Althrocin Forte 250mg Syrup: Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Severe allergic reaction: swelling of face, lips, tongue, or throat, difficulty breathing.
- Signs of liver problems: yellowing of skin or eyes, dark urine, severe abdominal pain.
- Severe or bloody diarrhea, which may indicate C. difficile infection.
- Hearing loss or ringing in the ears.
- Irregular heartbeat, palpitations, or fainting.
- Severe skin rash with blisters or peeling.
If experiencing severe symptoms, call emergency services immediately.
What is e cin 250mg capsule used for?
This medicine is an antibiotic syrup containing erythromycin, used to treat bacterial infections such as respiratory tract infections, skin infections, and chlamydia. It works by stopping bacterial growth. Take it exactly as prescribed, and complete the full course.
- Generic Name: Erythromycin (250mg)
- Manufacturer: TOSC International Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 e cin 250mg capsule के बारे में (Hindi Summary)
उपयोग: यह दवा एक एंटीबायोटिक सिरप है जिसमें एरिथ्रोमाइसिन नामक सक्रिय तत्व होता है। इसका उपयोग बैक्टीरियल संक्रमणों जैसे श्वसन तंत्र के संक्रमण, त्वचा के संक्रमण, और क्लैमाइडिया के इलाज के लिए किया जाता है। यह बैक्टीरिया के विकास को रोककर काम करती है। इसे डॉक्टर के निर्देशानुसार ही लें और पूरा कोर्स पूरा करें।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मतली, उल्टी, दस्त, पेट दर्द और भूख में कमी शामिल हैं। ये आमतौर पर हल्के और अस्थायी होते हैं। कुछ लोगों को सिरदर्द, चक्कर या दाने हो सकते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन इनमें एलर्जी, सुनने में कमी, दिल की धड़कन में गड़बड़ी और लीवर की समस्या शामिल हो सकती है। कोई भी असामान्य लक्षण होने पर तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। खुराक न छोड़ें और कोर्स पूरा करें। उपयोग से पहले बोतल को अच्छी तरह हिलाएं। सही मापने वाले कप या सिरिंज का उपयोग करें। इसे भोजन के साथ या बिना भोजन के लिया जा सकता है, लेकिन भोजन के साथ लेने से पेट की परेशानी कम हो सकती है। अंगूर का रस और शराब से बचें। यदि आप गर्भवती हैं या स्तनपान करा रही हैं तो डॉक्टर को बताएं। इसे बच्चों की पहुंच से दूर रखें।
💊 e cin 250mg capsule Uses & Benefits
[{"condition":"Respiratory tract infections","description":"Used to treat infections such as pneumonia, bronchitis, and pertussis caused by susceptible bacteria.","evidence":"Well-established"},{"condition":"Skin and soft tissue infections","description":"Effective against many bacterial skin infections, including cellulitis and erysipelas.","evidence":"Well-established"},{"condition":"Chlamydia trachomatis infections","description":"Used as an alternative treatment for uncomplicated genital chlamydia and eye infections in newborns.","evidence":"Well-established"},{"condition":"Diphtheria","description":"Used as an adjunct to antitoxin to eliminate the bacteria and prevent spread.","evidence":"Well-established"},{"condition":"Legionnaires' disease","description":"Effective against Legionella pneumophila, though other macrolides may be preferred.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Gastroparesis","description":"Sometimes used off-label to stimulate stomach emptying in diabetic gastroparesis due to its prokinetic effects.","evidence":"Limited"},{"condition":"Acne vulgaris","description":"May be used off-label for inflammatory acne, but resistance is common.","evidence":"Limited"}]
Primary treatment for: Bacterial infections
Also treats: Respiratory tract infections, Skin infections, Chlamydia, Pertussis, Diphtheria
📋 Drug Information
| Generic Name(s) | Erythromycin (250mg) |
| Brand Name | e cin 250mg capsule |
| Manufacturer | TOSC International Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | ANTI INFECTIVES |
| Action Class | Macrolides |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) in a dry place, away from direct sunlight. Do not refrigerate. Keep the bottle tightly closed. Shake well before each use. |
| Shelf Life | Typically 24 months from the date of manufacture, but check the expiry date on the packaging. |
| WHO Guideline | Erythromycin is included in the WHO Model List of Essential Medicines for the treatment of various bacterial infections, including respiratory tract infections and chlamydia. |
| ICMR Guideline | The Indian Council of Medical Research (ICMR) recommends erythromycin as a treatment option for community-acquired pneumonia and other susceptible infections, but emphasizes judicious use to prevent resistance. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine works by binding to the 50S ribosomal subunit of susceptible bacteria, thereby inhibiting protein synthesis. Specifically, it blocks the translocation step of peptide chain elongation, preventing the bacteria from building essential proteins needed for growth and multiplication. This action is primarily bacteriostatic, meaning it stops bacterial growth, but it can be bactericidal at higher concentrations against certain organisms. The binding is reversible, and the medicine does not affect human cells because human ribosomes are structurally different.
