


Azelick 200mg Syrup
Azithromycin (200mg)
Azelick 200mg Syrup is an antibiotic medication. It is commonly given to children for the treatment of a wide range of bacterial infections targeting the ear, eyes, nose, throat, lungs, skin, and gastrointestinal tract.
Written By Dr. Subita Alagh, BDS,
Reviewed By Dr. Sachin Gupta, MD Pharmacology, MBBS,
Last updated on 06 May 2026 | 10:46 AM (IST)
Written By Dr. Subita Alagh, BDS,
Reviewed By Dr. Sachin Gupta, MD Pharmacology, MBBS,
Last updated on 06 May 2026 | 10:46 AM (IST)
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General Information
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Your child’s medicine at a glance
Azelick 200mg Syrup works by inhibiting the growth of the infection-causing bacteria and stopping it from multiplying. As a result of this, the spread of the infection is disabled. Azelick 200mg Syrup is usually given once a day, preferably in the morning. However, in the case of typhoid, it is to be given twice. Give it with or without food at about the same time each day. However, it is best given with food since children often have a sensitive stomach and could easily get a stomach upset.
Medicine dose depends on the type of infection your child has, its severity, and your child’s age and body weight. So stick to the dose, time, and way prescribed by the doctor. In case your child vomits within 30 minutes of taking this medicine, give the same dose again.
Your child may start to feel better within 2 days of regular dosing. However, you must still complete the full prescribed course of the medicine and never stop it abruptly as that may worsen your child’s condition or increase the risk of reinfection. Some of the minor and temporary side effects of this medicine include vomiting, diarrhea, nausea, and stomach pain. Usually, these episodes subside once your child’s body adapts to the medicine. However, in case these effects persist or become bothersome for your child, consult your child’s doctor without any delay.
Inform your child’s doctor about any previous episode of any allergy, heart problem, liver impairment, and kidney malfunction. Knowing the child’s medical history is critical for dose alterations and for planning your child’s overall treatment.
Medicine dose depends on the type of infection your child has, its severity, and your child’s age and body weight. So stick to the dose, time, and way prescribed by the doctor. In case your child vomits within 30 minutes of taking this medicine, give the same dose again.
Your child may start to feel better within 2 days of regular dosing. However, you must still complete the full prescribed course of the medicine and never stop it abruptly as that may worsen your child’s condition or increase the risk of reinfection. Some of the minor and temporary side effects of this medicine include vomiting, diarrhea, nausea, and stomach pain. Usually, these episodes subside once your child’s body adapts to the medicine. However, in case these effects persist or become bothersome for your child, consult your child’s doctor without any delay.
Inform your child’s doctor about any previous episode of any allergy, heart problem, liver impairment, and kidney malfunction. Knowing the child’s medical history is critical for dose alterations and for planning your child’s overall treatment.
Uses of Azelick 200mg Syrup in children
Benefits of Azelick 200mg Syrup for your child
Treatment of Bacterial infections
Azelick 200mg Syrup is an antibiotic medicine that can be used to treat many different infections caused by bacteria. These include infections of the blood, brain, lungs, bones, joints, urinary tract, stomach, and intestines. It can also be used to treat sexually transmitted diseases. It stops the growth of the bacteria causing the infection and clears the infection. Take it for as long as prescribed by the doctor and avoid skipping doses. This will make sure that all bacteria are killed and they do not become resistant.
Azelick 200mg Syrup is an antibiotic medicine that can be used to treat many different infections caused by bacteria. These include infections of the blood, brain, lungs, bones, joints, urinary tract, stomach, and intestines. It can also be used to treat sexually transmitted diseases. It stops the growth of the bacteria causing the infection and clears the infection. Take it for as long as prescribed by the doctor and avoid skipping doses. This will make sure that all bacteria are killed and they do not become resistant.
Side effects of Azelick 200mg Syrup in children
Azelick 200mg Syrup does not pose serious side effects and is well-tolerated by children. In case the side effects do occur, they’re likely to subside once the body adapts to the medicine. Consult your child’s doctor if these side effects persist or bother your child. The most common side effects include-
Common side effects of Azelick
- Diarrhea
- Nausea
- Abdominal pain
How can I give Azelick 200mg Syrup to my child?
