Azithral 200 Mg Suspension 15 Ml

AZITHRAL 200 MG SUSPENSION 15 ML

Azithral 200 MG Suspension is an antibiotic medication manufactured by Alembic Pharmaceuticals Ltd. It is commonly prescribed for a variety of bacterial infections.

Name

• Common Name: Azithromycin oral suspension
• Brand Name: AZITHRAL 200 MG SUSPENSION

Composition

• Active Ingredient: Azithromycin (200 mg/5 ml)

Uses

Azithral 200 MG Suspension is used to treat a wide range of bacterial infections. It works by inhibiting the growth of infection-causing bacteria. This medicine is effective against infections targeting:

• Respiratory Tract Infections: Including acute bacterial sinusitis, pharyngitis/tonsillitis, bronchitis, and community-acquired pneumonia.
• Ear Infections: Such as acute otitis media.
• Eyes and Nose Infections.
• Skin and Soft Tissue Infections.
• Gastrointestinal Tract Infections: Including typhoid fever.
• Sexually Transmitted Diseases: Such as non-gonococcal urethritis and cervicitis caused by Chlamydia trachomatis and Neisseria gonorrhoeae.
• Infections in Immunocompromised Patients.

Dosage and Administration

Azithral 200 MG Suspension is typically given once a day. It can be taken with or without food, but taking it with food may help prevent stomach upset, especially in children with sensitive stomachs. For typhoid, it may be given twice daily.

• Preparation: Shake the bottle well before each use. If the medicine comes as a powder, reconstitute it by filling the bottle with boiled and cooled water to the watermark and mixing thoroughly.
• Measurement: Use a special measuring device/spoon to ensure the correct dose. Do not use regular household spoons.
• Duration: Complete the full prescribed course of the medicine, even if symptoms improve, to prevent the infection from worsening or recurring and to reduce the risk of antibiotic resistance.
• Missed Dose: If a dose is missed, take it as soon as remembered. If it is close to the next dose, skip the missed dose and continue with the regular schedule. Do not double the dose.
• Vomiting: If your child vomits within 30 minutes of taking the medicine, consult your doctor about repeating the dose.

Side Effects

Common Side Effects:

• Vomiting
• Diarrhea/loose stools
• Nausea
• Stomach pain or abdominal discomfort
• Headache
• Gas
• Dizziness

Serious Side Effects (consult a doctor immediately if experienced):

• Persistent vomiting
• Severe gastrointestinal infections or diarrhea with blood/mucus
• Signs of liver problems (e.g., unusual tiredness, severe stomach pain, yellowing eyes/skin, dark urine, persistent nausea/vomiting)
• Allergic reactions (rash, itching, swelling of face/tongue/throat, severe dizziness, trouble breathing)
• Changes in heart rhythm (QT prolongation), including fast, pounding, or irregular heartbeats, severe dizziness, or fainting
• Hearing changes (decreased hearing, deafness)
• Kidney damage
• Development of oral thrush or new yeast infection

Precautions

• Allergies: Do not take if allergic to azithromycin or other macrolide antibiotics.
• Liver Disease: Use with caution in patients with liver disease. Discontinue immediately if signs of hepatitis are observed.
• Kidney Disease: Use with caution in patients with severe kidney disease. Dose adjustment may be needed.
• Heart Problems: Use with caution in patients with heart conditions like arrhythmias or QT interval prolongation.
• Myasthenia Gravis: Exacerbation of symptoms or new onset of myasthenia syndrome has been reported.
• Drug Interactions:
  • Antacids: Avoid taking antacids containing aluminum or magnesium hydroxide at the same time, as they can reduce azithromycin absorption.
  • Ergot Derivatives: Should not be administered together due to potential for ergotism.
  • Cyclosporin and Digoxin: Macrolides can increase plasma levels of these drugs; monitoring and dose adjustment may be necessary.
  • Hydroxychloroquine or Chloroquine: Carefully consider risks due to potential for increased cardiovascular events.
  • Live Bacterial Vaccines: Azithromycin may reduce the effectiveness of live bacterial vaccines like the typhoid vaccine.
• Viral Infections: This medication is only effective against bacterial infections and will not work for viral infections like the common cold or flu. Unnecessary use can lead to decreased effectiveness.
• Diabetic Patients: Contains sucrose; caution is advised for diabetic patients.

