Azimex Susp. 30 ml

Azimex Susp. 30ml — Azithromycin 200mg/5ml Suspension by Square Pharmaceuticals

About Azimex 30ml Suspension

Azimex Susp. 30ml is an oral suspension containing azithromycin 200 mg per 5 mL, manufactured by Square Pharmaceuticals Ltd., Bangladesh. The 30 mL pack provides a total of 1200 mg azithromycin in 30 mL of reconstituted suspension. This pack size bridges the gap between the compact 15 mL (600mg total) and the larger 50 mL (2000mg total) bottles, making it ideal for children in the mid-paediatric weight range of approximately 13–20 kg on a 5-day course, or children up to approximately 20 kg on a standard 3-day respiratory course. Square Pharmaceuticals is Bangladesh's leading pharmaceutical manufacturer, and the Azimex suspension is produced with international-grade flavouring and formulation to ensure palatability and dosing accuracy for paediatric patients.

Weight-Based Dosing Guide for the 30ml Bottle

Using Azimex 200mg/5mL suspension at 10 mg/kg/day once daily:

The 30mL bottle is sufficient for a 5-day course in children up to 24kg. For children over 24kg needing 5 days, or over 40kg needing a 3-day course, the 50mL bottle is required.

Azithromycin Suspension for Skin Infections in Children

Skin and soft tissue infections (SSTIs) are common in Bangladeshi children, particularly during the hot, humid monsoon season when minor skin injuries (insect bites, scrapes, cuts) readily become infected with Streptococcus pyogenes and Staphylococcus aureus. Azithromycin suspension is effective for uncomplicated SSTIs caused by these gram-positive organisms and is preferred over topical antibiotics alone for spreading cellulitis or impetigo with systemic features (fever, lymphadenopathy). For SSTI in children: 10 mg/kg/day × 5 days is the standard course; some protocols use 30 mg/kg single dose for impetigo. Azimex 30mL suspension at 200mg/5mL is practical for the 10–24 kg paediatric weight range. Clinicians should exclude MRSA (methicillin-resistant Staphylococcus aureus) in hospitalised, recurrent, or non-responding SSTIs — azithromycin has limited MRSA activity and cotrimoxazole or clindamycin may be preferred in MRSA-suspected SSTIs.

Mycoplasma Pneumoniae in School-Age Children

Mycoplasma pneumoniae is the most important atypical respiratory pathogen in school-age children (5–15 years) and young adults, causing walking pneumonia — characterised by gradual onset, low-grade fever, dry cough, and chest X-ray changes disproportionately severe compared to clinical appearance. Mycoplasma is an obligate intracellular organism with no cell wall, making it inherently resistant to beta-lactam antibiotics (amoxicillin, ampicillin, cephalosporins). Azithromycin is the first-line treatment for Mycoplasma pneumoniae pneumonia in children, with superior intracellular penetration and activity compared with macrolides that have lower tissue concentrations. For school-age children (10–24 kg), Azimex 30mL suspension provides ideal dosing for the 5-day Mycoplasma pneumonia treatment course at 10mg/kg/day. Key clinical indicators of Mycoplasma pneumonia: gradual onset over 2–3 weeks, persistent dry cough, school-age child, household contacts with similar illness, failure to respond to initial beta-lactam therapy.

Frequently Asked Questions (FAQ)

Q1: How does the Azimex 30ml suspension taste?
Azimex suspension by Square Pharmaceuticals is formulated with sweeteners and flavouring to improve palatability — a critical factor for successful antibiotic courses in children. The flavour profile is typically fruit-based (exact flavour may vary by lot). If a child consistently refuses the suspension: chill it in the refrigerator before administration (note: the reconstituted suspension is generally recommended to be stored at room temperature, but brief cooling before dose is acceptable to improve palatability); mix the measured dose into a small amount (5–10 mL) of cold fruit juice immediately before giving and have the child drink it quickly; provide immediate positive reinforcement after taking the dose. Never dilute the entire suspension bottle — this alters dose concentration.

Q2: My child has ear infection — is the 30ml Azimex bottle enough?
For acute otitis media (ear infection) in children, the standard regimen is azithromycin 10mg/kg/day for 3 days. For a 20kg child: 200mg/day × 3 days = 600mg = 15mL — the 30mL bottle provides double the needed amount, so it is more than sufficient. For the higher 30mg/kg single-dose protocol sometimes used for otitis media: a 20kg child would need 600mg = 15mL in one day. A 24kg child needing a 3-day course: 240mg/day × 3 days = 720mg = 18mL — the 30mL bottle is sufficient. The 30mL bottle handles most paediatric AOM weight ranges comfortably with some volume to spare for minor measurement variations.

Q3: Can the leftover Azimex suspension be saved for the next illness?
No — do not save reconstituted azithromycin suspension. After reconstitution, Azimex suspension is stable for only 10 days. After this period, the active ingredient degrades and the suspension may no longer be effective — or worse, may be ineffective while appearing to work, allowing a bacterial infection to progress. Antibiotic courses for children should always be freshly prescribed and dispensed based on the child's current weight and current infection. Using leftover antibiotics from a previous course risks: incorrect diagnosis (this infection may need a different antibiotic), incorrect dose (the child may weigh more now), sub-therapeutic dosing (degraded drug), and self-medication without proper evaluation.

Q4: How accurate are the measuring spoons that come with Azimex 30ml?
Accuracy varies by measuring spoon type. Standard 5mL measuring spoons (calibrated for 5mL) are reasonably accurate for measuring doses of 5mL or multiples. For small volumes (1.5–3.5mL for lighter children), a calibrated oral syringe is far more accurate than spoons. A 5mL household teaspoon may hold 3.5–6mL depending on design — highly inaccurate for antibiotic measurement. For children requiring doses below 5mL, always use the oral syringe provided or purchase a 3mL or 5mL oral syringe from a pharmacy. For doses of 5mL or greater that are multiples of 5, the measuring spoon provided with the bottle is adequate if used correctly (level, not heaped).

Medical Disclaimer: Azimex 30ml Suspension dosing must be weight-based and calculated by a physician or pharmacist at the time of prescribing. A child's weight should be measured before each new course as doses change with growth. Do not extrapolate doses from a previous prescription.