Take this medicine in the dose and duration as advised by your doctor. Check the label for directions before use. Measure it with a measuring cup and take it by mouth. Shake well before use. Azelick 200mg Syrup may be taken with or without food.
How Azelick Syrup works
Azelick 200mg Syrup is an antibiotic. It works by interfering with the synthesis of essential proteins required by bacteria to perform important functions. By doing so, it stops the infection-causing bacteria from growing further and prevents the infection from spreading.
All substitutes for Azelick 200mg Syrup
For information purposes only. Consult a doctor before taking any medicine.
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Quick tips
- Your child must complete the entire course of this medicine. Stopping too soon may cause the bacteria to multiply again, become resistant, or cause another infection.
- Give Azelick 200mg Syrup with food to avoid an upset stomach.
- Encourage your child to drink plenty of water in case diarrhea develops as a side effect.
- Azelick 200mg Syrup will not be effective for viral infections. However, the doctor may prescribe this medicine in case of a secondary bacterial infection. So make sure to speak to your child’s doctor first.
- Only give Azelick 200mg Syrup to your child for their current infection. Never save medicine for future illnesses.
- Stop the medicine and contact the doctor immediately if your child develops an itchy rash, facial swelling, and breathing difficulties soon after the intake.
Safety advice

Kidney
CAUTION
Azelick 200mg Syrup should be used with caution in patients with severe kidney disease. Dose adjustment may be needed.
However, Azelick 200mg Syrup is usually considered safe to use in children with mild to moderate kidney impairment. Dose modifications are generally not required in children with kidney problems.
However, Azelick 200mg Syrup is usually considered safe to use in children with mild to moderate kidney impairment. Dose modifications are generally not required in children with kidney problems.

Liver
CAUTION
Azelick 200mg Syrup should be used with caution in patients with severe liver disease. Dose adjustment may be needed.
Discontinue immediately if signs or symptoms of hepatitis like vomiting, paleness, and weakness are observed.
Discontinue immediately if signs or symptoms of hepatitis like vomiting, paleness, and weakness are observed.
Interaction with drugs
Taking Azelick with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Severe
Pimozide (Oral Route)
Do not consume Pimozide with Azithromycin. If concurrent use is essential, your doctor may monitor your heart rate and overall treatment and adjust the doses as per the observations. Factors such as old age, chronic heart issues or low potassium levels may cause irregular heart beats and your doctor may consider ECG monitoring in their presence.
Severe
Cholera Vaccine (Inactivated) (Oral Route)
Do not consume Cholera Vaccine (Inactivated) two weeks before and at least 10 days after consuming Azithromycin. Please consult your doctor. Azithromycin may reduce the efficacy of Cholera Vaccine (Inactivated).
Severe
Vinblastine (Injection Route)
Concomitant use is not recommended. Please consult with your doctor. Azithromycin may raise blood levels of Vinblastine.
Frequently asked questions
Azelick 200mg Syrup is unlikely to cause any harm if an extra dose is given by mistake. However, if you think you have given too much of Azelick 200mg Syrup to your child, immediately speak to a doctor. Overdose may cause unwanted side effects and may even worsen your child’s condition.
Some serious side effects of this medicine include persistent vomiting, kidney damage, allergy, diarrhea, and severe gastrointestinal infections. Always consult your child’s doctor for help in such a situation.
Azelick 200mg Syrup can sometimes interact with other medicines or substances. Tell your doctor about any other medicines your child is taking before starting Azelick 200mg Syrup. Also, check with your child’s doctor before giving any medicine to your child.
Antibiotics usually do not interfere with the ingredients in vaccines or cause a bad reaction in a child who has just been vaccinated. However, children taking antibiotics should not get vaccinated until they recover from the illness. As soon as your child feels better, the vaccine can be given.
The doctor may prescribe getting kidney function tests and liver function tests periodically to keep a check on your child’s condition.
Children often have a sensitive stomach and develop a stomach upset while taking medicines. When antibiotics are given, the good bacteria in their gastrointestinal tract may too get affected. Azelick 200mg Syrup may kill off good bacteria along with the bad ones, increasing your child’s risk of developing other infections. So, in case your child is having diarrhea while on Azelick 200mg Syrup, do not stop the medicine course. Instead, call your child’s doctor to ask the next steps. In some cases, the doctor may alter the dose.
