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Prescription requiredMacleods Pharmaceuticals Pvt LtdAntibiotic

Zithrox XL 100 Suspension

Azithromycin 100 mg/5 mL (as azithromycin dihydrate) oral suspension

₹91MRP ₹96In stock
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Delivery across India. Free above ₹999; ₹49 from ₹499, ₹99 below. Chennai express delivery is chargeable.

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Zithrox XL 100 Suspension is used for treatment of susceptible bacterial infections such as acute otitis media, acute bacterial sinusitis, pharyngitis/tonsillitis, community-acquired pneumonia, acute bronchitis exacerbations, and skin/soft tissue infections (as prescribed).

Medically reviewed by Dr. Balaji Krishnan, MBBS · Updated September 2026

Licensed pharmacyPharmacist-verified orderDelivered across India

Key details

Salt: Azithromycin 100 mg/5 mL (as azithromycin dihydrate) oral suspension
Available variants: NA 30ML
Best price: ₹91 (₹3.03 per ml)
MRP: ₹96
Prescription: Required
Manufacturer: MACLEODS PHARMACEUTICALS LTD

Ordering notes

Standard delivery across India. No same-day delivery nationally.
Chennai express delivery is possible and chargeable. Learn more
Returns & refunds: orders can be cancelled before dispatch; after dispatch, returns depend on the item category. Read the full policy

Same salt, lower price

Medicines with the same active ingredient and strength as Zithrox XL 100 Suspension.

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Zithrox XL 100 Suspension

30 ml

₹91

₹3.03 per ml

Compare all substitutes
Same salt, different brand — what does that mean?

A substitute contains the same active ingredient (salt), in the same strength, as Zithrox XL 100 Suspension. The medicine inside is the same — the brand name, manufacturer and price are what differ.

All medicines sold in India, branded or generic, must meet the quality standards set by the national drug regulator (CDSCO). A lower price does not mean lower quality.

Please confirm with your doctor or pharmacist before switching brands — they will check that the strength and form match your prescription.

Composition of Zithrox XL 100 Suspension

Zithrox XL 100 Suspension contains Azithromycin 100 mg/5 mL (as azithromycin dihydrate) oral suspension. It belongs to the Macrolide antibiotic class of medicines.

Uses of Zithrox XL 100 Suspension

  • Treatment of susceptible bacterial infections such as acute otitis media
  • acute bacterial sinusitis
  • pharyngitis/tonsillitis
  • community-acquired pneumonia
  • acute bronchitis exacerbations
  • and skin/soft tissue infections (as prescribed).

Key benefits

  • Treats susceptible bacterial respiratory infections
  • Helps in ear infections (otitis media)
  • Useful in throat infections (tonsillitis/pharyngitis)
  • Effective in certain skin and soft tissue infections
  • Once-daily dosing in many regimens

How Zithrox XL 100 Suspension works

Azithromycin is a macrolide antibiotic that inhibits bacterial protein synthesis by binding to the 50S ribosomal subunit. This stops growth of susceptible bacteria and helps clear the infection.

How to take Zithrox XL 100 Suspension

Oral suspension. Reconstitute with boiled and cooled water up to the mark; shake well before each dose. Give the dose exactly as prescribed (often once daily), with or without food (give after food if stomach upset). Use a measuring syringe/cup; complete the full course.

Take it exactly as your doctor prescribed. Do not change the dose or stop early on your own.

Missed dose and overdose

If you miss a dose

Take it as soon as you remember. If your next dose is almost due, skip the one you missed — never take two doses together to catch up.

If you take too much

An overdose of this medicine can cause vomiting, hearing disturbance and heart rhythm changes. Do not wait for symptoms to appear — go to the nearest emergency department and take the pack or strip with you.

Side effects of Zithrox XL 100 Suspension

Most side effects of Zithrox XL are mild and settle as the body adjusts. Reported side effects include:

  • Diarrhoea
  • nausea
  • vomiting
  • abdominal pain
  • indigestion
  • headache
  • dizziness
  • rash

Stop the medicine and seek help immediately for a rash, swelling of the face or lips, wheezing or difficulty breathing. Tell your doctor about any side effect that persists or worries you.