Storage

• Store below 25°C or 30°C in a cool and dry place.
• Protect from heat and light.
• Keep out of reach and sight of children.
• After reconstitution, the oral suspension is typically stable for 5 to 10 days. Discard any unused portion after this period.

Here are the most frequently asked questions about AZITHRAL 200 MG SUSPENSION 15 ML:

What is Azithral 200 MG Suspension used for?

Azithral 200 MG Suspension is an antibiotic medication primarily used to treat a wide range of bacterial infections in children. These include infections of the ear, eyes, nose, throat (pharyngitis/tonsillitis), lungs (bronchitis, pneumonia), skin and soft tissues, and the gastrointestinal tract. It is also effective against acute bacterial sinusitis.

How does Azithral 200 MG Suspension work?

Azithral 200 MG Suspension contains azithromycin, which is a macrolide antibiotic. It works by inhibiting the growth of infection-causing bacteria. It does this by interfering with the synthesis of essential proteins that bacteria need to grow and multiply, thereby stopping the infection from spreading and eventually clearing it.

What is the usual dosage for Azithral 200 MG Suspension?

The dosage of Azithral 200 MG Suspension varies depending on the child's age, weight, and the type and severity of the infection. For children over 6 months, a common regimen is 10 mg/kg body weight once daily for 3 days. Other regimens may include 30 mg/kg as a single dose or an initial dose followed by lower daily doses for 4-5 days. Always follow your doctor's prescribed dosage and complete the full course of treatment.

What are the possible side effects of Azithral 200 MG Suspension?

Common side effects can include vomiting, diarrhea, nausea, stomach pain or cramps, headache, and skin rashes. These are usually mild and temporary. More serious side effects, though rare, can include persistent vomiting, severe diarrhea (possibly bloody), signs of liver problems (like yellowing skin/eyes, dark urine, unusual tiredness), severe allergic reactions (skin rash, swelling, difficulty breathing), dizziness, fainting, or changes in heart rhythm (QT prolongation). Consult your doctor if any side effects persist or worsen, or if you experience any serious symptoms.

Is Azithral 200 MG Suspension safe during pregnancy or breastfeeding?

Azithral 200 MG Suspension is primarily for pediatric use. For adults, Azithromycin is classified as Pregnancy Category B. While animal studies haven't shown harm to the fetus, well-controlled studies in pregnant women are lacking, so it should only be used during pregnancy if clearly needed and no safer alternative is available. It is unknown if azithromycin passes into breast milk, and caution is advised for nursing mothers.

Can Azithral 200 MG Suspension be taken with other medications?

Azithral 200 MG Suspension can interact with certain medications. It is generally recommended to avoid taking antacids containing aluminum or magnesium at the same time, as they can reduce its absorption; separate their administration by a few hours. Inform your doctor about all other medications, vitamins, and herbal supplements your child is taking, especially drugs for irregular heartbeats (antiarrhythmics), warfarin (a blood thinner), digoxin (for heart conditions), cyclosporine (an immunosuppressant), statins, and ergot alkaloids (for migraines), as interactions can occur.

What precautions should be taken while using Azithral 200 MG Suspension?

It is crucial to complete the entire prescribed course of the medicine, even if symptoms improve, to prevent the infection from returning and to reduce the risk of antibiotic resistance. This medicine is only effective against bacterial infections and will not work for viral infections like colds or flu. Inform your doctor about any pre-existing conditions your child may have, such as heart problems, liver or kidney disease, or myasthenia gravis, before starting treatment. Avoid prolonged exposure to sunlight or tanning beds, as azithromycin can increase the risk of sunburn.

What happens if a dose of Azithral 200 MG Suspension is missed?

If a dose is missed, administer it as soon as you remember. However, if it is almost time for the next scheduled dose, skip the missed dose and continue with the regular dosing schedule. Do not double the dose to make up for a missed one.

How should Azithral 200 MG Suspension be stored?

Store Azithral 200 MG Suspension at room temperature, typically below 25°C or 30°C, away from direct sunlight, heat, and moisture. Do not refrigerate or freeze the suspension. After reconstitution, any unused suspension should be discarded after 10 days.