Azimex 15ml Suspension

Azimex 15ml Suspension — Azithromycin 200mg/5ml Compact Paediatric Pack

About Azimex 15ml Suspension

Azimex 15ml Suspension is a compact oral suspension containing azithromycin 200 mg per 5 mL, manufactured by Square Pharmaceuticals Ltd., Bangladesh — one of Bangladesh's largest and most established pharmaceutical manufacturers. The 15 mL pack provides a total of 600 mg azithromycin. This is the smallest pack size in the Azimex suspension range and is specifically suited for treatment of smaller children who require short courses with limited total dose, or for prescribers who wish to dispense the minimum required volume for a specific weight-based course to reduce waste and cost. At the standard paediatric dose of 10 mg/kg/day, the 15 mL bottle is sufficient for a 3-day course in children up to approximately 10 kg.

Who Is the 15ml Pack Size For?

The 15 mL bottle (600mg total azithromycin) is appropriately sized for: children up to 10 kg on a 3-day course (10mg/kg/day × 3 days × 10kg = 300mg = 7.5mL needed — well within 15mL); children up to 6 kg on a 5-day course (10mg/kg/day × 5 days × 6kg = 300mg = 7.5mL — within 15mL); and as a starter pack for prescribers who are uncertain about the course length. The 15mL bottle is not appropriate for children above 10 kg on a standard 3-day respiratory course, or for any child requiring a high-dose typhoid regimen (20mg/kg/day). For children 10–20 kg, the 30 mL bottle should be selected; for larger children, the 50 mL bottle. Providing the minimum necessary pack size reduces medication waste, lowers dispensing cost, and avoids residual antibiotic being incorrectly used at a later date without prescription.

Azithromycin Suspension for Neonates and Young Infants

Azithromycin has specific clinical roles in neonates and young infants (under 6 months) that make a small-volume pack like the 15mL particularly appropriate. Chlamydial pneumonia in infants: Chlamydia trachomatis pneumonia is the most common bacterial cause of afebrile pneumonia in infants aged 3 weeks to 3 months. Azithromycin 20 mg/kg/day (oral) for 3 days is the WHO-recommended first-line treatment. For a 4 kg infant: 80mg/day × 3 days = 240mg = 6mL of 200mg/5mL suspension — the 15mL bottle is ideal. Pertussis prophylaxis and treatment in infants: Azithromycin is the preferred antibiotic for pertussis in infants under 6 months (erythromycin and clarithromycin are associated with infantile hypertrophic pyloric stenosis in this age group; azithromycin appears to have lower risk). For a 4–5 kg infant with pertussis: 10mg/kg/day × 5 days = 200–250mg = 5–6.25mL — the 15mL bottle is sufficient. Hospital consultation should be sought for neonatal infections before self-prescribing.

Square Pharmaceuticals — Quality Assurance

Square Pharmaceuticals Ltd. is Bangladesh's largest pharmaceutical company by market share and one of the first Bangladeshi pharma companies to achieve international quality certifications including WHO-GMP, TGA (Australia), MCC (South Africa), and EU-GMP compliance. Azimex products are manufactured under these international quality standards. The company's export activities to over 40 countries provide evidence of the quality benchmarks applied to Azimex manufacturing. For patients and prescribers in Bangladesh, the Square Pharmaceuticals brand represents assurance of consistent active ingredient content, bioavailability, and product stability meeting international regulatory standards.

Frequently Asked Questions (FAQ)

Q1: Is the Azimex 15ml bottle enough for most children's infections?
It depends on the child's weight. The 15mL bottle (600mg total) is sufficient for a 3-day course in children up to approximately 10 kg, or a 5-day course in children up to approximately 6 kg. For children above 10 kg on a 3-day course, or any child above 6 kg on a 5-day course, the 30mL bottle should be dispensed. Always calculate the required volume before dispensing: daily volume (mL) = child's weight (kg) × 10 ÷ 40 (since 200mg = 5mL, so each mL contains 40mg). Total volume = daily volume × number of treatment days.

Q2: How should the Azimex 15ml suspension be prepared?
Add the specified volume of clean drinking water (as directed on the label) to the dry granules in the bottle. Replace the cap securely and shake vigorously until all powder dissolves. Allow to stand for 5 minutes, then shake again before measuring the first dose. Always shake well before each subsequent dose as the suspension sediments on standing. Use the calibrated oral syringe or measuring spoon provided — do not estimate doses with household teaspoons. After reconstitution, the suspension is stable for 10 days at room temperature (do not refrigerate). Discard any unused suspension after 10 days.

Q3: Can Azimex suspension be given to a 2-month-old baby?
Azithromycin oral suspension can be used in infants from birth in specific clinical indications (chlamydial pneumonia, pertussis) under physician supervision. The dosing for young infants is weight-based (10–20 mg/kg/day depending on indication). However, ANY significant respiratory illness or infection in a child under 3 months requires urgent medical assessment — self-treatment of infants under 3 months is strongly discouraged. If a physician has prescribed azithromycin for an infant and has specified the dose and volume, Azimex 15ml suspension can be accurately dosed using the oral syringe for the small volumes needed by young infants.

Q4: What is the difference between Azimex and other azithromycin suspension brands?
Azimex is manufactured by Square Pharmaceuticals Ltd., Bangladesh, while other azithromycin suspensions (Azicin by Opsonin, Azalid by Orion, Azithro by various) are from different manufacturers. All licensed azithromycin 200mg/5mL suspensions must meet bioequivalence requirements for the active ingredient. The practical differences are in flavouring, sweetener type, excipient profile, and manufacturer quality assurance standards. Square Pharmaceuticals' international GMP certifications provide confidence in consistent manufacturing quality. Brand selection in Bangladesh is often determined by availability and physician familiarity.

Medical Disclaimer: Azimex 15ml Suspension requires physician prescription. For infants under 3 months and neonates, azithromycin must only be used under hospital or specialist supervision. Ensure correct dose calculation based on current weight before each course of treatment.