptoms of an enlarged prostate (Benign Prostatic Hyperplasia, or BPH). Tadalafil belongs to a class of drugs called PDE-5 inhibitors.

Its main feature is a long-lasting effect, with a single “as-needed” dose remaining effective for up to 36 hours, earning it the nickname “the weekend pill.” It is also available in a lower, once-daily dose for those who prefer not to plan for sexual activity.

Common side effects include headache, indigestion, back pain, and muscle aches. A very rare but serious side effect is priapism; an erection lasting over 4 hours.

How does Tadalafil work?

Tadalafil is a PDE-5 inhibitor. It works by blocking an enzyme called PDE-5.

When you are sexually aroused, your body releases nitric oxide, which increases levels of cGMP and relaxes smooth muscle, allowing more blood to flow into the penis. Tadalafil blocks PDE-5, the enzyme that breaks down cGMP, helping this process last longer. It does not cause an erection without sexual stimulation.

Drug facts

Common Brands	Cialis, Adcirca, Alya
Drug Class	Phosphodiesterase-5 (PDE-5) inhibitor
Generic Status	Generic version of Cialis
Availability	Prescription Only

Dosing

Note: Dosing information below is educational only. Your prescribing physician will determine your specific dose based on your individual health needs.

Dosing for tadalafil is flexible and depends on the condition and your preference.

For ED (As-Needed)
- The typical starting dose is 10 mg, taken at least 30 minutes before sexual activity.
- This dose can be increased to 20 mg or decreased to 5 mg based on effectiveness and side effects.
- The effects can last for up to 36 hours. Do not take more than one dose in a 24-hour period.
For ED (Once-Daily)
- The dose is 2.5 mg or 5 mg taken once a day, at the same time every day.
- This allows for spontaneous sexual activity without the need to time a pill.

FDA-approved uses

Erectile Dysfunction (ED) – The most common use.
Benign Prostatic Hyperplasia (BPH) – To treat the urinary signs and symptoms of an enlarged prostate.
ED and BPH Together – For men who have both conditions.
Pulmonary Arterial Hypertension (PAH) – Tadalafil is also sold under the brand name Adcirca to treat high blood pressure in the lungs. You should never take both Cialis and Adcirca.

Common off-label uses

You may see Mounjaro prescribed for uses that are not “FDA-approved.” This is a very common and legal practice called “off-label” prescribing, where a doctor uses their clinical judgment to prescribe a drug for a different (but well-researched) purpose.

Mounjaro is widely prescribed “off-label” for chronic weight management in adults who are overweight or obese. While Mounjaro is not officially FDA-approved for weight loss, its active ingredient, tirzepatide, is approved for this use under the brand name Zepbound.

Side effects

These side effects are often mild and may go away as your body adjusts.

Common Side Effects

Headache
Indigestion or upset stomach
Back pain
Muscle aches
Flushing (facial redness)
Runny or stuffy nose

Serious Side Effects

Serious side effects are rare, but it’s important to know what to look for if they do occur.

Stop taking tadalafil and seek medical help immediately if you experience:

Priapism – An erection that is painful or lasts longer than 4 hours. This is a medical emergency that can cause permanent damage.
Sudden Vision Loss – A sudden decrease or loss of vision in one or both eyes.
Sudden Hearing Loss – A sudden decrease in hearing or ringing in the ears (tinnitus).
Severe Low Blood Pressure – Dizziness, lightheadedness, or fainting.
Signs of Heart Attack/Stroke – Chest pain, sudden numbness or weakness, severe headache, or confusion.
Serious Allergic Reaction – Rash, hives, swelling of the face, lips, or throat, and difficulty breathing.

Call your doctor immediately if you experience any concerning or prolonged symptoms.

Starting at $29.99 per bottle

Tadalafil

Tadalafil (Cialis) is a medication used for both enlarged prostate and erectile dysfunction.

Order Now

Pharmacist tips

The 36-Hour Window – The biggest advantage of the “as-needed” dose is its long duration. A single pill allows for sexual activity for up to 36 hours.
Nitrates are a “No” – NEVER take tadalafil if you take nitrate medications for chest pain (like nitroglycerin), high blood pressure (like isosorbide mononitrate) or use recreational “poppers” (amyl nitrite). The combination can cause a sudden, life-threatening drop in blood pressure.
Erection Over 4 Hours? Go to the ER – A prolonged erection (priapism) is a serious emergency. If your erection lasts more than 4 hours, go to the nearest emergency room.
With or Without Food – Tadalafil works well either way. Unlike some other ED pills, a meal won’t significantly affect its absorption.
Watch the Alcohol – Limit your alcohol intake. Drinking alcohol can increase the side effects of dizziness and headache and can make it harder to get an erection.
No “Double Dosing” – Never take tadalafil with other PDE-5 inhibitors like sildenafil (Viagra) or vardenafil (Levitra).
Daily Dose vs. As-Needed – The daily dose (2.5mg or 5mg) is great for men who prefer spontaneity. The as-needed dose (10mg or 20mg) is better for men who have sex less frequently and prefer a stronger, single dose.

