Is taking Azithromycin for a person with one kidney advisable?

Hi doctor,

I have been prescribed Azithromycin for ureaplasma. I was born with one kidney, which is 100 percent healthy. A few months ago, the lab report showed a slight decrease in function, probably due to the Advil I took after a dental procedure. I was prone to stones, but a recent KUB X-ray showed the result as zero. My gynecologist nurse was not sure how Azithromycin would affect my kidney. I have not been able to get a hold of my urologist nurse for three days. Even after leaving three messages. I need to take the antibiotic, but I am not comfortable until I know it will not harm my kidney. I am a 45-years-old female. I have asthma and acid reflux. I am allergic to Rocephin and IV contrast. Currently, I am taking Symbicort and Pepcid and recently started using Estradiol cream. I did a vaginal swab test and was diagnosed with bacterial vaginosis, so I was prescribed Flagyl for a week; now, it is gone.

Thank you

Hello doctor,

Thank you for the reply.

I do not know my serum creatinine level, unfortunately. The Azithromycin prescribed to me is two pills at 500 mg each. I am supposed to take both tablets at once. Would that be fine, or should I contact them on Monday for a lower dose?

Thank you.

Hi doctor,

Thank you for the reply.

Below attached is my lab report:

1) BUN measure: 12 units: mg/dL, reference range: 0.51 - 0.95.

2) Creatinine measure: 1.15 units: mg/dL, reference range: 0.51 - 0.95.

3) Calcium measure: 10.3 units: mg/dL, reference range: 8.6 - 10.2.

4) GFR estimate measure: 51, reference range: Above 60.

The GP doctor recommended retaking in October.