Azelick 200mg Syrup is safe if used at prescribed doses for the prescribed duration as advised by your doctor.
You should inform your doctor if you do not notice any improvement in your symptoms after 3 days of taking Azelick 200mg Syrup. Also, if your symptoms get worse, inform your doctor immediately.
Yes, the use of Azelick 200mg Syrup can cause diarrhea. It is an antibiotic which kills the harmful bacteria. However, it also affects the helpful bacteria in your stomach or intestine and causes diarrhea. If you are experiencing severe diarrhea, talk to your doctor about it.
Azelick 200mg Syrup is usually prescribed once daily. You can take it at any time of the day, but remember to take it at the same time each day. The medicine should be taken 1 hour before meals or 2 hours after eating food. You can take the tablet preparation with or without food. However, you must take Azelick 200mg Syrup exactly as advised by your doctor and ask your doctor if you have any doubts.
Usually, Azelick 200mg Syrup starts working soon after taking it. However, it may take some days to kill all the harmful bacteria and make you feel better.
The duration of treatment depends on the type of infection being treated and the age of the patient. Azelick 200mg Syrup is not necessarily given for 3 days. In most bacterial infections, a single dose of 500 mg is given for 3 days. Alternatively, it can be given as 500 mg once on day 1 and then 250 mg once from day 2 to day 5. In some cases of infection such as genital ulcer disease, it is given as a single 1 gram dose. Therefore, you must stick to the regimen advised by your doctor.
Generally, it is recommended that patients taking Azelick 200mg Syrup should avoid taking any antacid with this medicine as this can affect the overall effectiveness of Azelick 200mg Syrup. It is also recommended to avoid exposure to sunlight or tanning beds as Azelick 200mg Syrup increases the risk of sunburn.
Azelick 200mg Syrup is an effective antibiotic that is used for the treatment of many bacterial infections. Compared to other antibiotics, Azelick 200mg Syrup has a longer half-life which means that it stays in the body for a long time because of which it is given once a day and for a short span of time. Other antibiotics comparatively have a shorter half-life and are usually given twice, thrice, or four times a day.
Some people may get a fungal or yeast infection known as thrush after taking Azelick 200mg Syrup. Antibiotics such as Azelick 200mg Syrup can kill the normal or ‘good bacteria’ of your intestine responsible for preventing thrush. You should inform your doctor if you get a sore or vaginal itching or discharge. Also, inform your doctor if you get a white patch in the mouth or tongue after taking Azelick 200mg Syrup or soon after stopping it.
Fact Box
Chemical Class
Macrolides
Habit Forming
No
Therapeutic Class
ANTI INFECTIVES
Action Class
Macrolides
Related lab tests
References
- Chambers HF, Deck DH. Tetracyclines, Macrolides, Clindamycin, Chloramphenicol, Streptogramins, & Oxazolidiones. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. p. 801.
- Medline Plus. Azithromycin. [Accessed 04 Jan. 2021] (online) Available from:
- Royal College of Paediatrics and Child Health. Medicines for Children - information for parents and carers. [Accessed 04 Jan. 2021] (online) Available from:
- Children’s Health Queensland Hospital and Health Service. Emergency care of children: Medication guides for use in Queensland. [Accessed 26 Dec. 2020] (online) Available from:
- Azithromycin monohydrate [EMC Label]. Surrey, UK: Sandoz Limited; 2007 [revised 08 Aug. 2020]. [Accessed 04 Jan. 2021] (online) Available from:
- Healio. The role of azithromycin in pediatrics. [Updated 01 Jul. 2014]. [Accessed 04 Jan. 2021] (online) Available from:
- Höffler D, Koeppe P, Paeske B. Pharmacokinetics of azithromycin in normal and impaired renal function. Infection. 1995;23(6):356-361. [Accessed 04 Jan. 2021] (online) Available from:
- Ma TK, Chow KM, Choy AS, et al. Clinical manifestation of macrolide antibiotic toxicity in CKD and dialysis patients. Clin Kidney J. 2014;7(6):507-512. [Accessed 31 Dec. 2020] (online) Available from:
- Azithromycin [Prescribing Information]. North Wales, PA: Teva Pharmaceuticals USA, Inc.; 2022. [Accessed 09 Jun, 2023] (online) Available from:
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