Drug interactions

Tadalafil can interact with many medications. The most critical interaction is with nitrates.

DO NOT TAKE TADALAFIL if you take:

Nitrates (nitroglycerin, isosorbide mononitrate, amyl nitrite “poppers”).
Guanylate Cyclase (GC) Stimulators (Riociguat).

Use caution and talk to your doctor if you take:

Alpha-blockers – (tamsulosin for BPH) as this combination can cause low blood pressure.
Blood Pressure Medications – Tadalafil can have an additive effect.
CYP3A4 Inhibitors – (ketoconazole, clarithromycin, grapefruit juice), which can increase the level of tadalafil in your blood.
Other PDE-5 Inhibitors – sildenafil, vardenafil.

Always give your doctor and pharmacist a complete list of all your medications, vitamins, and supplements to check for potential interactions.

FAQs

How long does Tadalafil (Cialis) last?

The “as-needed” dose (10 mg or 20 mg) is effective for up to 36 hours. This doesn’t mean you’ll have an erection for 36 hours, but that the medication will be in your system to help you achieve an erection with stimulation during that time.

What’s the difference between Cialis and Viagra?

The main difference is duration. Viagra (sildenafil) works for about 4 to 6 hours. Cialis (tadalafil) works for up to 36 hours. Cialis also has a daily-dose option, while Viagra is only taken as needed.

Can I take Tadalafil every day?

Yes. The 2.5 mg and 5 mg doses are designed to be taken once daily. This allows for spontaneous sexual activity anytime, rather than having to time a pill before sex.

Can I cut a 20mg Tadalafil tablet in half?

No. Tadalafil tablets are not scored and are designed to be swallowed whole. Cutting them can lead to an uneven or incorrect dose.

Does Tadalafil make you last longer during sex?

Tadalafil treats erectile dysfunction (the ability to get/keep an erection). It does not treat premature ejaculation (how long it takes to climax).

Why does Tadalafil cause back pain?

Back pain and muscle aches are unique common side effects of tadalafil. This is thought to be related to its effect on the PDE-11 enzyme, which is found in muscle tissue. The pain is temporary and usually goes away within 1-2 days.

Can I drink grapefruit juice with Tadalafil?

It’s best to avoid it. Grapefruit juice can inhibit an enzyme in your liver that breaks down tadalafil, leading to higher levels of the medication in your blood and an increased risk of side effects.

Compare medications

Compared: Tadalafil, Sildenafil, Vardenafil, or Avanafil?

Tadalafil is in the same class as several other well-known ED medications. The main differences are in their duration, onset of action, and how they are affected by food.

Tadalafil (Cialis) – The “weekend pill,” notable for its extremely long 36-hour duration and the option for a low, once-daily dose.
Sildenafil (Viagra) – The original “little blue pill,” works for 4-6 hours and is most effective when taken on an empty stomach.
Vardenafil – Has a similar profile to sildenafil, with a 4-6 hour duration, and is known for being a potent option.
Avanafil (Stendra) – The newest option, known for its very fast onset of action (as quickly as 15 minutes for some men).

Disclaimer

Prescription medications made easy with TelyRx.

What Is Mounjaro (Tirzepatide)? Uses, Side Effects, & FAQs

by Mariah Powers February 5, 2026

written by Mariah Powers

The Wellness Collective

What to Know About Mounjaro (Tirzepatide)

Mariah Powers
February 5, 2026

Reviewed by Ashley Robinson, PharmD, Pharmacy Manager for TelyRx

Mounjaro (active ingredient: tirzepatide) is an injectable prescription medicine used to manage type 2 diabetes. It is used, along with diet and exercise, to improve blood sugar (glucose) control. It is a dual-action medication that mimics two essential gut hormones, making it effective at lowering blood sugar and A1C levels.

While it is only FDA-approved for type 2 diabetes, it also has a strong effect on appetite and digestion. This leads to a common side effect of weight loss. Because of this, its active ingredient is also used in a different branded medication, Zepbound, specifically for weight management.