Safety advice for Zithrox XL 100 Suspension

PregnancyConsult doctor
BreastfeedingConsult your doctor before using this while breastfeeding.
AlcoholUse with caution
DrivingNot expected to affect your ability to drive.
KidneyUse with caution if you have kidney disease — your doctor may adjust the dose or monitor your kidney function.
LiverConsult your doctor if you have liver disease.
Habit formingNo

Warnings and precautions

Use only for bacterial infections (not viral). Inform doctor if history of allergy to azithromycin/erythromycin/macrolides, liver disease, jaundice with prior antibiotic use, myasthenia gravis, or heart rhythm problems (QT prolongation). Seek urgent care for severe diarrhoea, allergic reactions, or signs of liver injury (yellow eyes/skin, dark urine). Dose adjustment/monitoring may be needed in hepatic impairment.

Do not take Zithrox XL if

Not for anyone with a known allergy to this medicine or to any ingredient in the pack. Not for anyone with a known allergy to macrolide antibiotics, or with certain heart rhythm disorders.

Interactions with other medicines

Antacids containing aluminium/magnesium (separate dosing), warfarin/other anticoagulants (bleeding risk/INR monitoring), digoxin (increased levels), cyclosporine, antiarrhythmics/QT-prolonging drugs (e.g., amiodarone, sotalol, quinolones, some antipsychotics), ergot derivatives (avoid), statins (rare myopathy risk)

How to store Zithrox XL 100 Suspension

Store dry powder at room temperature away from moisture and light. After reconstitution, store as per label (commonly below 25°C; do not freeze) and use within the advised period; keep bottle tightly closed and shake well before use.

Expert advice for Zithrox XL 100 Suspension

Take it at the same time each day and complete the course. Taking it with food reduces nausea unless the pack says to take it on an empty stomach.

Manufacturer and class

Manufacturer:
MACLEODS PHARMACEUTICALS LTD
Therapeutic class:
Antibiotic
Drug class:
Macrolide antibiotic

Substitutes for Zithrox XL 100 Suspension

Medicines with the same active ingredient (Azithromycin 100 mg/5 mL (as azithromycin dihydrate) oral suspension). Ask your doctor or pharmacist before switching brands.

MedicinePackPricevs Zithrox XL 100 Suspension
Azilide DTMICRO LABStablet · 3`S₹2375% cheaper
Azirox 100 mg 15 ml Sup15ML₹2770% cheaper
Zady-100MANKIND (PHARMA)3`S₹2869% cheaper
Azilide 100 Redimed Oral SuspensionMICRO LABSsuspension · 15 Ml₹3463% cheaper
Azikem 15 ml Suspension15ML₹3462% cheaper
Azibact Kid TabletIPCA LABORATORIES LTD`tablet · 3`S₹3759% cheaper
Azax 100 mg Suspension15ML₹4056% cheaper
Azimax 100 Dry Syrup 15 ml15ML₹4353% cheaper
Azicip 100 mg Suspension15ML₹4452% cheaper
Zithrox 100 SuspensionMacleods Pharmaceuticals Pvt Ltdsuspension · 15ML₹4748% cheaper
Azee 100 Dry SyrupCIPLA LIMITEDsyrup · 15ML₹4946% cheaper
Aziwok Liquid 100 mgDr Reddys Laboratories Ltd15ML₹5540% cheaper
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Zithrox XL 100 Suspension FAQs

