Atm Xl 100 Syr

ATM XL 100 Syrup is an antibiotic medication manufactured by Indoco Remedies Ltd, primarily prescribed for bacterial infections in pediatric patients.

Name

• Common Name: ATM XL 100 Syrup/Suspension
• Brand Name: ATM XL 100 SYR by INDOCO REMEDIES LTD

Composition

• Active Ingredient: Azithromycin 100mg/5ml

Uses ATM XL 100 Syrup is used to treat a wide range of bacterial infections in children, including:

• Respiratory Tract Infections: Such as bronchitis, pneumonia, tonsillitis, sore throat, and sinusitis.
• Ear Infections: Including acute otitis media.
• Skin and Soft Tissue Infections: Such as abscesses or boils.
• Sexually Transmitted Diseases: Caused by organisms like Chlamydia trachomatis and Neisseria gonorrhoea in affected children.
• Other Bacterial Infections: Infections of the blood, brain, lungs, bones, joints, urinary tract, stomach, and intestines. It works by inhibiting the production of essential proteins required for bacteria to grow and multiply, thereby halting the spread of the infection.

Dosage and Administration

• Administer as advised by the physician.
• Typically given once a day, preferably in the morning.
• For typhoid, it may be prescribed twice a day.
• Can be taken with or without food, but administering with food is often recommended for children with sensitive stomachs to avoid upset.
• Shake the bottle well before each use.
• Use a measuring cup or device for accurate dosage.
• The exact dose and duration depend on the child's age, body weight, and the type and severity of the infection.
• It is crucial to complete the entire course of the medicine, even if the child feels better, to prevent the bacteria from multiplying again or becoming resistant.
• If your child vomits within 30 minutes of taking the syrup, it is recommended to administer the same dose again.

Side Effects Common Side Effects:

• Nausea or vomiting
• Diarrhea
• Headache
• Stomach pain/cramps
• Dizziness
• Skin rash

Serious Side Effects (less common, consult a doctor if observed):

• Persistent vomiting
• Allergic reactions (itchy rash, facial swelling, breathing difficulties)
• Kidney damage
• Liver problems, such as hepatitis (symptoms like vomiting, paleness, and weakness)
• Irregular heartbeat
• Fungal or yeast infection (thrush)

Precautions

• Allergies: Avoid if your child is allergic to Azithromycin or other macrolide antibiotics.
• Medical Conditions: Use with caution in children with a history of liver problems, kidney problems, heart problems, diabetes, or myasthenia gravis. Inform the doctor about any such conditions.
• Drug Interactions: Inform your doctor about all other medications your child is taking. ATM XL 100 Syrup may interact with anticoagulants (e.g., warfarin), cardiac glycosides (e.g., digoxin), antiretrovirals (e.g., nelfinavir), and certain cholesterol or migraine medicines.
• Antacids: Do not take antacids simultaneously; administer antacids at least 1 hour before or 2 hours after ATM XL 100 Syrup.
• Sunlight Exposure: Avoid excessive exposure to sunlight or tanning beds as this medicine may increase the risk of sunburn.
• Viral Infections: This medicine is an antibiotic and is not effective against viral infections like the common cold or flu.
• Diarrhea: If severe or bloody diarrhea occurs, stop the medication and consult a doctor immediately. Do not take anti-diarrheal medication unless advised by a doctor.
• Hydration: Encourage your child to drink plenty of water if diarrhea develops.

Storage

• Store in a cool and dry place.
• Protect from light and moisture.
• Keep out of the reach and sight of children and pets.
• Store below 30°C.

What is ATM XL 100 SYR used for?

ATM XL 100 SYR, containing Azithromycin (100mg/5ml), is an antibiotic primarily used to treat various bacterial infections in children. These infections can affect different parts of the body, including the ears, eyes, nose, throat, lungs (such as pneumonia and bronchitis), sinuses, skin, soft tissues, and gastrointestinal tract. It is important to note that this medicine is only effective against bacterial infections and will not work for viral infections like the common cold or flu.

How does ATM XL 100 SYR work?

ATM XL 100 SYR works by inhibiting the growth and multiplication of infection-causing bacteria. It achieves this by preventing bacteria from producing essential proteins that are necessary for their survival, thereby halting the spread of the infection in the body. This mechanism of action helps to clear the infection and alleviate associated symptoms.

What is the usual dosage for ATM XL 100 SYR?

The dosage of ATM XL 100 SYR (Azithromycin 100mg/5ml) is typically prescribed by a doctor based on the child's body weight, age, and the specific type and severity of the infection. It is commonly administered once a day, preferably in the morning. However, for certain conditions like typhoid, it may be prescribed twice a day. For children aged 1 year and older, a common total dosage is 30 mg/kg, administered as 10 mg/kg once daily for three days, or initially 10 mg/kg on the first day followed by 5 mg/kg per day for the subsequent four days. Always follow your doctor's instructions regarding the exact dose and duration of treatment.