Common side effects are primarily gastrointestinal, including nausea, diarrhea, decreased appetite, and constipation, especially when first starting the medication or with dose escalation.

how does mounjaro work?

Mounjaro is the first and only medication in its class, known as a dual GIP and GLP-1 receptor agonist.

It works by mimicking two natural hormones (incretins) that your gut releases when you eat:

GLP-1 (glucagon-like peptide-1) – Helps the body release more insulin when blood sugar is high, slows down digestion, and signals a feeling of fullness to the brain.
GIP (glucose-dependent insulinotropic polypeptide) – Also helps the body release insulin and has been shown to play a role in fat storage and appetite regulation.

By activating both of these pathways, Mounjaro provides control over blood sugar and also helps reduce appetite.

drug facts

Common Brands	Mounjaro
Drug Class	GIP and GLP-1 agonist
Generic Status	No generic available
Availability	Prescription Only

dosing

Note: Dosing information below is educational only. Your prescribing physician will determine your specific dose based on your individual health needs.

Mounjaro is an injectable liquid that comes in a single-use auto-injector pen. It is injected under the skin (subcutaneously) in the abdomen, thigh, or upper arm. To let your body adjust and to minimize side effects, your doctor may start you on a low dose.

Starting Dose – The treatment begins at 2.5 mg injected once weekly for 4 weeks. This is not a therapeutic dose for blood sugar control but is intended to help you tolerate the medication.
Titration – After 4 weeks, your doctor will increase your dose to 5 mg once weekly if tolerating the medication.
Further Increases – If more blood sugar control is needed, your doctor may continue to increase your dose every 4 weeks (to 7.5 mg, 10 mg, 12.5 mg, and 15 mg).
Maximum Dose – The maximum dose is 15 mg once weekly.

FDA-approved uses

Mounjaro is FDA-approved to improve blood sugar control in adults with type 2 diabetes mellitus, used as an addition to diet and exercise.

common off-label uses

side effects

Gastrointestinal side effects are the most common and tend to be most severe when starting the medication or increasing the dose.

Common Side Effects

Nausea
Diarrhea
Decreased appetite
Vomiting
Constipation
Indigestion (heartburn)
Stomach pain

Serious Side Effects

Serious side effects are rare, but it’s important to know what to look for if they do occur. You must stop using Mounjaro and call your doctor immediately if you experience:

Boxed Warning (Thyroid Tumors) – Mounjaro has a warning for a potential risk of thyroid C-cell tumors. In studies with rats, tirzepatide caused thyroid tumors. It is unknown if it has the same effect in humans. Do not use Mounjaro if you or a family member has ever had medullary thyroid carcinoma (MTC) or Multiple Endocrine Neoplasia syndrome type 2 (MEN 2). You should report any new lumps in the neck, hoarseness, or trouble swallowing to your doctor.
Pancreatitis – Severe, persistent stomach pain that may radiate to your back, with or without vomiting.
Hypoglycemia (Low Blood Sugar) – The risk is higher if you take Mounjaro with other diabetes medications like insulin or sulfonylureas. Symptoms include dizziness, shakiness, sweating, confusion, and fast heartbeat.
Serious Allergic Reaction – Swelling of the face, lips, tongue, or throat; difficulty breathing; severe rash or itching.
Kidney Problems – In rare cases, severe vomiting or diarrhea can lead to dehydration and cause new or worsening kidney damage.
Gallbladder Problems – Gallstones or inflammation of the gallbladder (cholecystitis). Symptoms include pain in your upper right stomach, fever, and yellowing of the skin or eyes (jaundice).
Vision Changes – Report any new or worsening blurred vision or other changes.

Starting at $299.75 per dose

Mounjaro

Mounjaro® is used to treat type 2 diabetes alone or in combination with other medications.

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pharmacist tips

Injection Day – Mounjaro is a once-weekly injection. You can take it at any time of day, with or without food. Try to take it on the same day each week to help you remember.
Changing Your Day – Injection day can be changed as long as there are at least 3 days (72 hours) between two doses.
Missed Dose – If you miss a dose, take it as soon as you remember, as long as it’s within 4 days (96 hours) of the missed dose. If it’s been more than 4 days, it’s recommended to skip the missed dose and take your next dose on your regularly scheduled day.
Storage – Store your pens in the refrigerator (36°F to 46°F). Do not freeze them. A single pen can be stored at room temperature (up to 86°F) for up to 21 days if needed.
Injection Sites – Rotate your injection site (abdomen, thigh, or back of the upper arm) with each dose to avoid skin irritation.
Hydration – The most common side effects are nausea and diarrhea. These can lead to dehydration, which can make you feel worse. Be sure to drink plenty of fluids, especially when you first start.
Check the Pen – Before injecting, always inspect the liquid. It should be clear and colorless to slightly yellow. Do not use it if it is cloudy, has particles, is miscolored, or frozen.

drug interactions

Mounjaro slows down stomach emptying, which can change how your body absorbs oral medications.

