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Official answer. Azithromycin for std is not a penicillin it is a type of antibiotic called a macrolide. Macrolides kill bacteria by inhibiting protein synthesis and blocking the assembly of the 50S ribosomal subunit, which is a structure in a cell that helps coordinate protein synthesis.
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The problem with can you buy zithromax over the counter is its long half-life of up to 96 hours, which contributes to the development of resistance, according to Joseph Lex, MD, who spoke at the American Academy of Emergency Medicine 20-th Annual Scientific Assembly, reported by Medscape.