Azithral XL 200 mg Suspension 30 ml

Azithral XL 200 Liquid Overview:

Azithral XL 200 Liquid is an antibiotic medication used to treat a wide range of bacterial infections affecting the ears, nose, throat, tonsils, lungs, skin, and soft tissues in children. It contains Azithromycin as its active ingredient, which helps eliminate the bacteria and halts their further growth and multiplication in the body.

Composition:

Each 5 ml contains- Azithromycin (as dihydrate) equivalent to Azithromycin anhydrous: 200 mg and Flavoured Syrupy Base q.s.

Colour: Quinoline Yellow WS.

Uses & Benefits of Azithral XL 200 Liquid:

Azithral XL 200 Liquid is formulated for paediatric use and is indicated for the following conditions:

• Community-Acquired Pneumonia (CAP): Effectively treats deep-seated lung infections and bacterial inflammation in the respiratory tract.
• Pharyngitis & Tonsillitis: Relieves severe throat pain, irritation, and swollen tonsils caused by bacterial pathogens.
• Acute Bacterial Sinusitis: Clears nasal and sinus infections, minimizing facial pressure, congestion, and pain.
• Acute Otitis Media: Resolves painful middle ear infections that commonly affect children.
• Skin and Soft Tissue Infections: Fights and eliminates bacterial pathogens affecting the superficial skin layers and underlying soft tissues.

How Does Azithral XL 200 Liquid Work:

Azithral XL 200 Liquid contains azithromycin as its active ingredient, which belongs to the macrolide class of antibiotics. It works by binding to the ribosomal subunits of susceptible bacteria, thereby blocking the synthesis of essential proteins required for bacterial survival and multiplication. By halting bacterial growth rather than destroying them outright, it stops the spread of the infection, allowing the body's natural immune system to clear away the remaining pathogens.

Dosage of Azithral XL 200 Liquid:

• Usage Directions

Take Azithral XL 200 Liquid exactly as prescribed by your doctor, and follow the recommended dosage and schedule. Shake well before use. Always use a proper measuring spoon, cup, or dropper prescribed by your doctor, and never take it directly from the bottle. Do not stop or alter the dose of Azithral XL 200 Liquid without consulting your doctor, as this may prevent you from achieving the desired result. If you are not sure how to take Azithral XL 200, check with your healthcare provider or pharmacist for instructions.

• Missed Dose

If you accidentally skip your dose of Azithral XL 200 Liquid, administer the missed dose as soon as you remember later that day. If it's almost time for your dose, skip the missed dose and proceed with your usual routine. Stop taking double doses if you have forgotten one.

To help remember your daily dose, set phone alarms, use a pill organizer box, or use medication reminder apps.

• Overdose

If an accidental overdose of Azithral XL 200 Liquid occurs, seek immediate medical attention or contact a pediatrician or hospital right away. Symptoms of an overdose may include severe diarrhoea, nausea, vomiting, or temporary hearing loss. Management of an overdose typically involves supportive care, and activated charcoal may be administered to help remove any unabsorbed drug from the system.

Contraindications of Azithral XL 200 Liquid:

Do not take Azithral XL 200 Liquid if you have a known hypersensitivity or allergy to azithromycin, erythromycin, other macrolide or ketolide antibiotics, or any inactive components of the formulation.

It is contraindicated in children with a history of cholestatic jaundice or severe liver dysfunction linked to prior azithromycin use.

Azithral XL 200 Liquid is not recommended for infants below 6 months of age.

Precautions & Warnings of Azithral XL 200 Liquid:

Before starting Azithral XL 200 Liquid, consult your healthcare professional and discuss your complete medical history. Severe allergic reactions, such as Stevens-Johnson syndrome and toxic epidermal necrolysis, may occur; contact your physician immediately if any such symptoms arise.

Use this medication with caution in patients with pre-existing heart rhythm issues (such as QT prolongation) or electrolyte imbalances, as well as in those with conditions like myasthenia gravis, since macrolides can occasionally worsen muscle weakness symptoms.

Always complete the full course of therapy prescribed by the physician, as stopping early can cause the infection to return and promote antibiotic resistance.

Additionally, inform your doctor immediately if severe watery or bloody stools occur during or after treatment, as antibiotic-associated colitis can develop.

Side Effects of Azithral XL 200 Liquid:

Like all medicines, Azithral XL 200 Liquid can cause side effects, although not everyone will experience them. Common side effects include nausea, vomiting, diarrhoea, stomach pain, cramps, indigestion, headache, dizziness, fever, loss of appetite, and mild skin rashes or itching.

However, seek immediate medical attention if you experience any rare or serious side effects, such as constipation, hepatitis, temporary loss of hearing, visual disturbance, tinnitus, vertigo, angioedema, and Stevens-Johnson syndrome (SJS).

