{"id":55749,"date":"2024-02-07T05:39:08","date_gmt":"2024-02-07T05:39:08","guid":{"rendered":"https:\/\/medsname.com\/neckcin-250-dt\/"},"modified":"2026-04-30T10:11:34","modified_gmt":"2026-04-30T10:11:34","slug":"neckcin-250-dt","status":"publish","type":"product","link":"https:\/\/medsbase.com\/nl\/neckcin-250-dt\/","title":{"rendered":"Neckcin 250 DT"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:18px 0;border-radius:4px;\">\n<p style=\"margin:0 0 8px 0;\"><strong>\ud83d\udca1 Snel antwoord<\/strong><\/p>\n<p style=\"margin:0;\"><strong>Neckcin 250 DT<\/strong> is <strong>azithromycin<\/strong>, a macrolide antibiotic. For sexually transmitted infections it is used against chlamydia (single 1000 mg dose, though doxycycline is now first-line per updated CDC\/WHO guidelines), uncomplicated gonorrhea (combined with ceftriaxone), and non-gonococcal urethritis. Azithromycin has a long half-life (~68 hours) allowing single-dose or short-course regimens.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f6f7fb;border:1px solid #e3e5ee;border-radius:8px;padding:14px 18px;margin:18px 0;font-size:14px;line-height:1.55;\"><strong>Wat u krijgt bij MedsBase:<\/strong> Bestellen bij MedsBase garandeert inkoop van een WHO-GMP-gecertificeerde fabrikant, discrete verpakking in gewone enveloppen, wereldwijde verzending en een 4,9\u2605 beoordeling van meer dan 1.400 geverifieerde klanten. Betalingen met kaart worden verwerkt via een gereguleerde crypto-onramp \u2014 de beschrijving op uw bankafschrift zal de naam van de verwerker tonen (een gereguleerde kaartbetalingverwerker), nooit 'MedsBase' of een medicijnnaam. Elk pakket wordt gedekt door onze <a href=\"\/nl\/reviews\/\" rel=\"noopener\">1.400+ geverifieerde klantbeoordelingen<\/a><\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Elke bestelling is gedekt door onze <a href=\"https:\/\/medsbase.com\/nl\/medsbase-re-shipment-assurance-policy\/\"><strong>Reshipment Assurance Policy<\/strong><\/a> \u2014 als uw pakket niet binnen 20 werkdagen arriveert, sturen wij het opnieuw.<\/p>\n<h3>Waarom bestellen bij MedsBase<\/h3>\n<p>Wat Is Acivir 200 DT? <a href=\"\/nl\/medsbase-re-shipment-assurance-policy\/\" rel=\"noopener\">Reshipment Assurance Policy<\/a>.<\/p>\n<h2><strong>What Is Neckcin 250 DT?<\/strong><\/h2>\n<p>Neckcin 250 DT is a branded generic of <strong>azithromycin<\/strong>, a macrolide antibiotic that blocks bacterial protein synthesis by binding the 50S ribosomal subunit. Azithromycin accumulates in tissue and phagocytes \u2014 tissue concentrations are 10\u2013100\u00d7 plasma concentrations \u2014 which is why short courses can treat long infections. Available in strengths of <strong>250 mg<\/strong>.<\/p>\n<p>Azithromycin is used for a wide range of bacterial infections: respiratory tract (pneumonia, bronchitis, sinusitis, pharyngitis), skin and soft tissue, and <strong>sexually transmitted infections<\/strong> \u2014 the focus of this page.<\/p>\n<h2><strong>STI Uses<\/strong><\/h2>\n<ul>\n<li><strong>Chlamydia trachomatis:<\/strong> 1000 mg as a single oral dose (historically first-line). <strong>Opmerking:<\/strong> since 2021 the CDC has updated first-line chlamydia treatment to doxycycline 100 mg twice daily for 7 days \u2014 azithromycin is now an alternative or back-up, particularly when adherence to 7 days is questionable.<\/li>\n<li><strong>Gonorrhea (uncomplicated):<\/strong> must be combined with ceftriaxone \u2014 azithromycin monotherapy is <strong>no longer adequate<\/strong> due to widespread resistance. Current CDC: ceftriaxone 500 mg IM single dose; azithromycin 1000 mg oral may be added if chlamydia co-infection has not been excluded.<\/li>\n<li><strong>Non-gonococcal urethritis (NGU):<\/strong> 1000 mg single dose, or 500 mg on day 1 then 250 mg for 4 more days.<\/li>\n<li><strong>Mycoplasma genitalium<\/strong> (doxycycline-resistant): 500 mg on day 1, then 250 mg daily for 4 days \u2014 though resistance is now common; testing for macrolide resistance is recommended where available.<\/li>\n<li><strong>Chancroid (Haemophilus ducreyi):<\/strong> 1000 mg single oral dose.<\/li>\n<\/ul>\n<h2><strong>Hoe in te nemen<\/strong><\/h2>\n<ol>\n<li>Take on an empty stomach (1 hour before, or 2 hours after food) for maximum absorption \u2014 though immediate-release azithromycin can be taken with food to reduce GI upset.<\/li>\n<li>Swallow tablets whole with a full glass of water. Do not crush or chew.<\/li>\n<li>Take the <strong>entire prescribed course<\/strong>, even if symptoms resolve quickly. Stopping early promotes resistance and risks treatment failure.