CO Symoxyl 200 mg/28.5 mg Syrup is an antibiotic medicine that helps treat bacterial infections of the ear, nose, throat, chest, lungs, teeth, skin, and urinary tract. It is capable of killing bacteria that have become resistant to other therapies and thus also helps treat tuberculosis that is resistant to other treatments.

You can give CO Symoxyl 200 mg/28.5 mg Syrup to your child with or without food. It is better to give it with food as that helps increase absorption and decrease the risk of stomach upset. The doctor may prescribe giving it two to three times a day. Medicine dose depends on the severity of the infection, its type, and your child’s body weight and age. So, stick to the dose, time, and way prescribed. If your child vomits the medicine within 30 minutes of intake, let the child calm down and repeat the dose. Do not double dose if it's the time for the next dose.

CO Symoxyl 200 mg/28.5 mg Syrup may cause vomiting, diarrhea, nausea, abdominal pain, and allergy. These side effects should diminish on their own. But, in case they persist or start bothering your child, you must not delay speaking to your child’s doctor.

Share your child’s entire medical history with the doctor, including any previous episode of allergy, heart problem, a blood disorder, birth defects, airway obstruction, lung anomaly, gastrointestinal problem, skin disorder, liver impairment, and kidney malfunction. This information will assist the doctor in making dose alterations and in planning your child’s overall treatment.

Uses of CO Symoxyl 200 mg/28.5 mg Syrup in children

Benefits of CO Symoxyl 200 mg/28.5 mg Syrup for your child

In Treatment of Resistance Tuberculosis (TB)

In multidrug-resistant (MDR) tuberculosis, the causative bacteria produce an enzyme called beta-lactamase. This enzyme breaks down the antibiotics and makes them ineffective. As a result, the bacteria become resistant to the antibiotic being used for treatment. CO Symoxyl 200 mg/28.5 mg Syrup comprises two active ingredients, amoxycillin and clavulanic acid. While clavulanic acid stops the enzyme from rendering amoxycillin ineffective, amoxycillin works towards killing the tuberculosis-causing bacteria. This makes the combination of amoxycillin and clavulanic acid an effective treatment for resistant tuberculosis.

In Treatment of Bacterial infections

CO Symoxyl 200 mg/28.5 mg Syrup contains two different medicines, Amoxycillin and Clavulanic Acid, that work together to kill the bacteria that cause infections. Amoxycillin works by stopping the growth of bacteria. Clavulanic Acid reduces resistance and enhances the activity of Amoxycillin against bacteria.

This combination medicine can be used to treat many different bacterial infections such as ear, sinus, throat, lung, urinary tract, skin, teeth, joints, and bones. It usually makes you feel better within a few days, but you should continue taking it as prescribed even when you feel better to make sure that all bacteria are killed and do not become resistant.

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Side effects of CO Symoxyl 200 mg/28.5 mg Syrup in children

CO Symoxyl 200 mg/28.5 mg 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 CO Symoxyl

Abdominal pain
Allergy
Vomiting
Nausea
Diarrhea
Mucocutaneous candidiasis

How can I give CO Symoxyl 200 mg/28.5 mg 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. CO Symoxyl 200 mg/28.5 mg Syrup is to be taken with food.

How CO Symoxyl Syrup works

CO Symoxyl 200 mg/28.5 mg Syrup is an antibiotic. It has two active agents, amoxycillin and clavulanic acid. Amoxycillin works by preventing the formation of the bacterial protective covering (cell wall) essential for the survival of the bacteria. Whereas, clavulanic acid serves a special purpose of inhibiting an enzyme (beta-lactamase) that is produced by resistant bacteria. This makes the combination of amoxycillin and clavulanic acid an effective line of treatment for many types of infections.

Safety advice

Kidney

CAUTION

CO Symoxyl 200 mg/28.5 mg Syrup should be used with caution in patients with kidney disease. Dose adjustment of CO Symoxyl 200 mg/28.5 mg Syrup may be needed. Please consult your doctor.
The dose also needs to be reduced in neonates and infants due to incompletely developed renal function.

