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Reviewed By Sunny S , MBBS
Non returnable*
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Manufacturer/Marketer

Macleods Pharmaceuticals Ltd

Consume Type

ORAL

Return Policy

Not Returnable

Expires on or after

Jan-27

for this medicine

About Zithrox XL 200 mg Syrup

Zithrox XL 200 mg Syrup 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.

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

Zithrox XL 200 mg Syrup 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. Zithrox XL 200 mg Syrup 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 Zithrox XL 200 mg Syrup 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 Zithrox XL 200 mg Syrup harms the baby or passes into breast milk in pregnancy and breastfeeding state. Contacting a doctor before using Zithrox XL 200 mg Syrup during pregnancy and while breastfeeding is better. Avoid too much exposure to sunlight as Zithrox XL 200 mg Syrup 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 Zithrox XL 200 mg Syrup

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 Zithrox XL 200 mg Syrup 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

Zithrox XL 200 mg Syrup 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 Zithrox XL 200 mg Syrup 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 Zithrox XL 200 mg Syrup

  • 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 Zithrox XL 200 mg Syrup can cause diarrhoea, so if you have watery or bloody diarrhoea, stop taking Zithrox XL 200 mg Syrup and call your doctor. However, do not take any anti-diarrheal medicine until your doctor tells you. It is unknown whether Zithrox XL 200 mg Syrup harms the baby during pregnancy. Consult your doctor if you are pregnant, planning for pregnancy or breastfeeding before using Zithrox XL 200 mg Syrup. Do not take Zithrox XL 200 mg Syrup 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). Zithrox XL 200 mg Syrup 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
AzithromycinThioridazine
Severe

Drug-Drug Interactions

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AzithromycinZiprasidone
Critical
How does the drug interact with Zithrox XL 200 mg Syrup 30 ml:
Co-administration of Zithrox XL 200 mg Syrup 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 Zithrox XL 200 mg Syrup 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.
AzithromycinThioridazine
Severe
How does the drug interact with Zithrox XL 200 mg Syrup 30 ml:
Taking Zithrox XL 200 mg Syrup 30 ml with thioridazine increases the risk of an abnormal heart rhythm.

How to manage the interaction:
Although administration of Zithrox XL 200 mg Syrup 30 ml alongside thioridazine 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 rapid heartbeat, get medical help immediately. Do not discontinue any medications without consulting a doctor.
AzithromycinVandetanib
Severe
How does the drug interact with Zithrox XL 200 mg Syrup 30 ml:
Taking Zithrox XL 200 mg Syrup 30 ml with vandetanib increases the risk of an abnormal heart rhythm. If you're dealing with other cardiac illnesses, electrolyte imbalances (for example, magnesium or potassium loss likely due to serious or prolonged diarrhoea or vomiting), you may be at greater risk.

How to manage the interaction:
Although administration of Zithrox XL 200 mg Syrup 30 ml alongside vandetanib can possibly result in an interaction, it can be taken if your 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.
AzithromycinCabozantinib
Severe
How does the drug interact with Zithrox XL 200 mg Syrup 30 ml:
Taking Zithrox XL 200 mg Syrup 30 ml with cabozantinb may increase the risk of an abnormal heart rhythm.

How to manage the interaction:
Although using Zithrox XL 200 mg Syrup 30 ml alongside cabozantinb 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.
AzithromycinMifepristone
Severe
How does the drug interact with Zithrox XL 200 mg Syrup 30 ml:
Taking Zithrox XL 200 mg Syrup 30 ml with mifepristone increases the risk of an abnormal heart rhythm.

How to manage the interaction:
Although Zithrox XL 200 mg Syrup 30 ml with mifepristone 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, weakness, tiredness, drowsiness, confusion, painful muscle cramping, nausea, or vomiting, constipation, abdominal cramping, chest pain, and/or swelling in the legs or feet, get medical attention. Do not discontinue any medications without consulting a doctor.
AzithromycinMorphine
Severe
How does the drug interact with Zithrox XL 200 mg Syrup 30 ml:
Taking Morphine with Zithrox XL 200 mg Syrup 30 ml may raise blood levels and side effects of morphine.

How to manage the interaction:
Although administration of Zithrox XL 200 mg Syrup 30 ml alongside morphine can result in an interaction, it can be taken if a doctor has advised it. However, if you experience dizziness, drowsiness, difficulty concentrating, and impairment in judgment, reaction speed and motor coordination contact a doctor. Do not discontinue any medications without consulting a doctor.
AzithromycinClozapine
Severe
How does the drug interact with Zithrox XL 200 mg Syrup 30 ml:
Taking Zithrox XL 200 mg Syrup 30 ml with clozapine can increase the chance of a serious abnormal heart rhythm.

How to manage the interaction:
Although using Zithrox XL 200 mg Syrup 30 ml alongside clozapine 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.
AzithromycinNilotinib
Severe
How does the drug interact with Zithrox XL 200 mg Syrup 30 ml:
Coadministration of Zithrox XL 200 mg Syrup 30 ml with nilotinib can increase the risk or severity of irregular heart rhythms. The risk increases in patients with a history of heart illness or electrolyte imbalance.

How to manage the interaction:
Although administration of Zithrox XL 200 mg Syrup 30 ml alongside nilotinib can result in an interaction, it can be taken if a doctor has advised it. However, if you experience sudden dizziness, breathing difficulty, or rapid heartbeat, consult the doctor immediately. Do not stop any medications without a doctor's advice.
AzithromycinHaloperidol
Severe
How does the drug interact with Zithrox XL 200 mg Syrup 30 ml:
Co-administration of Zithrox XL 200 mg Syrup 30 ml with Haloperidol can increase the risk of developing irregular heart rhythms.

How to manage the interaction:
Taking Zithrox XL 200 mg Syrup 30 ml with Haloperidol together can result in an interaction, but 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.
AzithromycinAmisulpride
Severe
How does the drug interact with Zithrox XL 200 mg Syrup 30 ml:
Taking amisulpride with Zithrox XL 200 mg Syrup 30 ml increases the risk of an abnormal heart rhythm.

How to manage the interaction:
Though using amisulpride and Zithrox XL 200 mg Syrup 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.

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 Zithrox XL 200 mg Syrup 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 Zithrox XL 200 mg Syrup.
  • Avoid intake of alcoholic beverages with Zithrox XL 200 mg Syrup as it can make you dehydrated and affect your sleep. This can make it harder for your body to aid the Zithrox XL 200 mg Syrup in fighting off infections.

Habit Forming

No

Therapeutic Class

ANTI- BACTERIALS

Zithrox XL 200 mg Syrup Substitute

Substitutes safety advice
  • Azithral XL 200 Liquid 60 ml

    by Others

    3.44per tablet
  • Azithral-XL 200 Liquid 30 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

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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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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