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Written By Bayyarapu Mahesh Kumar , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
Last Updated Oct 9, 2024 | 12:40 PM IST
Clarsaf Syrup is used to treat a wide range of bacterial infections, including chest infections such as bronchitis and pneumonia, skin problems such as cellulitis (potentially serious bacterial skin infection, the affected skin appears swollen and red and is typically painful and warm to the touch), and ear infections. Besides this, it is also used in combination with other medicines to treat duodenal ulcers caused by H. pylori. It contains Clarithromycin, which inhibits the growth of bacteria. It may cause some common side effects, such as nausea, diarrhoea, vomiting, loss of appetite, bloating, indigestion, headaches and difficulty sleeping. Before taking this medicine, you should tell your doctor if you are allergic to any of its components or if you are pregnant/breastfeeding, and about all the medications you are taking and pre-existing medical conditions.
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About Clarsaf Syrup

Clarsaf Syrup is used to treat a wide range of bacterial infections, including chest infections such as bronchitis and pneumonia, skin problems such as cellulitis (potentially serious bacterial skin infection, the affected skin appears swollen and red and is typically painful and warm to the touch), and ear infections. Besides this, Clarsaf Syrup is also used in combination with other medicines to treat duodenal ulcers caused by H. pylori.

Clarsaf Syrup contains Clarithromycin (antibiotic). It inhibits the protein synthesis process required for the growth of the bacterial cell. As a result, bacterial cells are not able to reproduce and grow. Thus, Clarsaf Syrup helps prevent infections.

Clarsaf Syrup should only be if your doctor has prescribed you. Clarsaf Syrup should not be stopped even if you feel better as it is an antibiotic medication, and completing the full course is necessary; otherwise, the infection might re-appear in a more severe form. Like all medicines, Clarsaf Syrup may cause some common side effects, including feeling sick (nausea), diarrhoea and being sick (vomiting), losing your appetite, bloating and indigestion, headaches and difficulty sleeping. These side effects are temporary and may get resolved after some time; however, if this side persists, let your doctor know about this if you notice any sudden wheeziness, tightness in the chest or throat, difficulty in breathing, swelling of the eyelids, face or lips, rash or itching (especially affecting your whole body) STOP TAKING your medicine and go to a doctor immediately.

Do not take Clarsaf Syrup if allergic to azithromycin, other macrolide antibiotics, or any components present in Clarsaf Syrup. Clarsaf Syrup isn't normally recommended during pregnancy and while breastfeeding. But your doctor may prescribe it if the benefits of taking it are greater than the risks. Do not consume alcohol as it may cause excessive drowsiness when taken along with Clarsaf Syrup. Before using the Clarsaf Syrup, tell your doctor if you ever had an allergy to Clarsaf Syrup have kidney problems, liver problems, swollen food pipe (oesophagitis), lupus disease (an autoimmune disease), or muscle disease (myasthenia gravis). Do not drink alcohol with Clarsaf Syrup as it may increase the unpleasant side effects like drowsiness and dizziness.

Uses of Clarsaf Syrup

Treatment of Bacterial infections

Medicinal Benefits

Clarsaf Syrup is a type of macrolide class of antibiotic which is effective against a wide range of bacteria, including gram-negative and gram-positive bacteria, anaerobes, and some parasites (like Balantidium coli and Entamoeba species). It is prescribed for treating various bacterial infections, including chest infections such as pneumonia, skin problems such as cellulitis, and ear infections; on the other hand, It is also used in combination with other medicines to treat duodenal ulcers caused by H. pylori (Helicobacter pylori). Clarsaf Syrup is sometimes used by people who have an allergy to penicillin and antibiotics similar to penicillin, such as amoxicillin.