Liver

CAUTION

CO Symoxyl 200 mg/28.5 mg Syrup should be used with caution in patients with liver disease. Dose adjustment of CO Symoxyl 200 mg/28.5 mg Syrup may be needed. Please consult your doctor.
Regular monitoring of liver function tests is recommended while you are taking this medicine

What if I forget to give CO Symoxyl 200 mg/28.5 mg Syrup to my child?

You can give the missed dose as soon as you remember unless advised otherwise by the doctor. Skip the missed dose if it is almost time for the next dose. Do not give a double dose to catch up and follow the prescribed dosing schedule.

All substitutes

For informational purposes only. Consult a doctor before taking any medicines.

CO Symoxyl 200 mg/28.5 mg Syrup

₹45.2/Syrup

Megamentin Duo Syrup

Intas Pharmaceuticals Ltd

₹67.54/syrup

45% costlier

Nable DS Syrup

Wallace Pharmaceuticals Pvt Ltd

₹52.92/syrup

13% costlier

Starclav Bid 200mg/28.5mg Syrup

Indchemie Health Specialities Pvt Ltd

₹67.81/syrup

45% costlier

Nuromox CV 200 mg/28.5 mg Syrup

Neuro Pharma GmbH

₹55/syrup

18% costlier

Zyclav Syrup

Divine Lifecare Pvt Ltd

₹62.5/syrup

34% costlier

View all substitutes

Quick tips

Your child must complete the entire course of antibiotics. Stopping too soon may cause the bacteria to multiply again, become resistant, or cause another infection.
Your child may have a bitter taste in the mouth after the intake of CO Symoxyl 200 mg/28.5 mg Syrup. Eating citrus fruit or sipping plenty of water or fruit juice may help.
Encourage your child to drink plenty of water in case diarrhea develops as a side effect.
Never give CO Symoxyl 200 mg/28.5 mg Syrup until and unless prescribed by the doctor. You must also never share your child’s medicine with anyone else even if they show similar symptoms.
Do not give CO Symoxyl 200 mg/28.5 mg Syrup to treat common cold and flu-like symptoms caused by viruses.
Never save medicine for future illnesses. It cannot be said whether the same medicine will work on future infections.
Check ‘expiry’ before giving CO Symoxyl 200 mg/28.5 mg Syrup to your child. Immediately discard all the expired medicines.
Stop CO Symoxyl 200 mg/28.5 mg Syrup immediately if your child develops an itchy rash, facial swelling, or breathing difficulty. Report to the doctor without any delay.

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Patient concerns

Hello dr.am 25th week pregnent am having co Hb and coecoral tablets wanna ask you should i take ecospirin 75 mg ?

Dr. Suman Rao

Obstetrics and Gynaecology

If you are taking it then continue with it

Running nose with cough and co

Dr. Rahul Yadav

Paediatrics

Hello, start nasoclear nasal drops SOS for nasal blockage. Also Syp cetrizine 2.5 ml once daily for 4 days.If problem persist show to nearest pediatrician for clinical evaluation.

Dhat syndromes all tharapy and co

Dr. Jyoti Kapoor Madan

Psychiatry

Psychosexual problems are largely caused by anxiety related to the sex act or any antecedent event during which anxiety was triggered. One's emotions, sexual understanding and socio cultural influences have a major role to play. Anxiety thus results in erectile dysfunction and/or premature ejaculation. A psychiatrist or a psychotherapist works with the client to explore these issues and conflicts so as to reach the root cause of anxiety. Medicines are available for symptomatic relief.

He is suffering from Cough and cold for last 1.5 month. We have seen many times to doctor and patient taking antibiotic like cefpodoxim and co-amoxiclave syrup and dry cough syrup for last 1.5 month. He gets relief after injecting cefotaxim 250 mg and after 5 to 7 days he again get cough and cold .plz help my child out.

