Azithral XL 200 mg Liquid 60 mL Oral Solution

Azithral XL 200 mg Liquid 60 mL Oral Solution is an azithromycin antibiotic in liquid form for mouth use. Each bottle contains azithromycin 200 mg in a 60 mL oral solution, and the pack contains a strip/box of 10 bottles. It is used to treat certain bacterial infections, such as infections of the lungs, throat, sinuses, ears, skin, and some sexually transmitted infections when prescribed by a doctor.

How it works: Azithromycin works by stopping bacteria from making the proteins they need to grow and spread. In this liquid oral solution form, the medicine is swallowed and absorbed through the digestive tract to reach the infection site.

Azithral XL 200 mg Liquid 60 mL Oral Solution is the larger-volume sibling of Azithral XL 200 mg Liquid 30 mL Oral Solution, so it is chosen when a doctor needs a larger supply of the same 200 mg azithromycin solution. This strength is not a special faster-acting version; it is the same medicine and concentration in a bigger bottle, which can be more convenient for longer prescribed courses or repeated dosing.

• Bacterial respiratory tract infections
• Throat and tonsil infections
• Ear infections
• Skin and soft tissue infections
• Some sexually transmitted infections, when prescribed

• Shake the bottle well before each dose if instructed by the label or pharmacist.
• Measure the dose carefully with an oral syringe or marked measuring device, not a kitchen spoon.
• Take Azithral XL 200 mg Liquid 60 mL Oral Solution exactly as prescribed; do not change the dose because the bottle is larger.
• You may take it with or without food, but taking it with food can help if it upsets your stomach.
• Finish the full prescribed course even if you start to feel better.
• If you miss a dose, take it when remembered unless it is almost time for the next dose; do not double up.

This product contains azithromycin 200 mg per bottle as a 60 mL oral solution, so the doctor must calculate how many milliliters equal your prescribed dose. Depending on the infection, it may be taken once daily or on another schedule directed by the prescriber, and there is no universal maximum per day that fits every patient. Use only the amount your doctor prescribes for Azithral XL 200 mg Liquid 60 mL Oral Solution.

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
• Headache
• Loose stools

• Do not use this azithromycin oral solution if you are allergic to azithromycin, erythromycin, or other macrolide antibiotics unless a clinician says it is safe.
• Tell your doctor if you have a history of heart rhythm problems, prolonged QT interval, low potassium or magnesium, or heart failure.
• Use extra caution if you have liver disease, because azithromycin can affect the liver.
• This is a stronger-volume presentation, so be sure the dose is measured accurately; do not guess by eye.
• Tell your prescriber about all medicines you take, especially heart medicines, blood thinners, and drugs that affect heart rhythm.
• If you have a history of myasthenia gravis, symptoms can worsen with azithromycin.
• Avoid alcohol if it worsens stomach upset or if your clinician advises against it during treatment.

• Warfarin and other blood thinners
• Digoxin
• Drugs that prolong the QT interval, such as certain antiarrhythmics and antipsychotics
• Antacids containing aluminum or magnesium, which can reduce absorption if taken too close together

Store Azithral XL 200 mg Liquid 60 mL Oral Solution at room temperature as directed on the label, tightly closed, and keep it out of reach of children.