creol 250mg tablet - Clarithromycin (250mg) medicine

Claribid 250 Tablet (Clarithromycin 250 mg): Complete Guide

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🏭 Chemo Healthcare Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 24, 2026
⚠️ Hepatotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established
Reviewed by
SaathiMed Expert Panel | Sep 24, 2026

When to Call Your Doctor IMMEDIATELY

  • Severe allergic reaction: rash, itching, swelling of face or throat, difficulty breathing.
  • Signs of liver problems: yellowing of skin or eyes, dark urine, severe abdominal pain.
  • Heart rhythm changes: palpitations, dizziness, fainting.
  • Severe or bloody diarrhea, which may occur weeks after finishing the antibiotic.
  • Signs of a new infection: fever, sore throat, unusual tiredness.

If experiencing severe symptoms, call emergency services immediately.

What is creol 250mg tablet used for?

This medicine is a macrolide antibiotic used to treat bacterial infections such as pneumonia, bronchitis, and skin infections. It works by stopping bacteria from making proteins they need to survive.

  • Generic Name: Clarithromycin
  • Manufacturer: Chemo Healthcare Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 creol 250mg tablet के बारे में (Hindi Summary)

उपयोग: यह दवा क्लैरिथ्रोमाइसिन 250 मिलीग्राम की एक टैबलेट है, जिसका उपयोग बैक्टीरियल संक्रमणों के इलाज के लिए किया जाता है। यह मुख्य रूप से श्वसन तंत्र के संक्रमण, त्वचा के संक्रमण, और पेट के अल्सर में हेलिकोबैक्टर पाइलोरी के इलाज के लिए दी जाती है। यह वायरल संक्रमण जैसे सर्दी-जुकाम या फ्लू के लिए प्रभावी नहीं है। इस दवा को डॉक्टर के निर्देशानुसार ही लें और कोर्स पूरा करें।

साइड इफेक्ट्स: आम दुष्प्रभावों में मतली, दस्त, पेट दर्द, और स्वाद में बदलाव शामिल हैं। ये आमतौर पर हल्के होते हैं और कुछ समय में ठीक हो जाते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन एलर्जी, लिवर की समस्या, या दिल की धड़कन में गड़बड़ी हो सकती है। अगर आपको कोई गंभीर लक्षण दिखे तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। बेहतर महसूस होने पर भी कोर्स बीच में न छोड़ें। दवा लेते समय शराब न पिएं। अपने डॉक्टर को अपनी सभी दवाओं के बारे में बताएं, खासकर खून पतला करने वाली दवाएं, स्टैटिन, और दिल की दवाएं। इस दवा को दूसरों के साथ साझा न करें।

💡 Did You Know? The Indian pharmaceutical market is expected to reach $130 billion by 2030.

💊 creol 250mg tablet Uses & Benefits

  • [{"condition":"Community-acquired pneumonia","description":"Used to treat mild to moderate community-acquired pneumonia caused by susceptible bacteria.","evidence":"Well-established"},{"condition":"Acute bacterial exacerbation of chronic bronchitis","description":"Helps reduce symptoms and clear infection in patients with chronic bronchitis.","evidence":"Well-established"},{"condition":"Skin and soft tissue infections","description":"Effective against many skin infections caused by susceptible organisms.","evidence":"Well-established"},{"condition":"Helicobacter pylori eradication","description":"Used in combination with other antibiotics and a proton pump inhibitor to eradicate H.
  • pylori in peptic ulcer disease.","evidence":"Well-established"},{"condition":"Mycobacterium avium complex (MAC) infection","description":"Used for prevention and treatment of disseminated MAC infection in patients with advanced HIV.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Lyme disease","description":"Sometimes used as an alternative for early Lyme disease when other antibiotics are not suitable.","evidence":"Limited"},{"condition":"Whooping cough (pertussis)","description":"May be used for treatment or post-exposure prophylaxis of pertussis.","evidence":"Limited"}]

Primary treatment for: Bacterial infections

Also treats: Respiratory tract infections, Skin infections, Helicobacter pylori infection, Mycobacterium avium complex infection