What is Zithrox XL 100 Suspension used for?
Zithrox XL 100 Suspension is commonly used for Treatment of susceptible bacterial infections such as acute otitis media, acute bacterial sinusitis, pharyngitis/tonsillitis, community-acquired pneumonia, acute bronchitis exacerbations, and skin/soft tissue infections (as prescribed). Always follow your doctor's advice, this information is for educational purposes and not a substitute for professional medical guidance.
What is the salt in Zithrox XL 100 Suspension?
Zithrox XL 100 Suspension contains Azithromycin 100 mg/5 mL (as azithromycin dihydrate) oral suspension. If you are allergic to any of these active ingredients or excipients, do not take this medicine and speak to your doctor first.
How should I take Zithrox XL 100 Suspension?
Oral suspension. Take it exactly as prescribed; do not change the dose or stop early without talking to your doctor.
How does Zithrox XL 100 Suspension work?
Azithromycin is a macrolide antibiotic that inhibits bacterial protein synthesis by binding to the 50S ribosomal subunit.
Is Zithrox XL 100 Suspension a prescription medicine?
Yes. Zithrox XL 100 Suspension is a prescription-only (Rx) medicine. Upload a valid prescription from a registered medical practitioner during checkout. We cannot dispense it without a valid Rx.
What are the common side effects of Zithrox XL 100 Suspension?
The side effects reported most often with Zithrox XL are Diarrhoea, nausea, vomiting, abdominal pain, indigestion. Most are mild and settle as the body adjusts; tell your doctor if any of them persist or worry you, and stop the medicine and seek help at once for a rash, swelling of the face or lips, or difficulty breathing.
Can Zithrox XL 100 Suspension be taken during pregnancy?
Consult doctor Always tell your doctor if you are pregnant, planning a pregnancy or breastfeeding before starting Zithrox XL.
Can I drink alcohol while taking Zithrox XL 100 Suspension?
Use with caution
What if I miss a dose of Zithrox XL 100 Suspension?
Take it as soon as you remember.
Is Zithrox XL 100 Suspension habit forming?
No. Zithrox XL 100 Suspension is not known to be habit forming when taken as prescribed.
Is there a cheaper substitute for Zithrox XL 100 Suspension?
Azilide DT has the same active ingredient and strength and is listed from ₹23 on PingMeDoc Pharmacy. Ask your doctor or pharmacist before switching brands, the salt is the same, but excipients and release profiles can differ.
How much does Zithrox XL 100 Suspension cost on PingMeDoc Pharmacy?
Zithrox XL 100 Suspension starts at ₹91 (MRP ₹96) on PingMeDoc Pharmacy. Available in NA 30ML. Final price is confirmed at checkout and may vary by variant and location.
Who manufactures Zithrox XL 100 Suspension?
Zithrox XL 100 Suspension is manufactured by MACLEODS PHARMACEUTICALS LTD. PingMeDoc Pharmacy sources medicines only from licensed manufacturers and distributors.
How is Zithrox XL 100 Suspension delivered?
Zithrox XL 100 Suspension is delivered across India via our licensed pharmacy partners. Standard delivery timelines are confirmed at checkout. Chennai customers can opt for chargeable same-city express delivery.

Zithrox XL 100 Suspension, Quick facts

Salt
Azithromycin 100 mg/5 mL (as azithromycin dihydrate) oral suspension
Best price
₹91 (₹3.03 per ml)
MRP
₹96
Prescription
Required (Rx)
Schedule
Schedule H
Brand
Macleods Pharmaceuticals Pvt Ltd
Manufacturer
MACLEODS PHARMACEUTICALS LTD
Therapeutic class
Antibiotic
Drug class
Macrolide antibiotic
Habit forming
No
Variants
NA 30ML
Delivery
Standard across India

References

The information on Zithrox XL 100 Suspension is compiled from the manufacturer's prescribing information and the sources below, and is reviewed by a registered medical practitioner. It does not replace advice from your own doctor.

  1. Manufacturer labeling/pack insert, established medical literature (macrolide/azithromycin monographs)
  2. CDSCO drug information/class guidance
  3. Central Drugs Standard Control Organisation (CDSCO), Ministry of Health & Family Welfare, Government of India, approved drug and schedule listings.
  4. National List of Essential Medicines (NLEM) 2022, Government of India.
  5. Manufacturer's package insert / prescribing information for Zithrox XL 100 Suspension.
  6. World Health Organization, ATC/DDD classification and Model Formulary for the active ingredient.

Next steps

Safety disclaimer

Product information is for general awareness and does not replace professional medical advice. Always follow a clinician's guidance and upload a valid prescription when required.