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Prescription requiredMacleods Pharmaceuticals Pvt LtdAntibiotic

Zithrox XL 200 Suspension

Azithromycin (200mg/5ml)

Currently out of stock

Same composition, in stock now. Check with your doctor or pharmacist before you switch.

  • Azithral Junior Dr₹27View
  • Azeltra 200 Sup 15 ml₹49View
  • Azimax 200 Dry Syrup 15 ml 15 ml₹49View

Zithrox XL 200 Suspension is used for zithrox XL 200 mg/5ml Dry Syrup is used in the treatment of bacterial infections. It is used in bacterial infections of tonsils, sinus, ear, nose, throat, skin and soft tissues, and lungs (pneumonia).

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

Licensed pharmacyPharmacist-verified order

Key details

Salt: Azithromycin (200mg/5ml)
Available variants: NA 30ML
Best price: ₹98 (₹3.27 per ml)
MRP: ₹103
Prescription: Required
Manufacturer: MACLEODS PHARMACEUTICALS LTD

Ordering notes

Delivery details are shown when the medicine is back in stock.
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 200 Suspension.

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Zithrox XL 200 Suspension

30 ml

₹98

₹3.27 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 200 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 200 Suspension

Zithrox XL 200 Suspension contains Azithromycin (200mg/5ml). It belongs to the Macrolide class of medicines.

Uses of Zithrox XL 200 Suspension

  • Zithrox XL 200 mg/5ml Dry Syrup is used in the treatment of bacterial infections. It is used in bacterial infections of tonsils
  • sinus
  • ear
  • nose
  • throat
  • skin and soft tissues
  • and lungs (pneumonia).

Key benefits

  • Useful when penicillin cannot be used
  • Short courses are often sufficient

How Zithrox XL 200 Suspension works

Zithrox XL 200 mg/5ml Dry Syrup is an antibiotic. It works by preventing synthesis of essential proteins required by bacteria to carry out vital functions. Thus, it stops the bacteria from growing, and prevents the infection from spreading.

How to take Zithrox XL 200 Suspension

Take this medicine in the dose and duration as advised by your doctor. Check the label for directions before use. Dissolve the powder in sterile water. Shake well and use. Zithrox XL 200 mg/5ml Dry Syrup may be taken with or without food, but it is better to take it at a fixed time.

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 200 Suspension

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

  • Vomiting Nausea Abdominal pain Diarrhea

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 200 Suspension

PregnancyZithrox XL 200 mg/5ml Dry Syrup is probably safe to use during pregnancy.<br>Animal studies have shown low or no adverse effect on the foetus, however, there are limited human studies. Please consult your doctor.
BreastfeedingZithrox XL 200 mg/5ml Dry Syrup is safe to use during lactation. Human studies have shown that either the drug does not pass into the breastmilk in significant amount or is not expected to cause toxicity to the baby.<br>There may be a possibility of diarrhea or rash in the baby.
AlcoholIt is generally safe to consume alcohol with Zithrox XL 200 mg/5ml Dry Syrup.
DrivingNot expected to affect your ability to drive.
KidneyZithrox XL 200 mg/5ml Dry Syrup should be used with caution in patients with severe kidney disease. Dose adjustment of Zithrox XL 200 mg/5ml Dry Syrup may be needed. Please consult your doctor.
LiverZithrox XL 200 mg/5ml Dry Syrup should be used with caution in patients with liver disease. Dose adjustment of Zithrox XL 200 mg/5ml Dry Syrup may be needed. Please consult your doctor.
Habit formingNo

Warnings and precautions

Finish the whole course even after you feel better. Tell your doctor if you have a heart rhythm problem or take a medicine for one — this group can affect the heart's electrical timing. Report severe or watery loose motions during or after the course rather than treating them yourself.

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

Interacts with a long list of medicines, including statins, some heart medicines and blood thinners — tell your doctor everything you take. Antacids reduce absorption; separate them by a couple of hours.

How to store Zithrox XL 200 Suspension

Store below 30°C in the original pack, away from direct sunlight and moisture. Keep out of the reach of children.

Expert advice for Zithrox XL 200 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

Substitutes for Zithrox XL 200 Suspension

Medicines with the same active ingredient (Azithromycin (200mg/5ml)). Ask your doctor or pharmacist before switching brands.

