The invention provides an azithromycin granule oral preparation capable of effectively covering up the bitter of azithromycin. The azithromycin granule oral preparation is prepared from the azithromycin, sucrose, carboxymethyl starch sodium, sodium dodecyl sulfate and a novel sweetener Neotame. According to the invention, in the preparing process of azithromycin granules, not only is the novel sweetener introduced, the oral preparation of which the taste and the sweetness are suitable for people to take can be prepared by a small account of the novel sweetener and the compliance of a patient is improved, but also the cost can be reduced; and meanwhile, by regulating the proportion of a formula, the dissolution of the azithromycin granules is greatly improved, and thus, not only can the azithromycin granules be easily accepted by the patient and be particularly easy to take by child patients, but also the improvement of the dissolution ensures the azithromycin easier and faster to adsorb and ensures the curative effects of the azithromycin to be sufficiently taken.