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  3. TMS Syrup

TMS Syrup, Pack of 1 Syrup
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Composition :

AZITHROMYCIN-200MG

Manufacturer/Marketer :

Biocare Remedies Pvt Ltd

Consume Type :

ORAL

Return Policy :

Not Returnable

About TMS Syrup

TMS Syrup is an antibiotic used to treat various bacterial infections such as pneumonia, bronchitis, tonsillitis, pharyngitis and sinusitis, acne, ear infections, and sexually transmitted infections. A bacterial infection is a condition in which bacteria grow in the body and cause infection. 

TMS Syrup contains azithromycin, which slows the growth or sometimes kills the harmful bacteria by preventing the production of proteins required by the bacteria for its survival. TMS Syrup does not treat a viral infection like the flu or a common cold.

Not everyone who is taking TMS Syrup will get these side effects. Some common side effects of TMS Syrup are diarrhoea, nausea, vomiting, and indigestion. These side effects are temporary and may resolve on their own over time. However, if these side effects persist, don't hesitate to contact your doctor.

TMS 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. The TMS Syrup should not be consumed in a dose exceeding the recommended amount to avoid unpleasant side effects. Also, the course should be completed even if you feel better.

Inform your physician if you are allergic to TMS Syrup, or have any history of liver problems, muscle problems, arrhythmia, or low potassium or magnesium levels.  Avoid too much exposure to sunlight as TMS 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. Let your doctor know if you are pregnant or breastfeeding before taking TMS Syrup.

Uses of TMS Syrup

TMS Syrup is used in the treatment of bacterial infections. The detailed uses of TMS Syrup are as follows:<br/> 

  • Treatment of Bacterial Infections: TMS Syrup is commonly prescribed for managing bacterial infections, including respiratory tract infections such as pneumonia and bronchitis.<br/> 
  • Skin and Soft Tissue Infections: TMS Syrup effectively treats skin conditions like cellulitis and other soft tissue infections caused by bacteria that respond to this medication.<br/> 
  • Sexually Transmitted Infections (STIs): TMS Syrup is widely used in the treatment of STIs such as Chlamydia and gonorrhea, due to its efficacy against the bacteria responsible for these diseases.<br/> 
  • Ear Infections (Otitis Media): TMS Syrup is also employed in the treatment of otitis media, a middle ear infection often seen in children, to alleviate symptoms and combat the infection.<br/>

Directions for Use

  • TMS Syrup can be taken with or without food or as advised by your doctor.
  • Follow your doctor's instructions on the dosage and timing of this medication.
  • Swallow TMS Syrup as a whole with a glass of water.
  • Do not crush, break, or chew it.

Medicinal Benefits

  • TMS Syrup 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 TMS Syrup for people who are intolerant to penicillin antibiotics. 

How TMS Syrup Works

TMS Syrup contains azithromycin, which slows the growth or sometimes kills the harmful bacteria by preventing the production of proteins required by the bacteria for its survival.

Storage

Store in a cool and dry place away from sunlight
Side effects of TMS Syrup
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.
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.
  • 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 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.
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.

What if I have taken an overdose of TMS Syrup

Do not take more than the prescribed dose of TMS Syrup as it may cause overdose. Please consult a doctor immediately if you notice any symptoms like dizziness, chest pian, blurred visin, irregular heartbeat, weakness or difficulty breathing.

Drug Warnings

  • Avoid taking TMS Syrup if you are allergic to it or other macrolide antibiotics.
  • Tell your doctor if you have any history of liver problems, jaundice, myasthenia gravis, heart rhythm disorder (arrhythmia), or electrolyte imbalance (low potassium or magnesium level).
  • In rare cases, the use of TMS Syrup can cause diarrhoea, so if you have watery or bloody diarrhoea, stop taking TMS Syrup and call your doctor. However, do not take any anti-diarrheal medication until your doctor advises you to do so.
  • Consult your doctor if you are pregnant, planning for pregnancy or breastfeeding before using TMS Syrup.
  • Inform the doctor if you are using cholesterol-lowering drugs (like simvastatin, lovastatin, etc.), anti-gout drugs (colchicine) and medicine for treating overactive bladder (tolterodine).
  • TMS Syrup is not recommended for patients with pneumonia (a lung disease) who are judged to be inappropriate for oral therapy due to moderate to severe illness or risk factors.
  • It is always important to check the expiry date of the medicine. Discard the medicine if it reaches the expiry date.

Drug-Drug Interactions

verifiedApollotooltip
AzithromycinZiprasidone
Critical
AzithromycinIloperidone
Severe

Drug-Drug Interactions

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AzithromycinZiprasidone
Critical
How does the drug interact with TMS Syrup:
Co-administration of TMS Syrup with Ziprasidone can increase the risk of irregular heart rhythm.

How to manage the interaction:
Although there is an interaction between Ziprasidone and TMS Syrup 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.
AzithromycinIloperidone
Severe
How does the drug interact with TMS Syrup:
Taking TMS Syrup with iloperidone increases the risk of an abnormal heart rhythm.

How to manage the interaction:
Though administration of TMS Syrup alongside iloperidone 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.
AzithromycinMifepristone
Severe
How does the drug interact with TMS Syrup:
Taking TMS Syrup with mifepristone increases the risk of an abnormal heart rhythm.

