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compositionComposition:AZITHROMYCIN-200MG
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Prescription Medicine
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Azithral XL 200 Liquid is used to treat several bacterial infections in children. It contains Azithromycin, which works by inhibiting the production of essential proteins that are necessary for bacteria to grow, multiply and increase in numbers. Thus, it prevents the growth of bacteria. Give this medication to your child as prescribed by the doctor. This medication may cause common side effects such as diarrhoea, vomiting, headache, nausea or stomach pain.

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Written By Veda Maddala , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Composition :

AZITHROMYCIN-200MG

Manufacturer/Marketer :

Alembic Pharmaceuticals Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

NPPA :

Regulated

About Azithral XL 200 Liquid

Azithral XL 200 Liquid is used to treat several bacterial infections of the upper/lower respiratory tract, middle ear, skin and soft tissue. A bacterial infection is a condition in which harmful bacteria grow in the body and cause infection. It can infect any part of the body and multiply very quickly. 

Azithral XL 200 Liquid contains Azithromycin, which works by inhibiting the production of essential proteins that are necessary for bacteria to grow, multiply and increase in numbers. Thus, it prevents the growth of bacteria.

Not every child who is taking Azithral XL 200 Liquid will get these side effects. Azithral XL 200 Liquid may cause common side effects such as diarrhoea, vomiting, headache, nausea or stomach pain. Most of these side effects of Azithral XL 200 Liquid do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor.

Give Azithral XL 200 Liquid to your child as prescribed by the doctor. It can be taken with or without food but should be consumed at a fixed time for the best results. The Azithral XL 200 Liquid should not be given in a dose exceeding the recommended amount to avoid unpleasant side effects.

If your child is allergic to Azithral XL 200 Liquid or other medicines, please tell the doctor. Azithral XL 200 Liquid should be used only in doses prescribed by a doctor for children. It is recommended that you complete the full course of Azithral XL 200 Liquid as prescribed by the doctor, even if your child feels better after a few days.

Uses of Azithral XL 200 Liquid

Azithral XL 200 Liquid is used in the treatment of bacterial infections. The detailed uses of Azithral XL 200 Liquid are as follows:

  • Respiratory Tract Infections: Azithral XL 200 Liquid helps treat infections in the lungs, throat, and airways. 
  • Skin and Soft Tissue Infections: Azithral XL 200 Liquid is effective against bacterial infections affecting the skin and underlying tissues.
  • Eyes, Ear and Sinus Infections: Azithral XL 200 Liquid helps in managing bacterial infections in the eyes, ears and sinuses.
  • Pneumonia: Azithral XL 200 Liquid is prescribed for treating pneumonia caused by bacterial infections.
  • Urinary Tract Infections: Azithral XL 200 Liquid is used to treat bacterial infections in the urinary tract.
  • Infections in Immunocompromised Patients: Azithral XL 200 Liquid helps prevent infections in individuals with weakened immune systems.

