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"If you do not follow the full dosage schedule of Zithromax, even if you feel better in a few days. Azithromycin works against several different bacteria, especially chlamydia and streptococcus. Zithromax is used to treat bacterial infections. Azithromycin is in a class of medications called macrolide antibiotics which works by stopping the spread of infection and remaining bacteria are killed by the body's immune system or eventually die."