📋 Drug Information

Generic Name(s)Clarithromycin
Brand NameAcnesol CL Gel
ManufacturerChemo Healthcare Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassANTI INFECTIVES
Action ClassMacrolides
Route of AdministrationOral
StorageStore at room temperature between 15°C and 30°C (59°F to 86°F). Keep away from moisture and heat.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine with food to reduce stomach upset.
2
Complete the full course even if you feel better after a few days.
3
Avoid alcohol while taking this medicine to prevent liver problems.
4
Inform your doctor if you are taking blood thinners, statins, or heart medications.
5
Do not use antacids within 2 hours of taking this medicine.
6
Report any signs of liver problems like yellowing of eyes or dark urine.
7
If you miss a dose, take it as soon as you remember, but do not double dose.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Persistent cough with fever
This medicine is commonly prescribed for bacterial respiratory infections.
Likely Use
✅
Skin infection with redness and pain
This medicine is effective against many skin bacteria.
Likely Use
❌
Common cold
This medicine is not effective against viral infections like the common cold.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionThis medicine is rapidly absorbed from the gastrointestinal tract after oral administration. The absolute bioavailability is approximately 50-55% due to first-pass metabolism. Food does not significantly affect the extent of absorption but may delay the time to peak concentration.
DistributionThis medicine is widely distributed throughout the body, including into the lungs, skin, and soft tissues. It achieves high intracellular concentrations, particularly in phagocytes and fibroblasts. Protein binding is approximately 70%.
Protein BindingApproximately 70% bound to plasma proteins.
MetabolismThis medicine is extensively metabolized in the liver by the cytochrome P450 enzyme system, primarily CYP3A4. The major metabolite is 14-hydroxyclarithromycin, which also has antibacterial activity.
Half-LifeThe elimination half-life is approximately 3 to 4 hours for clarithromycin and 5 to 6 hours for its active metabolite.
ExcretionThis medicine and its metabolites are excreted primarily in the urine (approximately 40%) and feces (approximately 30%).
BioavailabilityApproximately 50-55%
Onset of ActionPeak plasma concentrations are reached within 2 to 3 hours after oral administration.
Peak Plasma Time2 to 3 hours
Duration of ActionThe antibacterial effect persists for approximately 12 hours after a single dose, allowing for twice-daily dosing.

How It Works

This medicine works by binding to the 50S ribosomal subunit of susceptible bacteria, inhibiting protein synthesis. Specifically, it blocks the translocation step of peptide chain elongation, preventing the bacteria from producing essential proteins needed for growth and replication. This action is primarily bacteriostatic, but it can be bactericidal at higher concentrations against certain organisms.

Mechanism Steps

1
Binding to 50S ribosomal subunit: This medicine binds reversibly to the 50S subunit of the bacterial ribosome, specifically at the peptidyl transferase center.
2
Inhibition of protein synthesis: By binding to the 50S subunit, it blocks the translocation of tRNA and prevents the elongation of the peptide chain, thereby stopping protein synthesis.
3
Bacterial growth inhibition: Without essential proteins, bacteria cannot grow or multiply, leading to inhibition of bacterial replication and eventual cell death.

💡 How to Take creol 250mg tablet

Strength: Clarithromycin 250 mg immediate-release tablet

1Take this medicine by mouth with or without food.
2Swallow the tablet whole with a glass of water.
3Do not crush, chew, or break the tablet unless instructed by your doctor.
4Take at evenly spaced intervals, usually every 12 hours.
5Complete the full course as prescribed, even if you feel better.
6If you miss a dose, take it as soon as you remember, but skip if it's almost time for the next dose.

Dosage Information

Adult DosageThe usual adult dose of this medicine is 250 mg to 500 mg taken orally every 12 hours, depending on the type and severity of the infection. For H. pylori eradication, it is typically used in combination with other antibiotics and a proton pump inhibitor. The duration of treatment varies from 7 to 14 days. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may have reduced renal function and are more susceptible to side effects. Dose adjustment may be necessary based on renal function. Use with caution.
Renal ImpairmentIn patients with severe renal impairment (creatinine clearance <30 mL/min), the dose should be reduced by half. For example, 250 mg once daily instead of twice daily. Monitor renal function closely.
Hepatic ImpairmentNo specific dose adjustment is provided for hepatic impairment, but caution is advised. Monitor liver function tests regularly.
Maximum Daily DoseThe maximum recommended daily dose is 1000 mg (500 mg twice daily) for most infections. For severe infections, up to 1000 mg twice daily may be used, but this should be determined by a clinician.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With food
May take with or without food
Food does not affect absorption but can reduce stomach upset.
Grapefruit juice
Avoid
May increase drug levels by inhibiting metabolism.

