bullous myringitis may be viral in which case no antibiotic will help. it will just self-resolve in about a week. this is assuming of course that your diagnosis was correct. azithromycin is really not the best antibiotic for ear infections but it will help for some of them including those causes by mycoplasma. since you have not improved and still have "excruciating pain" you will need to see a medical provider again. for a new examination and a new treatment regime. if you can see an ent this would be better.
went to er 4 days ago after 2 weeks of ear pain. diagnosed with bullous myringitis prescribed zpak. no relief. why? . they prescribed me a "z-pak". azithromycin 250mg. which i'll finish tomorrow. i read that sometimes it continues working up to three days after finishing them but the er told me i should have pain relief after the first day. what's going on? did they prescribe me the wrong antibiotic? i'm in excruciating pain.