What are the possible side effects of ATM XL 100 SYR?

Common side effects of ATM XL 100 SYR include nausea, vomiting, diarrhea, stomach pain, headache, dizziness, loss of appetite, and changes to the sense of taste.

More serious side effects are rare but require immediate medical attention. These can include a fast, pounding, or irregular heartbeat, fainting, severe dizziness, skin rash, blistering or peeling skin, hives, itching, or swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles, or lower legs. Other serious symptoms include trouble breathing or swallowing, hoarseness, yellowing of the skin or eyes (jaundice), dark urine, pale stools, unusual tiredness or weakness (which could indicate liver problems), severe watery diarrhea (which can occur even months after stopping the medication), ringing in the ears (tinnitus), temporary hearing loss, vertigo, or severe pain in the stomach or back (pancreatitis). In infants under 6 weeks, vomiting or irritability during feeding could be a sign of infantile hypertrophic pyloric stenosis.

Is ATM XL 100 SYR safe during pregnancy or breastfeeding?

During Pregnancy: Azithromycin is generally considered acceptable during pregnancy if there is a clear need to treat an infection. However, a doctor may consider other antibiotics depending on the type of infection. It should only be taken if the potential benefits outweigh any possible risks, and available data do not suggest an increased risk for major birth defects or adverse maternal or fetal outcomes with its use.

During Breastfeeding: Azithromycin passes into breast milk in small amounts and is generally considered safe for healthy breastfed babies, with minimal reported risks. If your doctor or health visitor confirms your baby is healthy, it is usually acceptable to take azithromycin while breastfeeding. It is advisable to monitor the infant for any potential side effects such as diarrhea, vomiting, or rash.

Can ATM XL 100 SYR be taken with other medications?

Azithromycin can interact with certain medications, potentially affecting its effectiveness or increasing the risk of side effects. It is important to inform your doctor about all other medicines, supplements, and herbal remedies you or your child are taking.

Medications to be cautious with or avoid taking simultaneously include:

• Antacids containing aluminum or magnesium (e.g., Maalox, Mylanta) should not be taken within 2 hours before or after azithromycin, as they can reduce its absorption.
• Antiarrhythmics (medications for irregular heartbeats, such as amiodarone, sotalol) can increase the risk of serious heart rhythm problems.
• Warfarin (a blood thinner) may have its effects potentiated, increasing the risk of bleeding. Close monitoring of blood clotting times is necessary if taken together.
• Statins (cholesterol-lowering drugs like simvastatin or atorvastatin) may interact.
• Ergotamine or dihydroergotamine (for migraines) should not be used concurrently.
• Cyclosporin or tacrolimus (immunosuppressants) may require caution due to potential increases in cyclosporin levels.
• Digoxin (for heart conditions) levels may increase, leading to potential toxicity.
• Colchicine (for gout) may also interact.
• Nelfinavir (for HIV) can increase azithromycin concentrations.
• Certain antidepressants (e.g., escitalopram, fluoxetine, venlafaxine) and other medications that can prolong the QTc interval (such as some antipsychotics or anti-sickness medicines) may also interact.

What precautions should be taken while using ATM XL 100 SYR?

It is crucial to complete the entire prescribed course of ATM XL 100 SYR, even if symptoms improve before the medication is finished. Stopping early can lead to the infection returning and may contribute to antibiotic resistance. This medication is not for viral infections. Inform your doctor about any history of allergies to azithromycin or other macrolide antibiotics, liver or kidney problems, heart conditions (especially irregular heartbeat, QT prolongation, or heart failure), myasthenia gravis, or low blood potassium or magnesium levels. Always use a specially marked oral syringe, spoon, or measuring cup to ensure accurate dosage of the suspension, and shake the bottle well before each use. Avoid consuming alcohol while taking this medicine.

What happens if a dose of ATM XL 100 SYR is missed?

If a dose of ATM XL 100 SYR is missed, take it as soon as you remember. However, if it is almost time for the next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one. It is important to complete the full course of medication as prescribed by your doctor.

How should ATM XL 100 SYR be stored?

Store ATM XL 100 SYR (Azithromycin oral suspension) at room temperature, typically between 5°C to 30°C (41°F to 86°F), in a tightly closed container. Keep the medicine away from excessive heat, moisture, and direct light. It is important not to refrigerate or freeze the extended-release oral suspension. Any unused liquid medication should be discarded after 10 days, or within 12 hours if it's an extended-release suspension that was mixed from powder. Always keep this medicine out of the reach of children.