⏰ What to Do If You Miss a Dose

📌 Less than 6 hours since missed dose
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than 6 hours since missed dose
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of creol 250mg tablet

✅ Common Side Effects

Nausea (Common (5-10%))
Take with food to reduce nausea. If it persists, consult your doctor.
Diarrhea (Common (5-10%))
Stay hydrated. If diarrhea is severe or contains blood, seek medical attention.
Abdominal pain (Common (5-10%))
Take with food. If pain is severe or persistent, contact your doctor.
Altered taste (Common (5-10%))
This usually resolves after finishing the course. Inform your doctor if it bothers you.
Headache (Common (5-10%))
Rest and stay hydrated. Consult your doctor if headache is severe or persistent.

🚨 Serious Side Effects

Severe allergic reactions (anaphylaxis) (Rare (<0.1%))
Seek immediate medical attention if you experience rash, itching, swelling of face or throat, or difficulty breathing.
Liver toxicity (hepatitis, cholestatic jaundice) (Rare (<0.1%))
Report yellowing of skin or eyes, dark urine, or severe abdominal pain to your doctor immediately.
QT prolongation and ventricular arrhythmias (Rare (<0.1%))
Seek emergency care if you experience palpitations, dizziness, or fainting.
Clostridium difficile-associated diarrhea (Rare (<0.1%))
Contact your doctor if you develop severe or bloody diarrhea, even weeks after finishing the antibiotic.

⚠️ Rare Side Effects

Stevens-Johnson syndrome
Seek immediate medical attention if you develop a painful rash with blisters or peeling skin.
Toxic epidermal necrolysis
Go to the emergency room if you experience widespread skin peeling or sores in the mouth or eyes.
Pancreatitis
Seek medical care if you have severe upper abdominal pain that radiates to your back.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Major
Simvastatin Major
Ergotamine Major
Digoxin Moderate
Carbamazepine Moderate
Theophylline Moderate
Oral hypoglycemics Moderate
Triazolam Moderate
Antacids Minor
Ritonavir Minor

🚨 Major Interactions

  • Ergotamine
  • Cisapride
  • Pimozide
  • Terfenadine
  • Warfarin
  • Simvastatin
  • Lovastatin

⚡ Moderate Interactions

  • Digoxin
  • Carbamazepine
  • Theophylline
  • Oral hypoglycemics
  • Triazolam

🍷 Alcohol Interaction

Alcohol may increase the risk of stomach upset and liver problems. It is advisable to avoid alcohol while taking this medicine.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known hypersensitivity to clarithromycin or other macrolide antibiotics","Concomitant use with ergotamine or dihydroergotamine","Concomitant use with cisapride, pimozide, or terfenadine","History of QT prolongation or ventricular arrhythmias","Severe hepatic impairment"]

⚠️ Warnings & Precautions

["Use with caution in patients with liver disease; monitor liver function.","Use with caution in patients with kidney disease; dose adjustment may be needed.","May cause QT prolongation; avoid in patients with risk factors.","May cause Clostridium difficile-associated diarrhea; monitor for severe diarrhea.","May exacerbate myasthenia gravis; use with caution.","Avoid alcohol during treatment.","Do not use for viral infections; it is ineffective against viruses."]

🤱 Lactation Safety

This medicine is excreted in human breast milk. Caution should be exercised when administered to a nursing woman. Consult your doctor before breastfeeding while taking this medicine.

💊 Overdose Management

Overdose may cause severe gastrointestinal symptoms, liver toxicity, and cardiac arrhythmias. Treatment is symptomatic and supportive. Gastric lavage may be considered if ingestion is recent. Monitor vital signs, ECG, and liver function. There is no specific antidote.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed. Do not skip doses or stop early, even if you feel better. Complete the full course to prevent resistance. Avoid alcohol while taking this medicine. Inform your doctor about all other medications you are taking, especially blood thinners, statins, and antiarrhythmics. Do not share this medicine with others.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may have reduced renal function and are more susceptible to side effects such as QT prolongation. Dose adjustment may be necessary. Monitor renal and liver function closely.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, consult your doctor before taking this medicine. It is not recommended during pregnancy unless clearly needed.

🏥 Post-Surgery Considerations

If you are scheduled for surgery, inform your surgeon that you are taking this medicine. It may interact with anesthetics and other medications used during surgery.

🦷 Dental Procedures

Inform your dentist that you are taking this medicine before any dental procedure. It may interact with certain antibiotics or anesthetics used in dentistry.