How to manage the interaction:
Although TMS Syrup 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.
AzithromycinVemurafenib
Severe
How does the drug interact with TMS Syrup:
Taking TMS Syrup 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 TMS Syrup 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 TMS Syrup:
Co-administration of Bisacodyl and TMS Syrup 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 TMS Syrup 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.
AzithromycinColchicine
Severe
How does the drug interact with TMS Syrup:
Coadministration of TMS Syrup with colchicine may raise colchicine levels in the blood to undesirable levels.

How to manage the interaction:
Concomitant administration of TMS Syrup 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.
AzithromycinEfavirenz
Severe
How does the drug interact with TMS Syrup:
Taking TMS Syrup with efavirenz increases the risk of an abnormal heart rhythm.

How to manage the interaction:
Though administration of TMS Syrup alongside efavirenz 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 a doctor.
AzithromycinBedaquiline
Severe
How does the drug interact with TMS Syrup:
Taking TMS Syrup with bedaquiline may increase the risk of an abnormal heart rhythm.

How to manage the interaction:
Although using TMS Syrup 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.
AzithromycinLeflunomide
Severe
How does the drug interact with TMS Syrup:
Taking TMS Syrup with leflunomide can cause liver problems.

How to manage the interaction:
Although there is an interaction between TMS Syrup 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.
AzithromycinPapaverine
Severe
How does the drug interact with TMS Syrup:
Taking TMS Syrup with papaverine increases the risk of an abnormal heart rhythm.

How to manage the interaction:
Although administration of TMS Syrup alongside papaverine 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.

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 completing the full course of TMS Syrup to replenish 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 consuming too many calcium-enriched foods and drinks, as it may affect the functioning of TMS Syrup.
  • Avoid intake of alcoholic beverages with TMS Syrup as it can make you dehydrated and affect your sleep. This can make it harder for your body to aid the TMS Syrup in fighting off infections.

Habit Forming

No

Therapeutic Class

ANTI- BACTERIALS

TMS Syrup Substitute

Substitutes safety advice

Product Substitutes

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Alcohol

Consult your doctor

It is unknown whether TMS Syrup interacts with alcohol or not. Therefore, inform your doctor if you are alcoholic before taking TMS Syrup.

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Pregnancy

Consult your doctor

There is insufficient information available about the use of TMS Syrup during pregnancy. Therefore you should not use TMS Syrup during pregnancy unless explicitly advised by your doctor.

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Breast Feeding

Consult your doctor

TMS Syrup is partially passed through the mother’s milk, therefore it should not be used if you are breastfeeding.

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Driving

Caution

There are no data available about the influence of TMS Syrup on the ability to drive or operate machines. However, TMS Syrup may cause dizziness and seizures so make sure you are not affected before driving or operating machinery.

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Liver

Consult your doctor

You should tell your doctor if you have liver problems as your doctor may need to alter the normal dose.

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Kidney

Consult your doctor

You should tell your doctor if you have kidney problems as your doctor may need to alter the normal dose.

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Children

Caution

TMS Syrup is not recommended for children less than 6 months of age as the safety and efficacy are not established. For children above 6 months of age, TMS Syrup can be used if the doctor has prescribed it.

Have a query?

FAQs

TMS Syrup is used to treat bacterial infections such as respiratory tract infections (like pneumonia, bronchitis, tonsillitis, pharyngitis and sinusitis), skin infections (like acne and rosacea), ear infections, and sexually transmitted infections. It works by killing the harmful bacteria.

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

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

If you forget to take TMS Syrup, 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

TMS Syrup 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 TMS Syrup 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 TMS Syrup.

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 TMS Syrup may get a fungal skin infection known as thrush. It happens because TMS Syrup also kills harmless bacteria that protects against thrush.

TMS Syrup is an effective antibiotic that helps treat bacterial infections. It has a broad spectrum of anti-bacterial activity and is effective against gram-positive and gram-negative bacteria.

TMS Syrup can be taken with or without food.

TMS Syrup should be used with caution in patients with liver problems. In some cases, the use of TMS Syrup can cause diarrhoea, so if you have watery or bloody diarrhoea, stop taking TMS Syrup and call your doctor.

TMS Syrup may interact with anti-emetics, neuroleptics, migraine medicines, statins, anticholinergics and anti-gout medicines. Before starting TMS Syrup, let the doctor know if you are taking any other medicines to prevent interactions.

Store TMS Syrup at room temperature, in a cool and dry place. Keep it out of sight and reach of children.

Side effects of TMS Syrup include diarrhoea, nausea, vomiting, and indigestion. Please consult the doctor if any of the side effects persist or worsen.

TMS Syrup slows the growth or sometimes kills the harmful bacteria by preventing the production of proteins required by the bacteria for its survival.

Country of origin

India

Manufacturer/Marketer address

Plot - 707, Sector - 28 GIDC, Gandhinagar, Gujarat 382028
Other Info - TMSS493

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Author Details

Veda MaddalaDoctor badge

Reviewed By

Veda Maddala

M Pharmacy

Last Updated

Jul 18, 2025 | 11:30 AM IST

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Reference

  1. https://www.medicines.org.uk/emc/files/pil.2276.pdf
  2. https://www.drugs.com/disease-interactions/azithromycin.html
  3. https://www.accessdata.fda.gov/drugsatfda_docs/label/2021/050670s036,050710s051,050711s050,050784s037lbl.pdf
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