CEFOTT-50 DRY SYP

 Cefott-50 Dry Syrup, containing cefixime.

What is visible on the package

• Active ingredient: Cefixime
• Dosage form: Dry powder for oral suspension
• Brand: CEFOTT-50
• Pack: The bottle shown is 30 mL after reconstitution
• Intended use: The box explicitly says “FOR PAEDIATRIC USE ONLY”
• Prescription status: The Rx symbol indicates it is a prescription medicine.
• The separate bottle contains sterile water for reconstitution.
• The box states that the powder should be mixed with sterile water before administration.

What cefixime is

Cefixime is a third-generation cephalosporin antibiotic. It works against susceptible bacterial infections; it does not treat viral illnesses such as ordinary viral colds or influenza. Approved uses include certain urinary-tract infections, middle-ear infections, and some throat/tonsil infections, depending on the organism and local prescribing guidance. DailyMed

Important point about the strength

The image appears to show “50 mg/5 mL” on the red label, but the small print is not sufficiently clear for me to guarantee the concentration from the photograph alone. Don't calculate a child's dose from the image alone. Cefixime suspensions are sold in different concentrations, and the same number of millilitres can represent very different doses. DailyMed

For example, official prescribing information lists pediatric cefixime suspension concentrations including 100 mg/5 mL and 200 mg/5 mL, and dosing is based on the child's weight. DailyMed

How the “dry syrup” works

It is not ready-to-drink powder. The pharmacist/parent adds the specified amount of water to make a suspension.

After mixing:

1. Shake/reconstitute it according to the product instructions.
2. Shake well before each dose, because the drug particles settle.
3. Measure the prescribed amount with an oral syringe or appropriate measuring device rather than an ordinary kitchen spoon.
4. Follow the prescriber's exact dose and duration.

Pediatric dosing

For children 6 months and older, one official cefixime labeling reference gives a general recommended dose of 8 mg/kg/day, either once daily or divided into two doses of 4 mg/kg every 12 hours. However, the appropriate dose depends on the actual concentration of this particular product, child's weight, infection, kidney function, and physician's prescription. DailyMed

So I would not recommend giving a specific number of mL based solely on this photograph.

Possible side effects

Common effects can include:

• Loose stools/diarrhea
• Nausea
• Abdominal discomfort
• Vomiting

More importantly, seek urgent medical attention for difficulty breathing, swelling of the face/lips/tongue, widespread hives/rash, or severe/persistent diarrhea, because serious allergic reactions and antibiotic-associated diarrhea can occur. DailyMed

One thing I would verify

If you want, send me a clear close-up photograph of the front and back of the bottle/box, particularly the line showing “___ mg/5 mL” and the instructions for adding water. I can then explain exactly what this particular Cefott-50 preparation contains, how much drug is in each 1 mL/5 mL, how it is reconstituted, storage requirements, and how to interpret the doctor's prescribed dose.