Mechanism Steps
💡 How to Take e cin 250mg capsule
Strength: Each 5 mL of syrup contains 250 mg of erythromycin.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is 250 mg to 500 mg every 6 to 12 hours, depending on the type and severity of the infection. For severe infections, higher doses may be used. The dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Always follow your doctor's prescription. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician for appropriate dosing in children. |
| Elderly Dosage | Elderly patients may be more susceptible to side effects such as hearing loss and heart rhythm disturbances. Dose adjustment may be necessary based on renal and hepatic function. Consult a doctor for individualized dosing. |
| Renal Impairment | In patients with severe renal impairment (creatinine clearance <10 mL/min), dose reduction may be necessary. Consult a doctor for individualized dosing. |
| Hepatic Impairment | In patients with severe hepatic impairment, dose reduction or avoidance may be necessary. Monitor liver function closely. Consult a doctor for individualized dosing. |
| Maximum Daily Dose | The maximum recommended daily dose is 4 grams, but this should not be exceeded without medical supervision. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of e cin 250mg capsule
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Warfarin | Major | |
| Simvastatin | Major | |
| Amiodarone | Major | |
| Digoxin | Moderate | |
| Theophylline | Moderate | |
| Carbamazepine | Moderate | |
| Oral contraceptives | Moderate | |
| Antacids | Minor | |
| Rifampin | Major | |
| Ketoconazole | Major |
🚨 Major Interactions
- CYP3A4 inhibitors (e.g., ketoconazole, itraconazole, ritonavir)
- CYP3A4 inducers (e.g., rifampin, carbamazepine, phenytoin)
- Warfarin
- Statins (e.g., simvastatin, atorvastatin)
- QT-prolonging drugs (e.g., amiodarone, sotalol, quinidine)
⚡ Moderate Interactions
- Digoxin
- Theophylline
- Carbamazepine
- Corticosteroids
- Oral contraceptives
🍷 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 erythromycin or other macrolide antibiotics.","Concurrent use with certain CYP3A4 substrates that can cause serious toxicity (e.g., ergotamine, dihydroergotamine, cisapride, pimozide, terfenadine, astemizole).","History of cholestatic jaundice or hepatic dysfunction associated with prior erythromycin use.","Use with caution in patients with QT prolongation or ventricular arrhythmias."]
⚠️ Warnings & Precautions
["Use with caution in patients with liver disease; monitor liver function.","May cause QT prolongation; avoid in patients with known QT prolongation or electrolyte abnormalities.","May cause hearing loss, especially with high doses or in patients with renal impairment.","Can cause superinfection, including C. difficile-associated diarrhea; monitor for severe diarrhea.","May interact with many drugs; review all concomitant medications.","Not effective against viral infections; do not use for colds or flu.","Complete the full course as prescribed to prevent resistance."]
🤱 Lactation Safety
Erythromycin is excreted in breast milk and may cause diarrhea or thrush in the nursing infant. It is generally considered safe for breastfeeding mothers, but consult your doctor to weigh the benefits and risks. Monitor the infant for any signs of gastrointestinal upset.
💊 Overdose Management
Overdose of this medicine may cause nausea, vomiting, diarrhea, and hearing loss. There is no specific antidote. Treatment is supportive and symptomatic. If overdose is suspected, seek immediate medical attention. Gastric lavage may be considered if ingestion is recent. Monitor vital signs and electrolytes.