Oral Contraceptives (Birth Control Pills) – Mounjaro can make birth control pills less effective. It is recommended to use a non-oral barrier method (like condoms) for 4 weeks after starting Mounjaro and for 4 weeks after each dose increase.
Insulin or Sulfonylureas (glipizide, glyburide) – Taking Mounjaro with these diabetes medications significantly increases your risk of low blood sugar (hypoglycemia). Your doctor may need to lower the dose of your other medications.
Warfarin – Mounjaro may affect the absorption of warfarin, a blood thinner. Your doctor may need to monitor your INR (a blood test) more closely when you start or change your Mounjaro dose.

Always give your doctor and pharmacist a complete list of all your medications, vitamins, and supplements to check for potential interactions.

FAQs

What’s the difference between Mounjaro and Zepbound?

They are the exact same active ingredient (tirzepatide) in the same type of injector pen. Mounjaro is FDA-approved and branded for type 2 diabetes, while Zepbound is FDA-approved and branded for chronic weight management.

Is Mounjaro approved for weight loss?

Mounjaro itself is not FDA-approved for weight loss. However, its active ingredient, tirzepatide, is approved for weight loss under the brand name Zepbound. Many doctors prescribe Mounjaro “off-label” for weight loss.

Is Mounjaro better than Ozempic (semaglutide)?

Both are highly effective, but they work slightly differently. Mounjaro acts on two hormone receptors (GIP and GLP-1), while Ozempic acts on one (GLP-1). In head-to-head clinical trials, Mounjaro (tirzepatide) showed slightly higher average A1C reduction and more average weight loss than Ozempic (semaglutide). However, individual results vary, and one may be a better choice for you based on your health history and tolerance.

How much weight can you lose on Mounjaro?

In clinical trials for diabetes, patients taking Mounjaro (in addition to diet and exercise) saw significant weight loss as a side effect. In separate trials for weight loss (using the same ingredient), patients lost an average of 15% to 20% of their starting body weight over 72 weeks, depending on the dose.

What happens when you stop taking Mounjaro? Mounjaro is a long-term treatment. When you stop taking it, the medication’s effects will wear off. For patients with diabetes, blood sugar levels will likely rise. For patients using it for weight management, appetite will likely return, and it is common to regain a portion of the lost weight.

Can I drink alcohol while taking Mounjaro?

Alcohol can affect your blood sugar, and both alcohol and Mounjaro can increase the risk of pancreatitis. Heavy drinking is not recommended. Talk to your doctor about your alcohol use.

What foods should I avoid on Mounjaro?

No foods are “banned,” but many people find that high-fat, greasy, or very sugary foods can make side effects like nausea and diarrhea much worse. It’s often best to focus on smaller, more frequent meals of lean protein, fruits, and vegetables.

Can I take Mounjaro if I don’t have diabetes?

Mounjaro is only FDA-approved for type 2 diabetes, but it is commonly prescribed “off-label” for weight loss. If you do not have diabetes but are seeking treatment for obesity, you can also use Zepbound, which contains the same active ingredient.

compare medications

Compared: Mounjaro, Zepbound, Ozempic, or Wegovy?

Mounjaro (Tirzepatide) – A once-weekly dual-action (GIP/GLP-1) injection approved for Type 2 Diabetes.
Zepbound (Tirzepatide) – The same once-weekly dual-action (GIP/GLP-1) drug as Mounjaro, but branded for Chronic Weight Management.
Ozempic (Semaglutide) – A once-weekly single-action (GLP-1) injection approved for Type 2 Diabetes.
Wegovy (Semaglutide) – The same once-weekly single-action (GLP-1) drug as Ozempic, but branded for Chronic Weight Management.

Disclaimer

Prescription medications made easy with TelyRx.

February 5, 2026 0 comments

Medications

What Is Albuterol HFA (Proair)? Uses, Side Effects, Dosage & FAQs

by Mariah Powers February 5, 2026

written by Mariah Powers

The Wellness Collective

What to Know About Albuterol HFA Inhalers (Proair)

Mariah Powers
February 5, 2026

Reviewed by Ashley Robinson, PharmD, Pharmacy Manager for TelyRx

Albuterol is a prescription “rescue” medication, also known as a bronchodilator, used for rapid relief of breathing problems like wheezing, coughing, and shortness of breath caused by asthma and COPD.

