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Azithrocin 200mg/5ml Powder for Suspension 50ml — Azithromycin for Children by Beximco

Azithrocin 200mg/5ml Powder for Suspension 50ml — Azithromycin for Children by Beximco
Azithrocin 200mg/5ml Powder for Suspension 50ml — Azithromycin for Children by Beximco
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Azithrocin 200mg/5ml Powder for Suspension 50ml — Azithromycin | Beximco Pharmaceuticals

Generic NameAzithromycin Dihydrate — 200 mg per 5 mL (when reconstituted)
Dosage FormPowder for Oral Suspension — 50 mL bottle (reconstituted)
ManufacturerBeximco Pharmaceuticals Ltd.
Therapeutic ClassMacrolide Antibiotic (Azalide) — Paediatric Oral Liquid
Primary UsePaediatric antibacterial therapy — children who cannot swallow tablets
AvailabilityIn Stock — Available Online

Overview

Azithrocin 200mg/5ml Suspension is the paediatric liquid formulation of Azithromycin, supplied as a dry powder that is reconstituted with water to produce a flavoured oral suspension delivering 200 mg of azithromycin per 5 mL. This formulation is designed for children who cannot swallow tablets — enabling accurate weight-based dosing using a measuring syringe or spoon. It provides the same broad-spectrum macrolide coverage as the adult tablet forms, treating respiratory, skin, and ear infections commonly seen in the paediatric population. The 50 mL bottle provides sufficient volume for standard paediatric courses.

Indications (Paediatric)

  • Community-Acquired Pneumonia (CAP) — mild-moderate, outpatient, children ≥6 months
  • Acute Otitis Media (AOM) — middle ear infection; 3-day or 5-day course
  • Acute Bacterial Sinusitis
  • Pharyngitis/Tonsillitis (S. pyogenes) — in penicillin-allergic children
  • Skin & Soft Tissue Infections — impetigo, cellulitis (mild-moderate)
  • Chlamydial Infections in infants/children (specialist use)

Dosage & Administration (Weight-Based)

IndicationDose (mg/kg/day)DurationMaximum
CAP / Pharyngitis / Skin Infections10 mg/kg on Day 1, then 5 mg/kg Days 2–55 daysMax 500 mg Day 1; 250 mg Days 2–5
Acute Otitis Media (3-day)10 mg/kg/day3 daysMax 500 mg/day
Acute Otitis Media (single dose)30 mg/kg single dose1 dayMax 1500 mg single dose
Acute Sinusitis10 mg/kg/day3 daysMax 500 mg/day

Volume calculator (200mg/5mL): 5 mg/kg dose → 0.125 mL/kg | 10 mg/kg dose → 0.25 mL/kg | 30 mg/kg dose → 0.75 mL/kg

Reconstitution: Add approximately 12 mL of cool, freshly boiled water to the powder in two portions, shaking well between additions. This produces approximately 15 mL of suspension. For the 50 mL bottle, add the specified volume of water (see label) and shake vigorously until all powder is dissolved. Always use the oral measuring syringe provided — never use a kitchen spoon for dosing.

Can be given with or without food. Shake well before each use.

After Reconstitution — Storage & Shelf Life

  • Reconstituted suspension is stable for 10 days at room temperature (below 30°C) or 14 days if refrigerated (2–8°C)
  • Do NOT freeze the reconstituted suspension
  • Discard any remaining suspension after the treatment course or after the stability period

Side Effects

  • Common: Diarrhoea, nausea, abdominal pain, vomiting (GI effects more common in children than adults)
  • Uncommon: Rash, urticaria, hyperactivity/agitation (young children)
  • Rare: QT prolongation (less concern at paediatric doses but use caution in children with cardiac disease)

Storage (Before Reconstitution)

  • Store dry powder below 30°C, protected from light. After reconstitution, see above. Keep out of reach of children.

FAQ

Q1: My child won't take medicine — does Azithrocin suspension have a flavour?
Yes. Azithrocin suspension is available in a palatable flavour (cherry or banana, depending on batch) to improve acceptability in children. If your child refuses, the suspension can be mixed with a small amount of food or juice immediately before dosing — but do not mix in large volumes as this may affect the total dose received.

Q2: How do I measure the correct dose for my child?
Always use the calibrated oral syringe provided with the bottle. Measure based on your child's current weight (kg) as advised by your physician. Never estimate with a household teaspoon — they vary in volume and may give incorrect doses.

Q3: Can I give Azithrocin suspension to a baby under 6 months?
The standard suspension is not well-studied in infants under 6 months for most indications. Azithromycin can be used in neonates/infants under specialist supervision for specific indications (e.g., pertussis, Chlamydia conjunctivitis). Do not administer to infants under 6 months without explicit physician guidance.

Q4: The bottle says 50 mL — is this enough for the full course?
For most children and standard 3–5 day courses, yes. As an example: a 20 kg child receiving 10 mg/kg/day (200mg/day = 5 mL/day) for 5 days requires 25 mL total — well within the 50 mL bottle. Your pharmacist or physician will confirm adequacy for your child's weight and prescribed course duration.


Medical Disclaimer: Educational information only. Paediatric antibiotic doses must be calculated by a licensed physician or pharmacist based on the child's current weight.

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