Key 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 is better tolerated and has more effective tissue penetration than other similar antibiotics like erythromycin.
  • Doctors prescribe Azithral XL 200 Liquid for children who are intolerant to penicillin antibiotics.
Side effects of Azithral XL 200 Liquid 60 ml
Here are the precise steps to cope with diarrhoea caused by medication usage:
  • Inform Your Doctor: Notify your doctor immediately about your diarrhoea symptoms. This allows them to adjust your medication or provide guidance on managing side effects.
  • Stay Hydrated: Drink plenty of fluids to replace lost water and electrolytes. Choose water, clear broth, and electrolyte-rich drinks. Avoid carbonated or caffeinated beverages to effectively rehydrate your body.
  • Follow a Bland Diet: Eat easy-to-digest foods to help firm up your stool and settle your stomach. Try incorporating bananas, rice, applesauce, toast, plain crackers, and boiled vegetables into your diet.
  • Avoid Trigger Foods: Steer clear of foods that can worsen diarrhoea, such as spicy, fatty, or greasy foods, high-fibre foods, and dairy products (especially if you're lactose intolerant).
  • Practice Good Hygiene: Maintain good hygiene to prevent the spread of infection. To stay healthy, wash your hands frequently, clean and disinfect surfaces regularly, and avoid exchanging personal belongings with others.
  • Take Anti-Diarrheal Medications: If your doctor advises, anti-diarrheal medications such as loperamide might help manage diarrhoea symptoms. Always follow your doctor's directions.
  • Keep track of your diarrhoea symptoms. If they don't get better or worse or are accompanied by severe stomach pain, blood, or dehydration signs (like extreme thirst or dark urine), seek medical help.
Overcome Medication-Induced Nausea: A 9-Step Plan
  • Inform your doctor about the nausea and discuss possible alternatives to the medication or adjustments to the dosage.
  • Divide your daily food intake into smaller, more frequent meals to reduce nausea.
  • Opt for bland, easily digestible foods like crackers, toast, plain rice, bananas, and applesauce.
  • Avoid certain foods that can trigger nausea, such as fatty, greasy, spicy, and smelly foods.
  • Drink plenty of fluids, such as water, clear broth, or electrolyte-rich beverages like coconut water or sports drinks.
  • Use ginger (tea, ale, or candies) to help relieve nausea.
  • Get adequate rest and also avoid strenuous activities that can worsen nausea.
  • Talk to your doctor about taking anti-nausea medication if your nausea is severe.
  • Record when your nausea occurs, what triggers it, and what provides relief to help you identify patterns and manage your symptoms more effectively.
  • Drink water or other clear fluids.
  • To prevent worsening of pain, limit intake of tea, coffee, or alcohol.
  • Include bland foods like rice, toast, crackers, and rice in your diet.
  • Avoid lying down immediately after eating as it may cause indigestion or heartburn.
  • Avoid acidic and spicy food as it may cause indigestion.
Here are the precise steps to cope with diarrhoea caused by medication usage:
  • Inform Your Doctor: Notify your doctor immediately about your diarrhoea symptoms. This allows them to adjust your medication or provide guidance on managing side effects.
  • Stay Hydrated: Drink plenty of fluids to replace lost water and electrolytes. Choose water, clear broth, and electrolyte-rich drinks. Avoid carbonated or caffeinated beverages to effectively rehydrate your body.
  • Follow a Bland Diet: Eat easy-to-digest foods to help firm up your stool and settle your stomach. Try incorporating bananas, rice, applesauce, toast, plain crackers, and boiled vegetables into your diet.
  • Avoid Trigger Foods: Steer clear of foods that can worsen diarrhoea, such as spicy, fatty, or greasy foods, high-fibre foods, and dairy products (especially if you're lactose intolerant).
  • Practice Good Hygiene: Maintain good hygiene to prevent the spread of infection. To stay healthy, wash your hands frequently, clean and disinfect surfaces regularly, and avoid exchanging personal belongings with others.
  • Take Anti-Diarrheal Medications: If your doctor advises, anti-diarrheal medications such as loperamide might help manage diarrhoea symptoms. Always follow your doctor's directions.
  • Keep track of your diarrhoea symptoms. If they don't get better or worse or are accompanied by severe stomach pain, blood, or dehydration signs (like extreme thirst or dark urine), seek medical help.
Here are the steps to manage Gastrointestinal Air and Swelling (GAS) caused by medication:
  • Tell your doctor about your GAS symptoms. They may change your medication regimen or prescribe additional drugs to help you manage them.
  • To manage GAS symptoms, eat a balanced diet of fibre, vegetables, and fruits.
  • Drink enough water throughout the day to avoid constipation and treat GAS symptoms.
  • Regular exercise like yoga and walking may help stimulate digestion and alleviate GAS symptoms.
  • Take probiotics only if your doctor advises, as they may help alleviate GAS symptoms by promoting gut health.
  • Take medication for GAS symptoms only if your doctor advises, as certain medications can interact with your existing prescriptions or worsen symptoms.
  • If symptoms persist, worsen, or are accompanied by severe abdominal pain, vomiting, or bleeding, seek immediate medical attention.
  • Avoid taking raw fruits, nuts and vegetables.
  • Do not share your personal things with others like toothbrushes.
  • Clean the wounds and cuts using soap and water.
  • Wash your hands thoroughly and frequently and maintain hygiene.
  • Get a good quality of sleep.
To prevent, manage, and treat Constipation caused by medication usage, follow these steps:
  • Preventing Vomiting (Before it Happens)
  • Take medication exactly as prescribed by your doctor. This can help minimize side effects, including vomiting.
  • Having a small meal before taking your medication can help reduce nausea and vomiting.
  • Talk to your doctor about taking anti-nausea medication along with your prescribed medication.
  • Managing Vomiting (If it Happens)
  • Try taking ginger in the form of tea, ale, or candy to help alleviate nausea and vomiting.
  • What to Do if Vomiting Persists
  • Consult your doctor if vomiting continues or worsens, consult the doctor for guidance on adjusting your medication or additional treatment.