<\/li>\n<li>Avoid aluminium or magnesium-containing antacids within 2 hours of the dose (they reduce absorption).<\/li>\n<li>If treating an STI, <strong>abstain from sex for 7 days<\/strong> after a single-dose regimen (or until you finish a multi-day course and symptoms resolve) to avoid reinfection or transmission.<\/li>\n<li>Partners should be tested and treated to prevent reinfection.<\/li>\n<\/ol>\n<h2><strong>Test of Cure and Follow-Up<\/strong><\/h2>\n<ul>\n<li><strong>Chlamydia:<\/strong> retest at 3 months (not 1 month \u2014 earlier testing can detect residual non-viable DNA).<\/li>\n<li><strong>Gonorrhea:<\/strong> test of cure recommended 1\u20132 weeks after treatment, particularly for pharyngeal infections.<\/li>\n<li><strong>Mycoplasma genitalium:<\/strong> test of cure 4 weeks after treatment due to high resistance.<\/li>\n<li>Partner notification and treatment is essential for all STIs to prevent reinfection.<\/li>\n<\/ul>\n<h2><strong>Bijwerkingen<\/strong><\/h2>\n<p><strong>Vaak (\u22651%):<\/strong> nausea, diarrhoea, abdominal pain, vomiting. Generally mild; reduced by taking with food if needed.<\/p>\n<p><strong>Minder vaak:<\/strong> headache, dizziness, altered taste, elevated liver enzymes.<\/p>\n<p><strong>Ernstig (zeldzaam):<\/strong> QT prolongation and ventricular arrhythmia (especially in patients with heart disease, low potassium\/magnesium, or on QT-prolonging drugs). Severe hepatotoxicity. <em>Clostridioides difficile<\/em> colitis. Hearing loss with prolonged high-dose use.<\/p>\n<h2><strong>Who Should Not Take Neckcin 250 DT<\/strong><\/h2>\n<ul>\n<li>Known hypersensitivity to azithromycin or other macrolides (erythromycin, clarithromycin)<\/li>\n<li>History of cholestatic jaundice or liver dysfunction with prior macrolide use<\/li>\n<li>Known QT prolongation, torsades de pointes, or severe cardiac arrhythmia<\/li>\n<li>Myasthenia gravis (may worsen muscle weakness)<\/li>\n<li>Caution in severe renal or hepatic impairment<\/li>\n<\/ul>\n<h2><strong>Geneesmiddelinteracties<\/strong><\/h2>\n<ul>\n<li><strong>Warfarine:<\/strong> may increase anticoagulant effect \u2014 monitor INR.<\/li>\n<li><strong>Digoxin:<\/strong> may increase plasma levels.<\/li>\n<li><strong>Ciclosporin, tacrolimus:<\/strong> risk of raised levels.<\/li>\n<li><strong>QT-verlengende geneesmiddelen<\/strong> (amiodarone, sotalol, some antipsychotics): additive arrhythmia risk.<\/li>\n<li><strong>Antacids (Al\/Mg):<\/strong> reduce absorption \u2014 separate by at least 2 hours.<\/li>\n<li><strong>Ergotamine:<\/strong> contraindicated \u2014 risk of ergot toxicity.<\/li>\n<\/ul>\n<h2><strong>Antibiotic Stewardship<\/strong><\/h2>\n<p>Take azithromycin only for infections confirmed or strongly suspected to be bacterial. Self-treatment without diagnosis contributes to antibiotic resistance. <strong>Mycoplasma genitalium<\/strong> resistance to macrolides is particularly high (40\u201380% in some regions) \u2014 confirmed diagnosis and resistance testing are increasingly important. For STIs, partner notification and test of cure are essential parts of responsible use.<\/p>\n<h2><strong>Opslag<\/strong><\/h2>\n<p>Store at room temperature (15\u201325 \u00b0C \/ 59\u201377 \u00b0F), away from moisture and light. Keep tablets in the original blister. Do not use after the printed expiry date.<\/p>\n<h2 id=\"faqs\">Veelgestelde vragen<\/h2>\n<h3 class=\"wp-block-heading\">Is azithromycin still first-line for chlamydia?<\/h3>\n<p>CDC 2021 and WHO updated guidelines now recommend doxycycline 100 mg twice daily for 7 days as first-line. Azithromycin 1000 mg single dose is an alternative \u2014 particularly useful when a 7-day course is impractical or adherence is uncertain.<\/p>\n<h3 class=\"wp-block-heading\">Can I take Neckcin 250 DT on an empty stomach?<\/h3>\n<p>Absorption is modestly better on an empty stomach (1 hour before or 2 hours after food), but most patients tolerate it better with food. Either is acceptable.<\/p>\n<h3 class=\"wp-block-heading\">How soon should symptoms improve?<\/h3>\n<p>For uncomplicated STIs, most symptoms (discharge, dysuria) improve within 2\u20133 days of the first dose. Full resolution can take 1\u20132 weeks. If symptoms persist or worsen, return for retesting \u2014 resistance or re-infection may be involved.<\/p>\n<h3 class=\"wp-block-heading\">Why is single-dose azithromycin enough for chlamydia?