It works by relaxing the muscles around the airways, making it easier to breathe within minutes. It is a Short-Acting Beta-Agonist (SABA) and is intended for “as-needed” relief, not for long-term daily control of underlying inflammation. While essential for managing acute symptoms, albuterol can cause side effects like shakiness, nervousness, or a fast heartbeat.

how do albuterol HFA inhalers work?

Albuterol is a bronchodilator. It works by binding to receptors on the smooth muscle of your airways. This signals the muscles to relax and open up, allowing air to flow more freely into and out of the lungs. This action can begin within minutes and makes it easier to breathe.

drug facts

Common Brands	ProAir HFA, Proventil HFA, Ventolin HFA
Drug Class	Short-Acting Beta-Agonist (SABA), Bronchodilator
Generic Status	Generic version of Proair, Proventil, Ventolin
Availability	Prescription Only

dosing

Note: Dosing information below is educational only. Your prescribing physician will determine your specific dose based on your individual health needs.

Each puff (actuation) from a standard HFA inhaler delivers 90 mcg of albuterol.

For Acute Symptoms (Asthma/COPD) – The typical dose for adults is 2 puffs by mouth every 4 to 6 hours as needed for wheezing or shortness of breath.
For Exercise-Induced Bronchospasm (EIB) – The standard dose is 2 puffs by mouth, taken 15 to 30 minutes before exercise.

Always follow your healthcare provider’s instructions for exact dosing.

FDA-approved uses

Treatment of Acute Bronchospasms (Asthma) – Used as a “rescue” medication to relieve sudden symptoms of wheezing, chest tightness, and shortness of breath in patients with asthma or other obstructive lung diseases.
Prevention of Exercise-Induced Bronchospasm (EIB): Taken before exercise to prevent the airways from tightening during physical activity.

common off-label uses

You may see Albuterol prescribed for uses that are not “FDA-approved.” This is a very common and legal practice called “off-label” prescribing, where a doctor uses their clinical judgment to prescribe a drug for a different (but well-researched) purpose.

While albuterol is essential to asthma treatment, it is also a standard part of therapy for Chronic Obstructive Pulmonary Disease (COPD). Doctors prescribe it for COPD patients to use “as needed” to relieve flare-ups of shortness of breath, much like it’s used for asthma.

side effects

Most side effects are mild and related to the “stimulating” effect of the medication.

Common Side Effects

Shakiness or tremor (especially in the hands)
Nervousness or a feeling of excitement
Headache
Fast or irregular heartbeat (palpitations)
Sore throat or dry mouth
Nausea

Serious Side Effects

Serious side effects are rare, but it’s important to know what to look for if they do occur.

Paradoxical Bronchospasm – This is a rare but serious event where your breathing or wheezing gets worse immediately after using the inhaler.
Allergic Reaction – Symptoms include hives, rash, swelling of the face, mouth, tongue, or throat, and difficulty breathing.
Cardiovascular Effects – Chest pain, fast or pounding heartbeat (arrhythmia), or very high blood pressure.
Low Potassium (Hypokalemia) – Can cause muscle cramps, weakness, or an irregular heartbeat.

Call your doctor immediately or seek emergency care if you experience any concerning or prolonged symptoms.

Starting at $39.99

Albuterol HFA Inhaler

Albuterol is used to open the airways during episodes of asthma exacerbations, on an as-needed basis, or for exercise-induced asthma.

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pharmacist tips

This is a “Rescue” Inhaler, Not a “Control” Inhaler – Its job is to fix symptoms now. It does not prevent underlying inflammation.
The Rule of Two – If you need to use your rescue inhaler more than two times per week (not including for exercise), your asthma is not well-controlled. This is a crucial sign that you need to talk to your doctor about adding or adjusting a long-term “control” medication (like an inhaled steroid).
Technique is Everything – Shake the inhaler well before each puff. Exhale fully, inhale slowly and deeply as you press the canister, and then hold your breath for up to 10 seconds.
Wait One Minute – If you need a second puff, wait at least one full minute before taking it. This allows the first puff to work and open your airways for the second.
Ask About a Spacer – Ask your doctor or pharmacist about a spacer. This chamber attaches to your inhaler and makes it much easier to get the medicine to your lungs, while also reducing side effects like sore throat.
Watch the Dose Counter – Most inhalers have a counter. Do not “float test” your inhaler to see if it’s empty. When the counter says “0,” discard it, even if it still sprays.
Clean Your Inhaler – Clean the plastic mouthpiece and cap at least once a week with warm water to prevent clogs and bacteria from spreading. Let it air dry completely.