Directions for Use

  • Azithral XL 200 Liquid can be given to your child with or without food.
  • It is usually given once daily at the same time each day.
  • However, follow the doctor's instructions regarding the dosage and timing of this medication to ensure effectiveness.
  • Shake the bottle well before each use.
  • Give the prescribed dose to your child by mouth using the measuring cup provided with the pack.
  • Avoid using regular household spoons, as they may not measure the dose correctly

How Azithral XL 200 Liquid Works

Azithral XL 200 Liquid contains azithromycin, which is an antibiotic that works by stopping the growth of bacteria. It penetrates the bacterial cells and blocks them from producing the essential proteins they need to multiply and survive. Without these vital proteins, the bacteria are unable to replicate and spread throughout the body. This pauses the infection, allowing your child's natural immune system to easily target, fight off, and completely clear the remaining bacteria from their system.
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Alcohol

Not applicable

-

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Pregnancy

Not applicable

-

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Breast Feeding

Not applicable

-

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Driving

Not applicable

-

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Liver

Consult your doctor

If your child is suffering from liver disease, inform your doctor before using Azithral XL 200 Liquid.

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Kidney

Consult your doctor

If your child is suffering from kidney disease, inform your doctor before using Azithral XL 200 Liquid.

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Children

Safe if prescribed

Azithral XL 200 Liquid is safe for use in children only if recommended by the physician. It should be used for children in dose and duration as advised by the doctor.

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Heart

Caution

Azithral XL 200 Liquid should be avoided in children with heart problems unless prescribed by a doctor. It may affect heart rhythm or interact with other cardiac medications, so medical supervision is essential.

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Geriatrics

Not applicable

Azithral XL 200 Liquid is specifically for children use and is not meant for geriatric patients.

What if I have taken an overdose of Azithral XL 200 Liquid

If you suspect your child has taken too much of this medicine, seek immediate medical attention or contact a poison control centre right away. Watch closely for signs like severe vomiting, diarrhoea, or stomach pain.

Diet & Lifestyle Advise

  • Keep your child hydrated: Offer plenty of fluids like water, clear broths, or oral electrolyte solutions to replace fluids lost if they experience mild diarrhoea.
  • Encourage rest: Make sure your child gets plenty of sleep to help their body channel energy toward healing.
  • Support gut health: After your child finishes their antibiotic course, offer probiotic-rich foods like yoghurt to help restore the healthy bacteria in their digestive system.
  • Avoid greasy foods: Avoid giving your child heavy, high-fat meals right before a dose, as this can slow down how quickly the medicine is absorbed.
health query

Have a query?

How Soon It Starts Working

The time required for Azithral XL 200 Liquid to start to work: Azithral XL 200 Liquid ideally shows its action within 2 hours after administration. The time for which the effects of Azithral XL 200 Liquid last: The effect of Azithral XL 200 Liquid lasts for 17 days.

What if you forget to take Azithral XL 200 Liquid

If you miss giving a dose, give 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 schedule. Do not give a double dose to make up for a missed one.

Storage

• Store in a cool and dry place away from sunlight.• Keep Azithral XL 200 Liquid out of reach and sight of children. • Non cold chain - To be stored in cool places at 10ºC to 25ºC or below 30ºC.

Drug Warnings

  • Shake the bottle well before every single dose to ensure the active ingredients are distributed evenly throughout the liquid.
  • Check the visual appearance of the liquid before use. It should look uniform; do not use it if you notice unusual clumping, grittiness, or discolouration.
  • Never use household teaspoons to measure the dose, as they do not provide a medically precise measurement.
  • Do not stop treatment early, even if your child’s fever is gone and they seem completely healthy, to prevent the bacteria from becoming resistant to antibiotics.
  • Monitor your child closely for any sudden changes in their skin, breathing, or behaviour during the first 24 to 48 hours of starting the medication.