Directions for Use

Tablet/capsule: Swallow it as a whole with water; do not crush, break or chew it.Dispersible Tablet: Check the label for directions before use. Disperse the tablet in the prescribed amount of water and swallow the contents. Do not crush, chew or swallow as a whole.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Clarsaf Syrup

  • Headache

  • Diarrhoea

  • Being sick (vomiting)

  • Nausea (feeling sick)

  • Loss of appetite

  • Taste change

  • Bloating

  • Indigestion

  • Abdominal pain

  • Insomnia (difficulty sleeping)

Drug Warnings

Iron and antacid (like magnesium hydroxide and aluminium hydroxide) may bind to Clarsaf Syrup in the gastrointestinal tract, lowering its efficiency. So, a gap of at least 2 hours should be maintained between intake of Clarsaf Syrup and iron supplements and antacids. Besides this, in some cases, the use of Clarsaf Syrup causes antibiotic-associated diarrhoea. Clarsaf Syrup may cause sensitive skin to sunlight and ultraviolet rays, causing an exaggerated sunburn reaction. Hence it is advisable to apply sunscreen before going outside. Its use has also been associated with an increased risk of fungal skin infections like (vaginal candidiasis - thrush). Tetracycline and Clarsaf Syrup can form a stable calcium complex in bone-forming tissue, thereby affecting the growth of fibula bones in young children and bone development in the foetus. Using a Clarsaf Syrup with isotretinoin should be avoided as it has been reported to cause pseudotumor cerebri (increased pressure inside the brain). Long-term use of Clarsaf Syrup may affect your blood, kidney, and liver health, so yearly diagnostics test of these parameters is recommended.

Drug Interactions

Drug-Drug Interactions: Clarsaf Syrup is contraindicated in persons who have shown hypersensitivity to certain antibiotics (such as azithromycin, amoxicillin/clavulanate), a statin medicine to lower your cholesterol (such as simvastatin and atorvastatin), medications used for blood thinners (such as warfarin), drugs used for heart problems (digoxin), certain medicines used for gout (colchicine), asthma medications (such as theophylline, budesonide/formoterol), medicines for epilepsy, (such as carbamazepine and phenytoin), and drugs used to treat migraines (such as ergotamine and dihydroergotamine).

Drug-Food Interactions: Food containing calcium and iron should be avoided as it may affect Clarsaf Syrup effectiveness. Also, prevent the intake of grapefruit or grapefruit juice with Clarsaf Syrup. Avoid alcohol intake as it may lead to drowsiness and affect Clarsaf Syrup absorption.

Drug-Disease Interactions: Clarsaf Syrup should not be given in people with liver or kidney problems, cardiovascular disorders (fast, pounding or irregular heartbeats), QT prolongation, Colitis (a chronic digestive disease characterized by inflammation of the inner lining of the colon), abnormally low levels of potassium in your blood and muscle disease (myasthenia gravis).

Drug-Drug Interactions Checker List

  • AZITHROMYCIN
  • AMOXICILLIN+CLAVULANIC ACID
  • SIMVASTATIN
  • ATORVASTATIN
  • WARFARIN
  • BUDESONIDE+FORMOTEROL
  • CARBAMAZEPINE
  • PHENYTOIN
  • ERGOTAMINE
  • DIHYDROERGOTAMINE

Habit Forming

No

Diet & Lifestyle Advise

  • Probiotics and prebiotics can also help to reduce the side effects of antibiotics.

  • Include more fibre-enriched food in your diet, as it can be easily digested by your gut bacteria, which helps stimulate their growth. Thus, fibre foods may help restore healthy gut bacteria after a course of antibiotics. Whole grains like whole-grain bread and brown rice should be included in your diet. 

  • Eating grapefruit during antibiotics treatment can prevent the body from utilizing Clarsaf Syrup properly. So, avoid intake of grapefruit or grapefruit juice with the antibiotic. 

  • Avoid taking too much calcium, iron-enriched foods and drinks as it might affect the working of Clarsaf Syrup. 

