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Reviewed By Sunny S , MBBS
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Composition :

AZITHROMYCIN-200MG

Manufacturer/Marketer :

Alembic Pharmaceuticals Ltd

Consume Type :

ORAL

Return Policy :

Not Returnable

Expires on or after :

About Azithral-XL 200 Liquid

Azithral-XL 200 Liquid belongs to a group of medicines known as macrolide antibiotics. It is used to treat various respiratory system bacterial infections (like pneumonia, bronchitis, tonsillitis, pharyngitis and sinusitis), skin infections (like acne and rosacea), ear infections, and sexually transmitted infections. A bacterial infection is a condition in which bacteria grow in the body and cause infection. It can target any body part and multiple very quickly.

Azithral-XL 200 Liquid slows the growth or sometimes kills the harmful bacteria by preventing the production of proteins required by the bacteria for its survival. Azithral-XL 200 Liquid does not treat a viral infection like flu or a common cold.

Azithral-XL 200 Liquid should only be taken if advised by your doctor. It can be taken with or without food but should be consumed at a fixed time for the best results. Azithral-XL 200 Liquid should not be consumed more than the recommended dose, to avoid unpleasant side effects. And also, the course should be completed even if you feel better as it is an antibiotic. Some common side effects of Azithral-XL 200 Liquid are diarrhoea, nausea, vomiting, and indigestion. An allergic reaction such as rashes, itching, swelling, and shortness of breath can occur in rare cases. Please consult your doctor if an allergic reaction becomes severe.

Tell your doctor if you have liver problems, muscle problems (myasthenia gravis), heart rhythm disorder (arrhythmia), or electrolyte imbalance (low potassium or magnesium level). You should consult a doctor if you have had diarrhoea for more than four days. However, do not take any anti-diarrheal medicine until your doctor tells you. It is unknown whether Azithral-XL 200 Liquid harms the baby or passes into breast milk in pregnancy and breastfeeding state. Contacting a doctor before using Azithral-XL 200 Liquid during pregnancy and while breastfeeding is better. Avoid too much exposure to sunlight as Azithral-XL 200 Liquid can make your skin sensitive to sunburn. In this case, it is advisable to wear protective clothing or apply sunscreen (SPF 30 or higher) when you are outdoors.

Uses of Azithral-XL 200 Liquid

Bacterial infections

Directions for Use

Tablet/capsule: Swallow it as a whole with water; do not crush, break or chew it.Dispersible Tablet: Check the label for directions before use. Disperse the tablet in the prescribed amount of water and swallow the contents. Do not crush, chew or swallow as a whole.Suspension/Syrup: Shake the bottle well before use. Check the label for directions and take Azithral-XL 200 Liquid in doses as prescribed by your doctor with the help of a measuring cup.Powder/granules: Check the label for directions before use. Mix the powder/granules in water, mix well and drink immediately.

Medicinal Benefits

Azithral-XL 200 Liquid slows the growth or sometimes kills the harmful bacteria by preventing the production of proteins required by the bacteria for its survival. It prevents and treats bacterial infections like throat and sinus infections, chest infections (like bronchitis and pneumonia), ear infections, mouth and dental infections, eye infections, skin and tissue infections (like acne), and stomach and intestinal infections. It is better tolerated and has more effective tissue penetration than other similar antibiotics like erythromycin. Doctors prescribe Azithral-XL 200 Liquid for people who are intolerant to penicillin antibiotics. Besides this, it also helps prevent infection following burns, surgery or dental procedure, sexually transmitted infections, bone infections or scarlet fever (bacterial illness with strep throat).