Drug-Drug Interactions

verifiedApollotooltip
  • Antacids (e.g., aluminium hydroxide, magnesium hydroxide): These antacids can lower the absorption of Azithral XL 200 Liquid. Give this medicine at least 1 hour before or 2 hours after these antacids.
  • Blood thinners (e.g., warfarin): Combining these medicines may increase the risk of bruising or bleeding, requiring closer monitoring by your doctor.
  • Heart rhythm medicines (e.g., amiodarone): Taking these medicines together can increase the risk of developing a dangerous irregular heartbeat.
AzithromycinZiprasidone
Critical
AzithromycinAmiodarone
Severe

Drug-Drug Interactions

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AzithromycinZiprasidone
Critical
How does the drug interact with Azithral XL 200 Liquid 60 ml:
Co-administration of Azithral XL 200 Liquid 60 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 60 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.
AzithromycinAmiodarone
Severe
How does the drug interact with Azithral XL 200 Liquid 60 ml:
Coadministration of Azithral XL 200 Liquid 60 ml with amiodarone may increase the risk of irregular heart rhythm and increases the blood levels of Amiodarone.

How to manage the interaction:
Although using Azithral XL 200 Liquid 60 ml with amiodarone can result in an interaction, it can be taken if a doctor has advised it. However, contact a doctor immediately if you experience sudden dizziness, lightheadedness, fainting, shortness of breath, or rapid heartbeat. Do not discontinue any medications without consulting a doctor.
AzithromycinDofetilide
Severe
How does the drug interact with Azithral XL 200 Liquid 60 ml:
Taking Azithral XL 200 Liquid 60 ml with dofetilide may increase the risk of an abnormal heart rhythm.

How to manage the interaction:
Although using Azithral XL 200 Liquid 60 ml alongside dofetilide 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 heart palpitations, get medical treatment immediately. Do not discontinue any medications without consulting a doctor.
AzithromycinMorphine
Severe
How does the drug interact with Azithral XL 200 Liquid 60 ml:
Taking Morphine with Azithral XL 200 Liquid 60 ml may raise blood levels and side effects of morphine.

How to manage the interaction:
Although administration of Azithral XL 200 Liquid 60 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.
AzithromycinNilotinib
Severe
How does the drug interact with Azithral XL 200 Liquid 60 ml:
Coadministration of Azithral XL 200 Liquid 60 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 Azithral XL 200 Liquid 60 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.
AzithromycinCeritinib
Severe
How does the drug interact with Azithral XL 200 Liquid 60 ml:
Taking Azithral XL 200 Liquid 60 ml with ceritinib may increase the risk of an abnormal heart rhythm.

How to manage the interaction:
Although using Azithral XL 200 Liquid 60 ml alongside ceritinib can result in an interaction, but it can be taken together if prescribed by a doctor. However, consult a doctor if you experience sudden dizziness, lightheadedness, fainting, shortness of breath. Do not discontinue any medications without consulting a doctor.
AzithromycinProtamine
Severe
How does the drug interact with Azithral XL 200 Liquid 60 ml:
Azithral XL 200 Liquid 60 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 60 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.
AzithromycinVemurafenib
Severe
How does the drug interact with Azithral XL 200 Liquid 60 ml:
Taking Azithral XL 200 Liquid 60 ml with vemurafenib 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 Azithral XL 200 Liquid 60 ml alongside vemurafenib 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.
AzithromycinBisacodyl
Severe
How does the drug interact with Azithral XL 200 Liquid 60 ml:
Co-administration of Bisacodyl and Azithral XL 200 Liquid 60 ml together can increase the chance of a serious abnormal heart rhythm.

How to manage the interaction:
Although there is an interaction, Bisacodyl can be taken with Azithral XL 200 Liquid 60 ml if prescribed by the doctor. Consult the doctor if you develop sudden dizziness, lightheadedness, fainting, breathing difficulty, or heart palpitations, weakness, tiredness, drowsiness, confusion, tingling, numbness, muscle pain, cramps, nausea, or vomiting. Do not discontinue the medications without consulting a doctor.
AzithromycinVandetanib
Severe
How does the drug interact with Azithral XL 200 Liquid 60 ml:
Taking Azithral XL 200 Liquid 60 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 Azithral XL 200 Liquid 60 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.