💚 Lifestyle Tips for Better Results

🏃
Stay well hydrated to help your body fight infection.
🥗
Get plenty of rest to support your immune system.
😴
Eat a balanced diet rich in fruits and vegetables.
💧
Avoid close contact with others to prevent spreading infection.
🧘
Practice good hand hygiene.
🌞
Complete the full course of antibiotics as prescribed.

🏋️ Exercise Considerations

You may continue light exercise if you feel up to it, but avoid strenuous activity if you have fever or fatigue. Listen to your body and rest when needed.

🥗 Diet Recommendations

Include probiotic-rich foods like yogurt to maintain gut health.
Stay hydrated with water and clear fluids.
Avoid alcohol and caffeine.
Eat small, frequent meals if you have nausea.

💼 Impact on Daily Work & Life

This medicine may cause dizziness or tiredness in some people. If you experience these effects, avoid driving or operating heavy machinery until you know how it affects you.

🛑 When to Stop This Medicine

Do not stop taking this medicine without consulting your doctor, even if you feel better. Stopping early can lead to recurrence of infection and antibiotic resistance. If you experience severe side effects, contact your doctor immediately.

📅 Long-Term Use Effects

Long-term use of this medicine may lead to antibiotic resistance and alterations in gut flora. Prolonged use may also increase the risk of liver toxicity and QT prolongation. Regular monitoring of liver and kidney function is recommended for extended therapy.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Azithromycin

Another macrolide antibiotic with a longer half-life and simpler dosing.

Evidence: Well-established
Amoxicillin

A penicillin antibiotic that may be used for similar infections if not allergic.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

This medicine does not interact with vaccines. However, if you are scheduled for a vaccine, inform your healthcare provider that you are taking this antibiotic.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

Carry this medicine in its original packaging with a copy of your prescription. Store at room temperature and protect from moisture. If traveling across time zones, adjust dosing times gradually. Check customs regulations for carrying prescription medicines.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old man with a persistent cough and fever
He was diagnosed with bacterial bronchitis and prescribed this medicine. After 3 days, his fever subsided and cough improved. He completed the 7-day course as advised and felt completely better.
💡 Lesson: Completing the full course of antibiotics is essential to fully clear the infection and prevent recurrence.
👤 A 50-year-old woman with a skin infection
She developed a red, painful skin infection after a minor cut. Her doctor prescribed this medicine. She took it with food to avoid nausea and noticed improvement within 2 days. She finished the 10-day course and the infection resolved completely.
💡 Lesson: Taking the medicine with food can help reduce side effects and improve tolerability.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: You may start feeling better within 2-3 days, but it is important to complete the full course as prescribed.

Q: Can I take this medicine with food?

A: Yes, you can take it with or without food. Taking it with food may help reduce stomach upset.

Q: What should I do if I miss a dose?

A: If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double dose.

Q: Is this medicine safe during pregnancy?

A: This medicine is Pregnancy Category C. It should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus. Consult your doctor.

Q: Can I drink alcohol while taking this medicine?

A: It is advisable to avoid alcohol while taking this medicine as it may increase the risk of stomach upset and liver problems.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for creol 250mg tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine can cure viral infections like the flu.
    Fact: This medicine is an antibiotic and is only effective against bacterial infections. It does not treat viral infections.
  • Myth: You can stop taking this medicine once you feel better.
    Fact: You must complete the full course as prescribed to prevent the infection from returning and to avoid antibiotic resistance.
  • Myth: This medicine is safe to take with any other medication.
    Fact: This medicine can interact with many other drugs, including blood thinners, statins, and certain heart medications. Always inform your doctor about all medicines you are taking.

🔄 Alternative Options

Generic Alternatives

  • Clarithromycin 250 mg tablet

Brand Alternatives

  • Claribid 250 tablet

📊 Comparison with Similar Medicines

[{"medicine":"Clarithromycin","class":"Macrolide antibiotic","half_life":"3-4 hours","common_uses":"Respiratory infections, skin infections, H. pylori"},{"medicine":"Azithromycin","class":"Macrolide antibiotic","half_life":"68 hours","common_uses":"Respiratory infections, STIs, skin infections"},{"medicine":"Erythromycin","class":"Macrolide antibiotic","half_life":"1.5-2 hours","common_uses":"Respiratory infections, skin infections, pertussis"}]

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