Safety Related Concerns of Azithral XL 200 Liquid:

• Breastfeeding

Azithral XL 200 Liquid is primarily intended for paediatric use. However, if a breastfeeding mother requires systemic treatment, she should consult a physician beforehand, as azithromycin has been reported to be excreted in human breast milk in small amounts.

• Food Interactions

Azithral XL 200 Liquid can be taken with or without food as advised by the physician. However, for children experiencing gastric sensitivity or nausea, consuming bland foods may help minimize the risk of mild stomach upset.

• Drug Interactions

Azithral XL 200 Liquid can interact with various medications, either by compromising their effectiveness or increasing the risk of toxicity. It may interact with antacids containing aluminum or magnesium (which lower its absorption—space them out by at least 1 hour before or 2 hours after), blood thinners like warfarin (increasing the risk of bleeding), and cardiac medications like digoxin or amiodarone. Other medications may also interact, such as carbamazepine, cetirizine, P-glycoprotein inhibitors, agents metabolized by hepatic cytochrome P450 enzymes, and other drugs known to prolong QT intervals.

Always inform your healthcare provider and pharmacist about all medications your child is taking, including prescription drugs, over-the-counter medications, vitamins, minerals, and herbal supplements, to avoid potential interactions.

Storage of Azithral XL 200 Liquid:

Store protected from moisture at a temperature not exceeding 30°C. Keep the medicine out of reach of children.

Do not use this medication past the expiry date printed on the pack. Ensure expired or leftover medicines are disposed of safely and responsibly rather than thrown into household waste.

Label Information: Keep the bottle tightly closed. Viscosity may increase on standing. Shake well to make it pourable.

Helpful Tips:

• Support recovery by ensuring the child stays hydrated with plenty of water and clear fluids.
• Incorporate soft, bland foods (like rice, toast, or crackers) if gastrointestinal irritation occurs, and avoid spicy or greasy foods.
• Maintain a fixed schedule to keep a steady concentration of medicine in the body, and never miss doses or cut the course short prematurely.
• Always use a calibrated oral syringe or medicine dropper rather than kitchen spoons to ensure the exact prescribed dose.
• Keep a close watch during the first few doses for any signs of rash, swelling, or breathing difficulties, and contact a doctor immediately if they appear.

Frequently Asked Questions (FAQs):

Q: Why Azithral XL 200 Liquid is prescribed?

A: Azithral XL 200 Liquid is prescribed for children to treat a variety of bacterial infections affecting the ears, throat, lungs, skin, and soft tissues.

Q: Can I stop giving Azithral XL 200 Liquid if my child feels better?

A: No, you must complete the full prescribed course. Stopping early can cause the infection to recur and lead to antibiotic resistance.

Q: What should I do if my child vomits shortly after taking the dose?

A: If the child vomits within a short time after administration, consult your pediatrician before giving a repeat dose to avoid accidental overdose.

Q: Can this medicine be used for viral infections like the common cold or flu?

A: No, Azithral XL 200 Liquid is an antibiotic specifically targeted against bacterial infections and is ineffective against viral illnesses such as the common cold or flu.

Q: Can this medicine cause diarrhoea in children?

A: Yes, mild diarrhoea or loose stools can occur as a side effect. However, if you notice severe, watery, or bloody stools, contact your pediatrician immediately, as it may indicate antibiotic-associated complications.

Q: Is it safe to administer with antacids?

A: Antacids containing aluminum or magnesium can lower the absorption of azithromycin. It is advised to space them out by taking the antacid at least 1 hour before or 2 hours after administering the liquid suspension. Inform your physician if your child is taking any antacids while on this medication.

References:
1. Zithromax 200 mg in 5 ml Suspension. Azithromycin. Package leaflet: Information for the patient. Last Revised: 06/2026. Accessed on: 14th September 2026. Click Here

2. Zithromax®. Azithromycin 200 mg/5ml Powder for Oral Suspension. SUMMARY OF PRODUCT CHARACTERISTICS. Last Revised: Nov 2023. Accessed on: 14th September 2026. Click Here

3. ZIMYCIN DRY SYRUP. Azithromycin for Oral Suspension. SUMMARY OF PRODUCTS CHARACTERISTICS. Last Revised: 01 April 2026. Accessed on: 14th September 2026. Click Here

4. SANDOZ AZITHROMYCIN. Azithromycin, 100 mg / 5 mL, 200 mg / 5 mL for oral suspension. Azithromycin tablets, 250 mg for oral use. PRODUCT MONOGRAPH INCLUDING PATIENT MEDICATION INFORMATION. Last Revised: October 25, 2023. Accessed on: 14th September 2026. Click Here