CEFOTT-100 DRY SYP

CEFOTT-100 DRY SYP

The image shows a prescription pediatric antibiotic in dry-powder form:

What is visible on the package

• Brand: CEFOTT-100 Dry Synp — the text appears to read “Dry Synp”/dry syrup.
• Active medicine: Cefixime
• Form: Cefixime Oral Suspension IP
• Strength shown: 1 g/30 mL on the blue label at the top.
  • This corresponds to 1000 mg cefixime in 30 mL after reconstitution, approximately 33.3 mg/mL.
  • Important: this is not the same concentration as the commonly encountered 100 mg/5 mL cefixime suspension, so the prescribed volume should not be guessed.
• Route: Oral
• Prescription status: The red Rx symbol indicates it is a prescription medicine.
• Intended population: The packaging specifically says “FOR PAEDIATRIC USE ONLY.”
• Package contents: A bottle containing dry powder/granules, plus a separate container of sterile water intended for reconstitution.
• The box also displays a photograph of an infant, reinforcing that this particular presentation is marketed for pediatric use.

What cefixime is

Cefixime is a third-generation cephalosporin antibiotic. It is used for certain bacterial infections; examples in prescribing information include some urinary-tract infections, middle-ear infections, and bacterial throat/tonsil infections. Antibiotics such as cefixime should be used when a bacterial infection is suspected or established rather than for ordinary viral colds. DailyMed

Why it comes as “dry syrup”

The bottle initially contains powder rather than ready-to-drink liquid. Water is added to produce the oral suspension. After mixing, the bottle needs to be shaken well before doses are measured, because the drug particles are suspended in the liquid rather than completely dissolved.

The exact amount of water matters. Different cefixime products have different reconstitution instructions and concentrations, so don't use a generic “add X mL of water” instruction for this particular bottle. Follow the CEFOTT-100 package instructions or pharmacist's instructions. Official cefixime labeling also emphasizes that the concentration must be considered when converting a prescribed dose into millilitres. DailyMed

Dosing — important

For children, cefixime dosing is generally weight-based, and the appropriate dose depends on the child's age, weight, infection, kidney function, and the specific product concentration. One official reference gives 8 mg/kg/day for children 6 months and older, either once daily or divided into two doses, but that does not mean you should apply 8 mg/kg/day to this bottle without the prescribing clinician's instructions. DailyMed

Important safety points

• Do not give it to a child with a known serious allergy to cefixime or other cephalosporin antibiotics. DailyMed
• Diarrhea, nausea, loose stools, abdominal discomfort and vomiting can occur.
• A serious allergic reaction can occur. Facial/lip swelling, breathing difficulty, widespread hives, or collapse requires urgent medical attention. DailyMed
• Severe or persistent watery/bloody diarrhea after an antibiotic also warrants medical assessment because antibiotic-associated C. difficile diarrhea can occur. DailyMed
• Don't substitute another cefixime syrup based simply on the number of millilitres—the concentration can differ substantially between products.

If you want, I can also read the label in this photo line-by-line and explain exactly what the “1 g/30 mL” concentration means and how to calculate the prescribed mL dose from a child's weight.