Storage

Store in a cool and dry place away from sunlight

Side Effects of Azithral-XL 200 Liquid

  • Diarrhoea
  • Feeling or being sick (nausea or vomiting)
  • Stomach cramps
  • Loss of appetite
  • Bloating
  • Indigestion

Drug Warnings

Tell your doctor if you have liver problems (jaundice), muscle problems (myasthenia gravis), heart rhythm disorder (arrhythmia), or electrolyte imbalance (low potassium or magnesium level). In rare cases, the use of Azithral-XL 200 Liquid can cause diarrhoea, so if you have watery or bloody diarrhoea, stop taking Azithral-XL 200 Liquid and call your doctor. However, do not take any anti-diarrheal medicine until your doctor tells you. It is unknown whether Azithral-XL 200 Liquid harms the baby during pregnancy. Consult your doctor if you are pregnant, planning for pregnancy or breastfeeding before using Azithral-XL 200 Liquid. Do not take Azithral-XL 200 Liquid if allergic to azithromycin or other macrolide antibiotics. Inform the doctor if you are using cholesterol-lowering drugs (statins like simvastatin, lovastatin etc.), anti-gout or anti-arthritis drugs (colchicine) and medicine for treating overactive bladder (tolterodine). Azithral-XL 200 Liquid is not recommended for the patients with pneumonia who are judged to be inappropriate for oral therapy due to moderate to severe illness or risk factors.

Drug-Drug Interactions

verifiedApollotooltip
AzithromycinZiprasidone
Critical
AzithromycinBedaquiline
Severe

Drug-Drug Interactions

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AzithromycinZiprasidone
Critical
How does the drug interact with Azithral-XL 200 Liquid 30 ml:
Co-administration of Azithral-XL 200 Liquid 30 ml with Ziprasidone can increase the risk of irregular heart rhythm.

How to manage the interaction:
Although there is an interaction between Ziprasidone and Azithral-XL 200 Liquid 30 ml but can be taken together if prescribed by a doctor. Contact a doctor immediately if you experience sudden dizziness, lightheadedness, fainting, shortness of breath. Do not discontinue any medications without consulting a doctor.
AzithromycinBedaquiline
Severe
How does the drug interact with Azithral-XL 200 Liquid 30 ml:
Taking Azithral-XL 200 Liquid 30 ml with bedaquiline may increase the risk of an abnormal heart rhythm.

How to manage the interaction:
Although using Azithral-XL 200 Liquid 30 ml alongside bedaquiline can result in an interaction, it can be taken if a doctor has advised it. However, if you experience sudden dizziness, lightheadedness, fainting, breathing difficulty, or rapid heartbeat, consult the doctor immediately. Do not stop any medications without a doctor's advice.
AzithromycinPanobinostat
Severe
How does the drug interact with Azithral-XL 200 Liquid 30 ml:
Taking Azithral-XL 200 Liquid 30 ml with Panobinostat increases the risk of an abnormal heart rhythm.

How to manage the interaction:
Although administration of Azithral-XL 200 Liquid 30 ml alongside Panobinostat can result in an interaction, it can be taken if a doctor has advised it. However, if you experience sudden dizziness, lightheadedness, fainting, breathing difficulty, or rapid heartbeat, consult the doctor immediately. Do not stop any medications without a doctor's advice.
AzithromycinLeflunomide
Severe
How does the drug interact with Azithral-XL 200 Liquid 30 ml:
Taking Azithral-XL 200 Liquid 30 ml with leflunomide can cause liver problems.

How to manage the interaction:
Although there is an interaction between Azithral-XL 200 Liquid 30 ml and leflunomide, they can be taken together if prescribed by a doctor. However, consult a doctor if you experience fever, chills, joint pain or swelling, unusual bleeding or bruising, skin rash, itching, less desire to eat, fatigue, nausea, vomiting, abdominal pain, and/or yellowing of the skin or eyes. Do not discontinue any medications without consulting a doctor.
AzithromycinTeriflunomide
Severe
How does the drug interact with Azithral-XL 200 Liquid 30 ml:
Teriflunomide can cause liver issues, and combining it with Azithral-XL 200 Liquid 30 ml, can raise the risk.