drug interactions

Beta-Blockers (propranolol, metoprolol) – These medications, often used for heart conditions or blood pressure, can have the opposite effect of albuterol and may block its action, potentially causing a severe asthma attack.
Diuretics (hydrochlorothiazide, furosemide) – This combination can increase the risk of low potassium levels.
Antidepressants – Can increase the risk of albuterol’s cardiovascular side effects (like a racing heart or blood pressure changes).
Digoxin – Albuterol may affect the levels of this heart medication.

Always give your doctor and pharmacist a complete list of all your medications, vitamins, and supplements to check for potential interactions.

FAQs

Is albuterol a steroid?

No. This is a common point of confusion. Albuterol is a bronchodilator that relaxes muscles. Inhaled steroids (like fluticasone or budesonide) are “controller” medications that reduce inflammation. They are often used together but are not the same.

How fast does albuterol work and how long does it last?

It usually works within 5 to 15 minutes. The effects typically last for about 4 to 6 hours.

What’s the difference between an HFA inhaler and a dry powder inhaler (DPI)?

An HFA inhaler (a “puffer”) is a canister that sprays the medicine out as a fine mist. A DPI (like ProAir RespiClick) contains a fine powder. You must inhale quickly and deeply from a DPI to get the medicine, whereas you inhale slowly and deeply from an HFA inhaler.

What is a “spacer” and do I really need one?

A spacer (or valved holding chamber) is a tube that attaches to your HFA inhaler. It holds the “puff” of medicine in the chamber so you can inhale it in one or two slow, deep breaths. It is highly recommended for most people as it helps more medicine get deep into your lungs and reduces the amount that just hits your mouth or throat.

What should I do if my albuterol doesn’t seem to be working?

If your rescue inhaler is not relieving your symptoms, or you find you need it more and more often, this is a medical emergency. It’s a sign your airway inflammation is severe and not controlled. Contact your doctor or seek emergency care right away.

What happens if I use an expired albuterol inhaler?

Using an expired inhaler is not recommended. The medication may not be as effective, which means it might not relieve your symptoms during an asthma attack. It’s best to check the expiration date and get a new prescription filled before it expires.

Why do I shake or feel jittery after using my albuterol inhaler?

This is one of the most common side effects. Albuterol works by stimulating receptors in your lungs, but it can also stimulate similar receptors in other parts of your body, which can cause that shaky, “jittery” feeling or a faster heartbeat. It’s usually harmless and fades quickly, but if it’s severe, let your doctor know.

Can I use my albuterol inhaler too much?

Yes, and it’s a sign of a problem. Using your rescue inhaler more than prescribed (more than 2 days a week) is a signal that your asthma or COPD is not well-controlled. Overuse can also lead to more side effects. You should not need to “live on” your rescue inhaler; talk to your doctor about a better long-term control plan.

Should I rinse my mouth after using albuterol?

While it’s essential to rinse your mouth after using an inhaled steroid (to prevent thrush), it’s not strictly necessary with albuterol. However, some people rinse to get rid of the medication’s taste or to help with dry mouth.

Does albuterol cause anxiety?

Albuterol can sometimes trigger feelings of anxiety. The side effects of a racing heart, nervousness, and shakiness can feel very similar to a panic attack, which can be frightening. If this is a significant problem for you, discuss it with your doctor.

How do I know if my inhaler is empty?

The only reliable way to know is to use the dose counter built into the back of the canister. When it reads “0,” it’s empty, even if it still sprays propellant. If your inhaler has no counter, you must track your doses manually.

Can I take albuterol while pregnant?

You must talk to your doctor. Uncontrolled asthma during pregnancy is a significant risk to both you and the baby. Albuterol is often considered for use during pregnancy if the benefit of controlling asthma outweighs any potential risk. Your doctor will help you make the safest choice.

compare medications

Compared: Albuterol, Xopenex, Fluticasone, or Symbicort?

Here’s how albuterol compares to other common respiratory inhalers.

Albuterol (ProAir HFA, Proventil HFA, Ventolin HFA)
- Type – “Rescue” Inhaler (Short-Acting Beta-Agonist, SABA).
- Use – Taken “as-needed” to provide rapid, short-term relief from sudden symptoms (wheezing, shortness of breath). It works by relaxing airway muscles.

