Azithral XL 200 mg Liquid 30 mL Oral Solution

Azithral XL 200 mg Liquid 30 mL Oral Solution is a prescription antibiotic containing azithromycin, with 200 mg of the active ingredient in each 30 mL bottle. It belongs to the macrolide class of antibiotics and is used to treat certain bacterial infections, not colds or flu. This liquid oral solution is often chosen when a patient needs an easy-to-swallow form for a doctor-directed antibiotic course.

How it works: Azithromycin works by stopping bacteria from making the proteins they need to grow and spread. In this oral solution form, the medicine is swallowed as a liquid, which can be easier to take for children or adults who have trouble with solid dosage forms.

Azithral XL 200 mg Liquid 30 mL Oral Solution is the smaller-volume liquid presentation listed for this brand family, compared with the 60 mL bottle. It may be chosen for patients who need a shorter, physician-selected amount of medicine or who need the convenience of a liquid form rather than tablets. The 200 mg strength is not a one-size-fits-all dose; your prescriber decides whether this bottle size and dosing schedule fit the infection being treated.

• Bacterial throat and tonsil infections
• Ear infections
• Sinus infections
• Certain respiratory tract infections
• Skin and soft tissue infections
• Other infections only when prescribed

• Shake the oral solution well before each dose unless your pharmacist tells you otherwise.
• Measure each dose carefully with an oral syringe or marked medicine spoon, not a kitchen spoon.
• Take it exactly as prescribed, at the same time each day if your doctor sets a daily schedule.
• You may take azithromycin with or without food, but taking it with food may help if it upsets your stomach.
• Finish the full course even if you start feeling better, unless your doctor tells you to stop.
• Do not use this 200 mg bottle for anyone else, and do not save leftovers for later use.

Each bottle of Azithral XL 200 mg Liquid 30 mL Oral Solution provides 200 mg of azithromycin total in the bottle, so the exact amount you receive per dose depends on the prescribed directions. Azithromycin may be taken once daily or on another schedule set by the doctor, but the daily amount should not exceed what your prescriber orders for this specific infection and patient. This 200 mg bottle is a doctor-directed strength, not a standard self-selected dose.

Do not change your dose or stop the medicine without speaking to your doctor.

Common side effects of Azithromycin may include:

• Diarrhea
• Nausea
• Stomach pain
• Vomiting
• Loose stools
• Headache

• Use caution if you have a history of heart rhythm problems or a prolonged QT interval.
• Tell your doctor if you have liver disease, kidney disease, or myasthenia gravis.
• This antibiotic can cause stomach upset; taking it with food may help, but follow your prescription directions.
• Do not take it for viral infections like the common cold or flu.
• Tell your prescriber about any other medicines that can affect heart rhythm.
• Avoid using expired liquid and follow the labeled storage instructions closely.
• If you are pregnant or breastfeeding, ask your clinician whether this azithromycin solution is appropriate.

• Antacids containing aluminum or magnesium can reduce absorption if taken too close together.
• Warfarin may interact and increase bleeding risk.
• Digoxin levels may rise in some patients.
• Drugs that affect heart rhythm, such as certain antiarrhythmics, can increase cardiac risk.
• Some seizure medicines and other antibiotics may require closer monitoring.

Store Azithral XL 200 mg Liquid 30 mL Oral Solution at the temperature directed on the package, tightly closed and away from moisture and children.