How to manage the interaction:
Although administration of Azithral-XL 200 Liquid 30 ml alongside teriflunomide can result in an interaction, it can be taken if a doctor has advised it. However, if you notice fever, chills, joint pain or swelling, unusual bleeding or bruising, skin rash, itching, loss of appetite, fatigue, nausea, vomiting, abdominal pain, dark colored urine, light colored stools, and/or yellowing of the skin or eyes, contact a doctor right away. Do not discontinue any medications without consulting a doctor. Do not stop using any medications without talking to a doctor.
AzithromycinSotalol
Severe
How does the drug interact with Azithral-XL 200 Liquid 30 ml:
Using Azithral-XL 200 Liquid 30 ml together with sotalol can increase the risk or severity of irregular heart rhythm.

How to manage the interaction:
Although administration of Azithral-XL 200 Liquid 30 ml alongside sotalol can result in an interaction, it can be taken if a doctor has advised it. However, if you experience sudden dizziness, lightheadedness, fainting, breathing difficulty, or rapid heartbeat, consult a doctor immediately. Do not stop any medications without a doctor's advice.
AzithromycinAmisulpride
Severe
How does the drug interact with Azithral-XL 200 Liquid 30 ml:
Taking amisulpride with Azithral-XL 200 Liquid 30 ml increases the risk of an abnormal heart rhythm.

How to manage the interaction:
Though using amisulpride and Azithral-XL 200 Liquid 30 ml together can result in an interaction, it can be taken if a doctor has advised it. However, if you experience abrupt dizziness, lightheadedness, fainting, shortness of breath, or heart palpitations, get medical treatment immediately. Do not discontinue any medications without consulting doctor.
AzithromycinColchicine
Severe
How does the drug interact with Azithral-XL 200 Liquid 30 ml:
Coadministration of Azithral-XL 200 Liquid 30 ml with colchicine may raise colchicine levels in the blood to undesirable levels.

How to manage the interaction:
Concomitant administration of Azithral-XL 200 Liquid 30 ml alongside colchicine can result in an interaction, but it can be taken if a doctor has advised it. Inform your doctor if you have any of the following symptoms: stomach discomfort, nausea, vomiting, diarrhea, fever, muscular pain, weakness, exhaustion, and/or numbness or tingling in your hands and feet. Do not discontinue any medications without consulting a doctor.
AzithromycinProtamine
Severe
How does the drug interact with Azithral-XL 200 Liquid 30 ml:
Azithral-XL 200 Liquid 30 ml increases the levels of protamine in the blood, which may increase its effects.

How to manage the interaction:
Although taking Protamine and Azithral-XL 200 Liquid 30 ml together may cause an interaction, it can be taken if a doctor has suggested it. Do not discontinue any medications without consulting a doctor.
AzithromycinIvabradine
Severe
How does the drug interact with Azithral-XL 200 Liquid 30 ml:
Taking Azithral-XL 200 Liquid 30 ml with Ivabradine increases the risk of an abnormal heart rhythm.

How to manage the interaction:
Though administration of Azithral-XL 200 Liquid 30 ml alongside Ivabradine can result in an interaction, it can be taken if a doctor has advised it. However, if you experience sudden dizziness, lightheadedness, fainting, shortness of breath, or rapid heartbeat, get medical treatment immediately. Do not discontinue any medications without consulting a doctor.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Diet & Lifestyle Advise

  • It would be best to take probiotics after taking the full course of Azithral-XL 200 Liquid to restore some healthy bacteria in the intestine that may have been killed. Taking probiotics after antibiotic treatment can reduce the risk of antibiotic-associated diarrhoea. Certain fermented foods like yoghurt, cheese, sauerkraut and kimchi can help restore the intestine's good bacteria.
  • Include more fibre-enriched food in your diet, as it can be easily digested by gut bacteria which helps stimulate their growth. Thus fibre foods may help restore healthy gut bacteria after taking a course of antibiotics. Whole grains like whole-grain bread, and brown rice, should be included in your diet.
  • Avoid taking too much calcium enriched foods and drinks as it might affect the working of Azithral-XL 200 Liquid.
  • Avoid intake of alcoholic beverages with Azithral-XL 200 Liquid as it can make you dehydrated and affect your sleep. This can make it harder for your body to aid the Azithral-XL 200 Liquid in fighting off infections.