Dr. Gopal Bansilal Samdani

Paediatrics

Your child may be suffering from Asthama. Asthma can be hard to diagnose. Your child's doctor will consider the nature and frequency of symptoms and may use tests to rule out other conditions and to identify the most likely cause of his or her symptoms. A number of childhood conditions can have symptoms similar to those caused by asthma. To make things more complicated, these conditions also commonly co-occur with asthma. So your child's doctor will have to determine whether your child's symptoms are caused by asthma, a condition other than asthma, or both asthma and another condition.In younger children, diagnosis can be difficult because lung function tests aren't accurate before 5 years of age. Your doctor will rely on detailed information you and your child provide about symptoms. Sometimes a diagnosis can't be made until later, after months or even years of observing symptoms

FAQs

Can other medicines be given at the same time as CO Symoxyl 200 mg/28.5 mg Syrup?

CO Symoxyl 200 mg/28.5 mg Syrup can sometimes interact with other medicines or substances. Tell your doctor about any other medicines your child is taking before starting CO Symoxyl 200 mg/28.5 mg Syrup. Also, check with your child’s doctor before giving any medicine to your child.

Can I get my child vaccinated while on treatment with CO Symoxyl 200 mg/28.5 mg Syrup?

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.

Which lab tests may my child undergo while taking CO Symoxyl 200 mg/28.5 mg Syrup on a long-term basis?

With prolonged therapy, the doctor may monitor kidney and liver function tests periodically to keep a check on your child’s condition.

Can I give a higher than the recommended dose of CO Symoxyl 200 mg/28.5 mg Syrup to my child?

No, giving a higher than the recommended dose of this medicine can increase the risks of side effects. If your child experiences increased severity of symptoms, please consult your doctor for re-evaluation.

Can I stop giving CO Symoxyl 200 mg/28.5 mg Syrup to my child when the symptoms are relieved?

No, do not stop giving this medicine to your child unless the full course of the treatment is complete, even if you feel better. The symptoms may improve before the infection is completely cured. Hence, continue giving the medicine for the due course as it may still be showing beneficial effects.

Can the use of CO Symoxyl 200 mg/28.5 mg Syrup cause diarrhea?

Yes, CO Symoxyl 200 mg/28.5 mg Syrup may cause diarrhea. It is an antibiotic that kills harmful bacteria. In addition to that, the medicine may also affect the helpful bacteria in your child’s stomach and cause diarrhea. In case of diarrhea, encourage your child to drink plenty of water or other fluids. Talk to your doctor if diarrhea persists and you notice any signs of dehydration, like less frequency of urination with dark-colored and strong-smelling urine. Do not give any other medicine to your child without consulting a doctor.

Do all viral common colds result in secondary bacterial infection?

Most of the time, bacterial infections do not follow viral infections. In fact, giving antibiotics in viral infection can increase your child’s risk of developing side effects. So, use antibiotics only after consulting with your child’s doctor.

The mucus coming out of my child’s nose is yellow-green. Is it a sign of a bacterial infection?

Yellow or green mucus in the nose does not mean that antibiotics are needed. During a common cold, it is normal for mucus to thicken up and change from clear to yellow or green. Symptoms often last for 7-10 days.

Is there any sign which shows that my child needs immediate medical attention?

You must call your child’s doctor right away if your child experiences serious allergic reactions (breathing problems, skin rashes), gastrointestinal infections (diarrhea), and liver damage (weakness, paleness, vomiting). Though rare, these side effects are serious and need an expert’s attention.

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References

National Health Service. Co-amoxiclav. [Accesses 13 Jan. 2021] (online) Available from:

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The list of available options shown with the same composition has been prepared upon the advice of registered medical practitioners, pharmacists affiliated with TATA 1MG. TATA 1MG does not promote any pharmaceutical product of any particular company, and all recommendations are based on the medical opinion, advisories from specialist medical and pharmaceutical professionals.