Azax 100 Mg/5 Ml Syrup (Azithromycin Oral Suspension 100 mg per 5 ml) is a high-purity macrolide antibiotic manufactured by Sun Pharmaceutical Industries Ltd. Specifically formulated for pediatric administration, Azax 100 is engineered for the rapid treatment of a wide array of bacterial infections, including acute respiratory tract infections, middle ear infections (otitis media), and skin infections. As a premier generic alternative to innovator brands, Azax offers clinical bioequivalence with an emphasis on gastrointestinal tolerability and patient compliance.
1. Manufacturer Profile: Sun Pharmaceutical Industries Ltd
Sun Pharma is the world’s fourth-largest specialty generic pharmaceutical company, renowned for its extensive R&D and global leadership in antibiotic accessibility.
- Regulatory Standing: Produced in FDA-audited and WHO-GMP certified facilities, ensuring that every 15 ml bottle meets the highest international purity and potency standards.
- Pediatric Expertise: Sun Pharma’s formulation of Azax 100 utilizes a pleasant-tasting vehicle to ensure high medication adherence in children, which is critical for preventing antibiotic resistance.
2. Composition & Ingredients
Each 5 ml of the reconstituted Azax 100 suspension contains:
- Active Ingredient: Azithromycin IP equivalent to Anhydrous Azithromycin 100 mg.
- Pharmacological Class: Azalide (sub-class of Macrolides).
- Vehicle: Flavored aqueous base designed for ease of ingestion.
3. Mechanism of Action: How It Works
Azax 100 exerts its bactericidal effect by targeting the essential protein-building machinery of bacterial cells.
A. Protein Synthesis Inhibition
The active ingredient, Azithromycin, binds irreversibly to the 50S subunit of the bacterial ribosome. This binding prevents the translocation of peptide chains, effectively halting the synthesis of proteins required for bacterial survival and replication.
B. Long Half-Life and Tissue Penetration
Unlike earlier generation macrolides, Azax has an exceptionally long half-life. It is rapidly absorbed and concentrated within white blood cells (phagocytes), which then transport the medication directly to the site of infection. This “targeted delivery” allows for a shorter treatment course (3 to 5 days) compared to 7-10 days for standard antibiotics.
4. Therapeutic Indications (Pediatric Use)
Azax 100 is clinically indicated for children over 2 years of age for:
- Upper Respiratory Tract Infections: Tonsillitis, pharyngitis, and acute sinusitis.
- Lower Respiratory Tract Infections: Community-acquired pneumonia and bronchitis.
- Otitis Media: Treating painful bacterial infections of the middle ear.
- Skin Infections: Uncomplicated skin and skin structure infections.
- Enteric (Typhoid) Fever: Often used as a second-line therapy for drug-resistant typhoid strains.
5. Clinical Comparison: Azithromycin vs. Amoxicillin
| Feature | Azax (Azithromycin) | Amoxicillin |
|---|---|---|
| Drug Class | Macrolide | Penicillin |
| Course Duration | **Short (3–5 Days)** | Long (7–10 Days) |
| Dosing Frequency | **Once Daily** | 2 to 3 Times Daily |
| Penicillin Allergy | **Safe Alternative** | Not Safe |
| Spectrum | Atypical Pathogens included | Gram-Positive focus |
6. Dosing & Reconstitution Guidelines
Pediatric Dosing Protocol
Dosage is strictly calculated based on the child’s weight (typically 10 mg per kg of body weight, once daily). Always follow the exact dose prescribed by your pediatrician.
Reconstitution Instructions
- Tap the bottle to loosen the dry powder.
- Add the exact amount of sterile/boiled and cooled water as indicated on the bottle.
- Shake vigorously for 1 minute until a uniform suspension is formed.
- Store the reconstituted syrup in a cool place and discard any remaining medicine 5 days after mixing.
7. Precautions & Safety Warnings
- Allergy Check: Do not use if the child has a known hypersensitivity to azithromycin, erythromycin, or any macrolide antibiotic.
- Gastrointestinal: Common side effects include mild diarrhea or nausea. If severe, bloody diarrhea occurs, seek immediate medical attention.
- Hepatic Function: Use with caution in patients with pre-existing liver disease.
8. Well-Researched FAQs
Q: Will Azax 100 treat my child’s cold or flu?
A: No. Azax 100 is an antibiotic and is only effective against bacteria. Colds and flu are caused by viruses, for which antibiotics have no effect.
Q: Can I give Azax 100 to my child on an empty stomach?
A: Yes, Azax can be taken with or without food. However, taking it with a small meal can help reduce potential stomach upset or nausea.
Q: What should I do if my child vomits after taking the dose?
A: If vomiting occurs within 30 minutes of administration, the dose may need to be repeated. Consult your pediatrician for specific guidance.
9. Official Regulatory References
- Sun Pharma Product Index: Official Antibiotic Portfolio
- FDA Clinical Database: Azithromycin Oral Suspension Monograph.
Medical Disclaimer: This content is AI-generated for educational purposes based on clinical pharmaceutical data. It is NOT medical advice. Always consult a licensed pediatrician for diagnosis and treatment.


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