<\/h3>\n<p>Azithromycin has a long tissue half-life (~68 hours) and high intracellular concentrations \u2014 a single 1000 mg dose maintains therapeutic tissue levels for days, long enough to clear Chlamydia trachomatis in most cases.<\/p>\n<h3 class=\"wp-block-heading\">What about alcohol?<\/h3>\n<p>No direct interaction, but heavy alcohol use can aggravate stomach side effects and slow recovery. Moderate intake is generally acceptable \u2014 listen to your body.<\/p>\n<h3 class=\"wp-block-heading\">Can I give Neckcin 250 DT to my partner without them being tested?<\/h3>\n<p>Expedited partner therapy (EPT) is legal and encouraged in many jurisdictions for chlamydia exposure. Ideally partners should be tested, but empiric treatment is sometimes appropriate. Check local rules and consult a clinician.<\/p>\n<h3 class=\"wp-block-heading\">Does azithromycin treat COVID-19?<\/h3>\n<p>No. Large trials (RECOVERY, PRINCIPLE) showed azithromycin provides no mortality benefit or meaningful outcome improvement in COVID-19. It is not recommended for COVID-19 outside specific bacterial co-infection indications.<\/p>\n<h3 class=\"wp-block-heading\">Can I retake Neckcin 250 DT if the infection comes back?<\/h3>\n<p>Possibly, but re-infection is more likely than treatment failure \u2014 partner re-testing and treatment is usually the missing piece. Persistent or recurrent infection needs medical review, not repeat self-treatment.<\/p>\n<h3 class=\"wp-block-heading\">Gerelateerde producten &amp; gidsen<\/h3>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/nl\/std-protection-pack\/\">SOA-beschermingspakket<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/medical-emergency-kit\/\">Medische noodkit<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/azilup\/\">Azilup (Azithromycin)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/asitomycin-250\/\">Asitomycin 250 (Azithromycin)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/asitomycin-500\/\">Asitomycin 500 (Azithromycin)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/neckcin-100-dt\/\">Neckcin 100 DT (Azithromycin)<\/a><\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 20px;margin:16px 0;border-radius:4px;font-size:0.9em;\">\n<p style=\"margin:0;\"><strong>\u2695\ufe0f Medische disclaimer:<\/strong> De informatie op deze pagina is alleen voor educatieve doeleinden en vervangt geen medisch advies. Raadpleeg altijd een gekwalificeerde arts voordat u begint, stopt of een medicatie wijzigt. Voorschriftproducten mogen alleen onder medisch toezicht worden gebruikt.<\/p>\n<\/div>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Gerelateerde alternatieven<\/h3>\n<p>Andere producten in <strong>Seksuele gezondheid<\/strong> die klanten ook bekijken:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/nl\/imiquad-cream\/\">Imiquad Cr\u00e8me<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/penvir\/\">Penvir<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/valcosign\/\">Valcosign<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/ekovir\/\">Ekovir<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/nl\/acivir-200-dt\/\">Acivir 200 DT<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 Rapid bacterial clearance<br \/>\n\u2705 Convenient dosage form<br \/>\n\u2705 Behandelt luchtweginfecties<br \/>\n\u2705 Verkort de hersteltijd<br \/>\n\u2705 Fewer gastrointestinal side effects<\/p>\n<p>Neckcin 250 DT contains Azithromycin.<\/p>","protected":false},"featured_media":55750,"comment_status":"open","ping_status":"closed","template":"","meta":[],"product_brand":[],"product_cat":[3484,3141,3485,3342,3337],"product_tag":[3487,3978],"class_list":{"0":"post-55749","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-antibiotics","7":"product_cat-category-overview","8":"product_cat-chlamydia-treatment","9":"product_cat-general-health","10":"product_cat-sexual-health","11":"product_tag-azithromycin","12":"product_tag-neckcin-250-dt","14":"first","15":"instock","16":"shipping-taxable","17":"purchasable","18":"product-type-variable","19":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product\/55749","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/comments?post=55749"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/media\/55750"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/media?parent=55749"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product_brand?post=55749"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product_cat?post=55749"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product_tag?post=55749"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}