⏰ 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 take a double dose to make up for a missed one.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not skip doses or stop the course early, even if you feel better. Shake the bottle well before each use to ensure the medicine is evenly mixed. Use a proper measuring device to get the correct dose; do not use a kitchen spoon. This medicine is usually taken with or without food, but taking it with food may help reduce stomach upset. Avoid taking it with grapefruit juice or alcohol. Inform your doctor if you have liver or heart problems, or if you are pregnant or breastfeeding. Do not share this medicine with others, even if they have similar symptoms. Store it at room temperature, away from direct sunlight and moisture. Keep out of reach of children. If you miss a dose, take it as soon as you remember, but if it is almost time for the next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are at higher risk of side effects such as hearing loss, heart rhythm disturbances, and liver toxicity. Dose adjustment may be needed based on kidney and liver function. Regular monitoring is advised.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before taking this medicine. Erythromycin is generally considered safe during pregnancy, but the benefits and risks should be discussed with your healthcare provider.
🏥 Post-Surgery Considerations
If you are scheduled for surgery, inform your surgeon that you are taking this medicine. It may interact with anesthetics or other medications used during surgery. Your doctor may advise you to stop it before 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. Your dentist may need to adjust your treatment plan.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
You can 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
💼 Impact on Daily Work & Life
This medicine may cause dizziness or nausea in some people. If you experience these side effects, avoid driving or operating heavy machinery until you know how the medicine affects you. Most people can continue their daily activities with minimal disruption.
🛑 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; they may advise you to stop.
📅 Long-Term Use Effects
Long-term use of this medicine can lead to antibiotic resistance, superinfections such as oral thrush or C. difficile-associated diarrhea, and rarely, liver toxicity or hearing loss. It should only be used for the prescribed duration. If long-term therapy is necessary, regular monitoring of liver function and hearing may be required.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Another macrolide antibiotic with a broader spectrum and less frequent dosing.
Evidence: Well-establishedA penicillin antibiotic that may be used for similar infections if the bacteria are susceptible.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no specific vaccine interactions with this medicine. However, if you are due for any vaccines, inform your doctor. Antibiotics do not affect vaccine efficacy, but the underlying infection may delay vaccination.
📦 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
✅ DO
Shake well before use
❌ DON'T
Do not use after expiry date
✈️ Traveling with This Medicine
When traveling with this medicine, carry it in its original packaging with the prescription label. Bring a copy of your prescription in case of customs checks. Store it at room temperature and protect it from extreme heat or cold. If crossing time zones, adjust dosing times gradually to maintain even intervals. Keep it in your carry-on luggage to avoid loss or temperature extremes.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: You may start feeling better within 1-2 days, but it may take a few days for full effect. Complete the full course as prescribed.
A: Yes, you can take it with or without food. Taking it with food may help reduce stomach upset.
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 the dose.
A: Erythromycin is generally considered safe during pregnancy (Category B), but you should consult your doctor before taking any medicine.
A: It is advisable to avoid alcohol as it may increase stomach upset and liver risk.
🤔 Common Patient Concerns
🔄 Substitutes for e cin 250mg capsule
View AllAlternative brands with exact same active ingredient:
-
bestocin 250mg injectionBestoChem Formulations India Ltd ₹6.64 67.2% CHEAPER
-
agrocin 250mg tabletAgron Remedies Pvt Ltd ₹11.50 43.2% CHEAPER
-
eryster 250mg tabletHindustan Antibiotics Ltd ₹13.55 33.1% CHEAPER
-
eryn 250mg tabletPan Pharmaceuticals Ltd ₹15.00 25.9% CHEAPER
-
enzycare 250mg tabletPan Pharmaceuticals Ltd ₹15.19 25% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: Erythromycin can cure viral infections like the common cold.
Fact: Erythromycin is an antibiotic and is only effective against bacterial infections. It does not treat viral infections. - Myth: You can stop taking erythromycin as soon as you feel better.
Fact: You must complete the full course as prescribed to prevent the infection from returning and to reduce antibiotic resistance. - Myth: Erythromycin is safe to take with any other medicine.
Fact: Erythromycin interacts with many drugs, including warfarin, statins, and certain heart medications. Always inform your doctor about all medicines you take.
🔄 Alternative Options
Generic Alternatives
- Erythromycin oral suspension
- Erythromycin ethylsuccinate suspension
- Erythromycin stearate suspension
Brand Alternatives
- Althrocin Forte 250mg Syrup
- Erythrocin 250mg Syrup
- Erythromycin 250mg Syrup