Drug-Food Interactions

verifiedApollotooltip
  • High-fat meals: Giving this medicine immediately after a very heavy, high-fat meal may delay how quickly it starts working in your child's body.
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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Habit Forming

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Therapeutic Class

[ANTIBIOTICS]

FAQs

Azithral XL 200 Liquid is used to treat bacterial infections of the upper/lower respiratory tract, middle ear, skin and soft tissue.
Azithral XL 200 Liquid contains Azithromycin which works by inhibiting the production of essential proteins that are necessary for bacteria to grow, multiply and increase in numbers. Thus, it prevents the growth of bacteria.
Azithral XL 200 Liquid is not used to treat viral infections. Azithral XL 200 Liquid is an antibiotic which is used to treat only bacterial infections.
You are not recommended to stop giving Azithral XL 200 Liquid to your child without consulting the doctor as it may worsen the condition or cause recurring symptoms. Therefore, use Azithral XL 200 Liquid for as long as your doctor has prescribed it, and if your child experiences any difficulty while taking Azithral XL 200 Liquid, please consult your doctor.
Azithral XL 200 Liquid is used to treat bacterial infections. It does not treat fever, therefore, consult a doctor if your child has a fever. The doctor will prescribe suitable medicines to treat the child’s condition.
Azithral XL 200 Liquid helps treat throat infections such as tonsillitis (inflammation of tonsils) and sore throat. Hence, it can be given to the child for treating throat infections if prescribed by the doctor.
If too much of Azithral XL 200 Liquid is administered to the child they may feel unwell. Contact the doctor immediately if and take any remaining medicine with you.
Common side effects of Azithral XL 200 Liquid include diarrhoea, vomiting, headache, nausea or stomach pain. Most of these side effects may not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor.
Azithral XL 200 Liquid may cause serious side effects like severe or prolonged diarrhoea, severe skin rash, low blood pressure, serious skin reactions, rapid or irregular heartbeat, difficulty breathing, sudden wheezing, itching, and swelling of the face.
In some cases, using other medicines at the same time as Azithral XL 200 Liquid may cause interactions. Therefore, consult the doctor if you are giving any other medicines to the child during treatment with Azithral XL 200 Liquid.
Azithral XL 200 Liquid may not affect how your child’s body responds to vaccines. However, it is advised to consult the doctor if the child is due to undergo any vaccination whilst on treatment with Azithral XL 200 Liquid.
The doctor may recommend kidney and liver function tests if the child is on long-term treatment with Azithral XL 200 Liquid.
Azithral XL 200 Liquid may cause indigestion as a side effect and affect the child’s digestion. Include fibre-rich foods, fruits, vegetables and whole grains in the child’s diet. Give the child smaller meals throughout the day as it might help improve digestion.
Azithral XL 200 Liquid is not affected by food or drink. Therefore, it can be given with or without food.
Store at a temperature not exceeding 25°C in a dry place. Keep out of sight and reach of children.
Azithral XL 200 Liquid begins working in the body shortly after the first dose, though you may not notice an improvement in your child's symptoms for 24 to 48 hours. It is vital to complete the full treatment course even if they seem better. Talk to your doctor if symptoms do not improve after a few days.
If your child vomits within 30 minutes of taking a dose, a repeat dose may be necessary, but you should not decide this on your own. If they vomit more than 30 minutes after taking it, the medicine has likely already been absorbed. Talk to your doctor or pharmacist to get specific instructions on whether to repeat the dose.
Depending on the specific brand instructions, Azithral XL 200 Liquid liquid suspension can often be stored either at room temperature or in the refrigerator. However, you must never freeze it, and you must discard any leftover medicine after the treatment course is complete. Talk to your pharmacist for the exact storage instructions for your specific bottle.
Some over-the-counter cold and cough medicines can be taken with Azithral XL 200 Liquid, but others may interact or cause unwanted side effects. Always check with your pharmacist or doctor before combining any new medicines with this antibiotic.
Azithral XL 200 Liquid is a highly effective antibiotic designed to target specific bacterial infections. It works efficiently because it stays in the body's tissues for a long time, which often allows for a shorter treatment course than other antibiotics. Talk to your doctor about why this is the best choice for your child's infection.
This medicine is designed to stay active in your child's body for several days after the final dose is taken. A short 3-day or 5-day course is highly effective and continues fighting the infection even after the dosing stops. Talk to your doctor if you have questions about the length of your child's prescription.

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Country of origin

India

Manufacturer/Marketer address

Alembic Road, Vadodara - 390 003, Gujarat,INDIA
Other Info - AZI0716
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