  • Avoid intake of alcoholic beverages with Clarsaf Syrup as it can make you dehydrated and affect your sleep. This can make it harder for your body to aid the Clarsaf Syrup in fighting off infections.

Special Advise

  • Probiotics should be taken after taking the full course of Clarsaf Syrup in order to restore some of the healthy bacteria in the intestines that may have been killed. Taking probiotics after antibiotic treatment can reduce the risk of antibiotic-associated diarrhoea. Certain fermented foods like yoghurt, cheese, sauerkraut, kombucha and kimchi can help restore the intestine's good bacteria.

Disease/Condition Glossary

Bacterial infections: A bacterial infection is a condition in which harmful bacteria enter, multiply, and infect our body. It can target any body part and multiple very quickly. When you get infected with bacteria, you can experience generalized symptoms like fevers, chills, and fatigue. Bacteria are of various forms, commonly spherical, rod, and spiral-shaped. Bacterial infections vary from minor illnesses like sore throat and ear infections to severe brain infections like meningitis and encephalitis. A few harmful bacteria that cause infections include Streptococcus, Staphylococcus, and E. coli. Anyone can become infected with a bacterial infection. However, people with weak immune systems or taking immunosuppressive medicine can be more prone to bacterial infection.

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Alcohol

Unsafe

Clarsaf Syrup should not be taken until prescribed if you are taking alcohol. Keep your doctor informed if you drink alcohol.

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Pregnancy

Caution

Clarsaf Syrup should be used in pregnant women only if clinically needed, and the benefits outweigh the risks.

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Breast Feeding

Caution

Let your doctor know if you are a nursing mother before taking Clarsaf Syrup; your doctor will decide whether Clarsaf Syrup can be taken by breastfeeding mothers or not.

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Driving

Unsafe

Not enough scientific data available for Clarsaf Syrup, hence it is advised to consult your doctor.

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Liver

Caution

Clarsaf Syrup to be taken with caution, especially if you have a history of liver diseases/conditions. The dose may have to be adjusted by your doctor.

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Kidney

Caution

Clarsaf Syrup to be taken with caution, especially if you have a history of kidney diseases/conditions. The dose may have to be adjusted by your doctor.

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Children

Safe if prescribed

Clarsaf Syrup can be given safely to children in the form of suspension only, dose to be adjusted and recommended by a child specialist only.

Country of origin

India

Manufacturer/Marketer address

102 mangal ashish31 sampatrao colony alkapuri vadodara vadodara gj 390005 in
Other Info - CL71502

Author Details

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FAQs

Clarsaf Syrup is used to treat bacterial infections, including chest infections, skin infections, and ear infections. Besides this, Clarsaf Syrup is also used in combination with other medicines to treat duodenal ulcers caused by H. pylori.
Clarsaf Syrup contains Clarithromycin (antibiotic). It inhibits the protein synthesis process required for the growth of the bacterial cell. As a result, bacterial cells are not able to reproduce and grow. Thus, Clarsaf Syrup helps in the prevention of infections.
You should avoid taking iron supplements, multivitamins, calcium supplements, antacids, or laxatives within 2 hours before or after taking Clarsaf Syrup. Avoid taking any other antibiotics containing Clarsaf Syrup unless your doctor has prescribed you.
After taking antibiotics such as Clarsaf Syrup, some people get thrush, a fungal infection. This is due to the fact that antibiotics kill the regular, harmless bacteria that serve to protect you from thrush.
Clarsaf Syrup treats only bacterial infections. It will not work for viral infections (such as common cold, flu).
No, Clarsaf Syrup is a macrolide antibiotic. It can be taken by people who are allergic to penicillin with doctor advice only.
Side-effects are rare with Clarsaf Syrup and do not usually last long. They will get better after a day or two. if those side effects persist reach out to the doctor immediately.​
No, Clarsaf Syrup should not be stopped even if you feel better as it is an antibiotic medication and completing the full course if very necessary; otherwise, the infection might re-appear in a more severe form.

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