Over the counter medications cannot be used to treat chlamydia. Effective treatment for chlamydia relies on antibiotics, which are only available with a prescription. Over-use of antibiotics in a population can lead to bacteria, including Chlamydia trachomatis, becoming resistant to the medication. In an attempt to limit the development of this problem, antibiotics are generally only available with a doctor's prescription. If they were available over the counter, they would likely be used much more frequently, including in cases where a person did not in fact have an infection that could be treated with an antibiotic -- leading to the development of resistant strains. In fact, even with antibiotics only available of prescription, experts believe that doctors currently prescribe antibiotics far too readily, contributing to the problem of resistance. 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Over the Counter. HOW TO USE Read the Patient Information Leaflet if available from your pharmacist before you start taking azithromycin and each time you get a. If you notice other effects not listed above, contact your doctor or pharmacist. Azithromycin is to be made available over the counter to treat asymptomatic chlamydia infection, the Medicines and Healthcare products Regulatory Agency announced today (6 August 2008). It is the first oral antibiotic to be switched from prescription-only to pharmacy medicine status. The drug will be available as Clamelle for people over 16 years of age who have tested positive for chlamydia but have no symptoms, and for their sexual partners. June Raine, director of vigilance and risk management of medicines at the MHRA, said: “The MHRA is keen to support the availability of more medicines over the counter where it is safe to do so, and we wish to move on to new areas, such as prevention and chronic disease management. We know many pharmacists are ready for this too.“Making this medicine available from a pharmacy is a real example of how we are progressing, and enabling people to play an active role in taking charge of their own healthcare.”Howard Duff, the Royal Pharmaceutical Society’s director for England, said that the decision would mean convenient and effective care for patients. “Pharmacists already play an important role in the provision of sexual health services, and have done so for many years. Reclassifying azithromycin will expand on existing services and improve access to chlamydia screening and treatment for patients.”The fpa also welcomed the decision. Zithromax is a branded medication manufactured by Pfizer. It contains azithromycin, an antibiotic which kills bacteria. Zithromax tablets therefore work in the same way as generic azithromycin but comes in branded packaging. Branded medicines can be slightly more expensive than generic medication. 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