Levalbuterol (Xopenex)
- Type – “Rescue” Inhaler (SABA).
- Use – This is a direct alternative to albuterol. It works in the exact same way but contains only one isomer of the drug. It is sometimes prescribed for patients who are very sensitive to albuterol’s side effects (like shakiness).

Inhaled Corticosteroids (Flovent/Fluticasone, Pulmicort/Budesonide)
- Type – “Controller” Inhaler.
- Use – This is a different class of medication. It does not provide rescue. It’s taken every day (even when you feel well) to reduce the underlying inflammation in your lungs and prevent symptoms from happening.

Combination Inhalers (Advair, Symbicort, Dulera)
- Type – “Controller” Inhaler.
- Use – This is also a daily controller medication. It combines an inflammation-reducing steroid (ICS) with a Long-Acting Beta-Agonist (LABA) that keeps airways open for 12-24 hours. It is not used for sudden rescue.

Disclaimer

Prescription medications made easy with TelyRx.

February 5, 2026 0 comments

Medications

What Is Ivermectin (Stromectol)? Uses, Side Effects, Dosage & FAQs

by Mariah Powers February 5, 2026

written by Mariah Powers

The Wellness Collective

What to Know About Ivermectin (Stromectol)

Mariah Powers
February 5, 2026

Reviewed by Ashley Robinson, PharmD, Pharmacy Manager for TelyRx

Ivermectin (Stromectol) is an oral antiparasitic medication that works by paralyzing and killing parasites. It is FDA-approved to treat specific internal infections like strongyloidiasis (gut worms) and onchocerciasis (river blindness), but doctors also commonly prescribe it off-label for skin infestations like scabies and lice.

How it works

Ivermectin works by specifically targeting the nervous system of the parasites. It attaches to special “gates” found only on the nerve and muscle cells of invertebrates.

This attachment floods the parasite’s cells with chloride ions and overloads their system, effectively shutting down their ability to send electrical signals. This process paralyzes the parasites, making them unable to move, feed, or multiply.

Because humans do not have these specific types of channels in their nerves and muscles, the medication can target the parasites with a high margin of safety.

drug facts

Common Brands	Stromectol
Drug Class	Anthelmintic, Antiparasitic agent
Generic Status	Generic version of Stromectol
Availability	Prescription Only

dosing

Note: Dosing information below is educational only. Your prescribing physician will determine your specific dose based on your individual health needs.

Dosing for ivermectin is typically calculated based on body weight. The dose is usually taken once with food, then repeated in 7 to 14 days. In general, the following dosing is recommended:

79 to 110 lbs, 9mg, 3 tablets
112 to 143 lbs, 12mg, 4 tablets
145 to 174 lbs, 15mg, 5 tablets
176 lbs or more, 200 mcg per kg

FDA-approved uses

Strongyloidiasis – An infection of the intestinal tract caused by a parasitic roundworm.
Onchocerciasis (River Blindness) – A parasitic infection of the skin and eyes caused by a worm.

common off-label uses

You may see ivermectin prescribed for uses that are not “FDA-approved.” This is a common and legal practice called “off-label” prescribing, where a doctor uses their clinical judgment to prescribe a drug for a different (but well-researched) purpose.

Scabies – The CDC considers oral ivermectin an essential treatment for this itchy skin infestation caused by mites. It’s especially useful for severe or crusted scabies.
Head Lice – It is also often used for difficult-to-treat cases of head lice.

side effects

Most people tolerate ivermectin well. When side effects do occur, they are usually mild.

common side effects

Dizziness
Nausea or diarrhea
Mild skin rash or itching
Fatigue

serious side effects and reactions

Serious side effects are rare, but it’s important to know what to look for if they do occur.

Serious Neurological Effects – Severe drowsiness, confusion, loss of balance, or seizures.
Severe Allergic Reaction (Mazzotti Reaction) – When treating river blindness, the death of parasites can cause a body-wide inflammatory reaction. Symptoms include fever, severe rash, joint pain, and swollen, tender lymph nodes.
Signs of Drug-Induced Allergic Reaction – Hives, swelling of your face, lips, or throat, or difficulty breathing.

Call your doctor immediately if you experience any concerning or prolonged symptoms.

Starting at $79.99

Ivermectin

Oral ivermectin is used to treat scabies and lice for those who have had skin contact within the past 6 weeks.