MedicinePackPricevs Zithrox XL 200 Suspension
Azithral Junior DrALEMBIC PHARMA7.5ML₹2772% cheaper
Azeltra 200 Sup 15 ml15 ML₹4950% cheaper
Azimax 200 Dry Syrup 15 ml 15 ml15ML₹4950% cheaper
Azibest 200 mg SyrupBlue Cross Laboratories Pvt Ltdsyrup · 15ML₹4950% cheaper
Azirox 200 mg 15M Syrup15ML₹4950% cheaper
Aziwok Liquid 200 mgDr Reddys Laboratories Ltd15ML₹5247% cheaper
Azee 200 Dry SyrupCIPLA LIMITEDsyrup · 15ML₹5247% cheaper
Atm 200 Suspension 15 mlIndoco Remedies Ltd15ML₹5247% cheaper
Azilide 200 RedimiMICRO LABS15ML₹5247% cheaper
Azithral 200 Liquidtablet · 15 Ml₹5246% cheaper
Azilide 200 Redimed SuspensionMICRO LABSsuspension · 15 Ml₹5346% cheaper
Azicip 200 mg Suspension15ML₹5445% cheaper
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Zithrox XL 200 Suspension FAQs

What is Zithrox XL 200 Suspension used for?
Zithrox XL 200 Suspension is commonly used for Zithrox XL 200 mg/5ml Dry Syrup is used in the treatment of bacterial infections. It is used in bacterial infections of tonsils, sinus, ear, nose, throat, skin and soft tissues, and lungs (pneumonia). 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 200 Suspension?
Zithrox XL 200 Suspension contains Azithromycin (200mg/5ml). 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 200 Suspension?
Take this medicine in the dose and duration as advised by your doctor. Take it exactly as prescribed; do not change the dose or stop early without talking to your doctor.
How does Zithrox XL 200 Suspension work?
Zithrox XL 200 mg/5ml Dry Syrup is an antibiotic.
Is Zithrox XL 200 Suspension a prescription medicine?
Yes. Zithrox XL 200 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 200 Suspension?
The side effects reported most often with Zithrox XL are Vomiting Nausea Abdominal pain Diarrhea. 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 200 Suspension be taken during pregnancy?
Zithrox XL 200 mg/5ml Dry Syrup is probably safe to use during pregnancy.<br>Animal studies have shown low or no adverse effect on the foetus, however, there are limited human studies. 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 200 Suspension?
It is generally safe to consume alcohol with Zithrox XL 200 mg/5ml Dry Syrup.
What if I miss a dose of Zithrox XL 200 Suspension?
Take it as soon as you remember.
Is Zithrox XL 200 Suspension habit forming?
No. Zithrox XL 200 Suspension is not known to be habit forming when taken as prescribed.
Is there a cheaper substitute for Zithrox XL 200 Suspension?
Azithral Junior Dr has the same active ingredient and strength and is listed from ₹27 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 200 Suspension cost on PingMeDoc Pharmacy?
Zithrox XL 200 Suspension starts at ₹98 (MRP ₹103) on PingMeDoc Pharmacy. Available in NA 30ML. Final price is confirmed at checkout and may vary by variant and location.
Who manufactures Zithrox XL 200 Suspension?
Zithrox XL 200 Suspension is manufactured by MACLEODS PHARMACEUTICALS LTD. PingMeDoc Pharmacy sources medicines only from licensed manufacturers and distributors.
How is Zithrox XL 200 Suspension delivered?
Zithrox XL 200 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 200 Suspension, Quick facts

Salt
Azithromycin (200mg/5ml)
Best price
₹98 (₹3.27 per ml)
MRP
₹103
Prescription
Required (Rx)
Schedule
Schedule H
Brand
Macleods Pharmaceuticals Pvt Ltd
Manufacturer
MACLEODS PHARMACEUTICALS LTD
Therapeutic class
Antibiotic
Drug class
Macrolide
Habit forming
No
Variants
NA 30ML
Delivery
Standard across India

References

Compiled from the manufacturer's prescribing information and the sources below, and reviewed by a registered medical practitioner. It does not replace your own doctor's advice.

  1. PingMeDoc clinical monograph library — compiled from Indian package inserts, the Indian Pharmacopoeia
  2. CDSCO schedules and standard pharmacology references. Reviewed for patient readability. This is general information, not a substitute for your doctor's advice.
  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 200 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.