Habit Forming

No

Therapeutic Class

ANTI- BACTERIALS

Azithral-XL 200 Liquid Substitute

Substitutes safety advice
  • Azithral XL 200 Liquid 60 ml

    by Others

    3.44per tablet
  • Azee 200 Peppermint & Orange Suspension 15 ml

    by Others

    3.42per tablet
  • Azee XL 200 mg Peppermint Dry Syrup 30 ml

    by Others

    3.44per tablet
  • Azee 200mg Dry Syrup 15 ml

    by Others

    3.42per tablet
  • Zady-200 Readymix Oral Suspension 30 ml

    by AYUR

    3.42per tablet

Drug-Diseases Interactions

verifiedApollotooltip
No Drug - Disease interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Diseases Interactions

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FAQs

Do not take antacids that contain aluminium or magnesium hydroxide within 2 hours before or after you take Azithral-XL 200 Liquid. These antacids can interact with Azithral-XL 200 Liquid and make them less effective when taken at the same time.

Never stop the treatment with Azithral-XL 200 Liquid on your own as the infection may come back again (relapse) if the prescribed treatment is not completely taken. Before stopping Azithral-XL 200 Liquid once discuss this with your doctor.

If you forget to take Azithral-XL 200 Liquid, take your dose as soon as possible. If it is almost time for the next dose, just skip that dose and take the next one when it is due. If in doubt, please contact your doctor. Do not take a double dose to make up for a forgotten dose

Azithral-XL 200 Liquid contains lactose monohydrate so if you have intolerance towards sugars, consult your doctor before starting Azithral-XL 200 Liquid.

Azithral-XL 200 Liquid can cause diarrhoea, which may be a sign of a new infection. If you have diarrhoea that is watery or bloody, call your doctor. Do not use anti-diarrhoea medicine unless your doctor tells you to.

You should avoid taking Azithral-XL 200 Liquid if you have colitis (intestine inflammation), heart rhythm disorder, liver disease (like jaundice), and muscle problem (like myasthenia gravis). Contact your doctor if you have these conditions before taking Azithral-XL 200 Liquid.

No, it is a Schedule H drug that can be taken only if your doctor has prescribed it. Taking it on your own or self-medication can cause unwanted side-effects and lead to antibiotic resistance thereby lowering its efficiency.

Yes in some cases, people using Azithral-XL 200 Liquid may get a fungal skin infection known as thrush. It happens because Azithral-XL 200 Liquid also kills harmless bacteria that protects against thrush.

Clinical evidence suggests that Azithral-XL 200 Liquid does not affect the working of any oral birth control pills and contraceptives devices.

Drug-Drug Interactions Checker List

  • DOMPERIDONE
  • PIMOZIDE
  • AMISULPRIDE
  • ERGOTAMINE
  • DIHYDROERGOTAMINE
  • SIMVASTATIN
  • TOLTERODINE
  • COLCHICINE

Disease/Condition Glossary

Bacterial infection: A bacterial infection is a condition in which harmful bacteria enter, multiply, and infect our body. It can target any body part and multiple very quickly. When you get infected with bacteria, you can experience generalized symptoms like fevers, chills, and fatigue. Bacteria are of various forms comprising commonly spherical, rod, and spiral-shaped. Bacterial infections vary from minor illnesses like sore throat and ear infections to severe brain infections like meningitis and encephalitis. Few harmful bacteria that cause infections include Streptococcus, Staphylococcus, and E. coli. Anyone can become infected with a bacterial infection. But, people with weak immune systems or taking immunosuppressive medicine can make you more prone to bacterial infection.

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