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pharmacist tips

Follow Dosing Instructions – Pay close attention to whether you should take your dose on an empty stomach (for gut worms) or with food (often for scabies).
Human Use Only Doses – Never use ivermectin products intended for animals. Veterinary formulas are highly concentrated and can lead to severe poisoning, overdose, or death in humans.
Don’t Drive Until You Know – Ivermectin can make some people feel dizzy or drowsy. Don’t drive, operate machinery, or do anything requiring full alertness until you know how the medication affects you.
Dosing – If you are being treated for scabies, taking the second dose (1-2 weeks later) should not be skipped. It is essential to cure the infestation by killing the newly hatched mites.
Talk About Pregnancy – Ivermectin is generally not recommended for pregnant or breastfeeding women. If you are or may become pregnant, discuss the risks and benefits thoroughly with your doctor.

drug interactions

Warfarin (Coumadin, Jantoven) – When taking Ivermectin with warfarin, bleeding risk can increase and requires close monitoring.
Sedatives – Ivermectin can increase the effects of other medications that cause drowsiness, such as benzodiazepines (Valium, Xanax), barbiturates, or sleep aids.

Always give your doctor and pharmacist a complete list of all your medications, vitamins, and supplements to check for potential interactions.

FAQs

What’s the difference between ivermectin pills and ivermectin cream?

Ivermectin pills (Stromectol) are an anti-parasitic taken internally to kill parasites inside your body (like worms) or under your skin (like scabies). Ivermectin cream (Soolantra) is a topical anti-inflammatory used to treat the skin condition rosacea. They are not interchangeable.

Why are there two doses for scabies?

Ivermectin is effective at killing live scabies mites, but it does not kill their eggs. The first dose kills the live mites. The second dose, taken 1-2 weeks later, is timed to kill the new mites that have hatched from the eggs in the meantime. Skipping the second dose will likely cause the infestation to return.

Is ivermectin safe?

When prescribed by a licensed provider for its intended use (parasitic infections) and taken at the correct human dose, ivermectin is generally considered safe and effective. The dangers you hear about are often linked to people taking unprescribed, high-dose veterinary formulations.

Can I drink alcohol while taking ivermectin?

It is best to avoid alcohol. Alcohol can increase the side effects of ivermectin, especially dizziness, drowsiness, or loss of coordination.

How long does ivermectin take to work?

It begins killing parasites within hours. With scabies, you may still feel itchy for 2-4 weeks after treatment, even if the mites are gone. This is a normal reaction as your body sheds the dead mites.

What happens if I miss a dose?

If you are on a multi-dose regimen (like for scabies) and you miss your second dose, contact your doctor. They will likely have you take it as soon as you remember, or they may restart the 2-dose clock to ensure the infestation is fully treated. Do not “double up” on your own.

Do I need to treat my family for scabies, even if they aren’t itchy?

Scabies is extremely contagious. The CDC recommends that all household members and other close contacts (like sexual partners) be treated at the same time as the person who has been diagnosed. It can take 4-6 weeks for symptoms (itching) to appear, so people can spread scabies before they even know they have it. Treating everyone at once prevents a cycle of re-infestation.

What cleaning do I need to do for scabies?

On the day you take your first dose, you should machine-wash all bedding, towels, and clothing you’ve used in the last 3 days in hot water and dry them on high heat. Items that can’t be washed should be sealed in a plastic bag for at least 72 hours, as the mites cannot survive that long off a human host.

Which is better for scabies: ivermectin pills or permethrin cream?

Both are excellent first-line treatments. Permethrin cream, which is applied from the neck down and left on for 8-14 hours, is effective and often tried first. Oral ivermectin is also effective and is usually preferred for widespread outbreaks, for severe (crusted) scabies, or for people who may have difficulty applying the cream thoroughly.

compare medications

Ivermectin is often a first-line treatment, but it’s not the only option. The best choice depends on your specific infection and preference.

Compared: Ivermectin, Permethrin, or Spinosad?

Ivermectin is one of several options, which differ in their form (oral vs. topical) and how they are administered.

Ivermectin (Stromectol) – This is an oral medication taken by mouth as a tablet. When prescribed for scabies, the standard treatment is typically two doses, spaced one to two weeks apart. As an oral medication, it works systemically, circulating through the bloodstream to kill the mites.
Permethrin 5% Cream – This is a topical medication applied directly to the skin. The standard treatment involves applying a layer of cream to the entire body from the neck down. This cream is left on the skin for a specific duration, typically 8 to 14 hours, before it is washed off.
Spinosad (Natroba) – This is a topical suspension that is also used to treat scabies. It is applied to the entire body, from the neck down, and left on for 10 minutes before being rinsed off.

Disclaimer

Prescription medications made easy with TelyRx.

February 5, 2026 0 comments

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