af kit tablet - Azithromycin (1000mg) + Ornidazole (750mg) medicine

AF Kit Tablet: Complete Medicine Guide

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🏭 Systopic Laboratories Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 21, 2026
⚠️ Hepatotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Moderate
Reviewed by
SaathiMed Expert Panel | Sep 21, 2026

When to Call Your Doctor IMMEDIATELY

  • Severe allergic reaction (rash, swelling, difficulty breathing)
  • Seizures or convulsions
  • Yellowing of skin or eyes (jaundice)
  • Severe abdominal pain or persistent vomiting
  • Irregular heartbeat or palpitations
  • Numbness or tingling in hands or feet
  • Blood in stool or vomit

If experiencing severe symptoms, call emergency services immediately.

What is af kit tablet used for?

This medicine is a combination of Azithromycin and Ornidazole used to treat mixed bacterial and protozoal infections. It works by stopping bacterial growth and killing protozoa. It is taken orally once daily for 3-7 days as prescribed.

  • Generic Name: Azithromycin + Ornidazole
  • Manufacturer: Systopic Laboratories Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 af kit tablet के बारे में (Hindi Summary)

उपयोग: यह दवा एज़िथ्रोमाइसिन और ओर्निडाज़ोल का संयोजन है, जिसका उपयोग बैक्टीरिया और प्रोटोज़ोआ से होने वाले मिश्रित संक्रमणों के इलाज के लिए किया जाता है। यह बैक्टीरियल वेजिनोसिस, पेल्विक इन्फ्लेमेटरी डिजीज, और कुछ गैस्ट्रोइंटेस्टाइनल संक्रमणों में प्रभावी है। यह दवा केवल डॉक्टर के पर्चे पर ही लेनी चाहिए।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मतली, उल्टी, दस्त, पेट दर्द, मुँह में धातु जैसा स्वाद, सिरदर्द और चक्कर आना शामिल हैं। गंभीर दुष्प्रभावों में एलर्जी, दौरे, लीवर की समस्या और त्वचा पर गंभीर प्रतिक्रियाएँ हो सकती हैं। कोई भी असामान्य लक्षण दिखने पर तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। दवा लेते समय और आखिरी खुराक के 48 घंटे बाद तक शराब न पिएँ। यदि आपको लीवर या किडनी की समस्या, दौरे, या दिल की बीमारी है तो डॉक्टर को बताएं। दवा का पूरा कोर्स पूरा करें। चक्कर आने पर वाहन न चलाएँ।

💡 Did You Know? India has the highest number of USFDA-compliant plants outside the USA.

💊 af kit tablet Uses & Benefits

[{"condition":"Bacterial vaginosis","description":"This medicine is used to treat bacterial vaginosis, a common vaginal infection caused by an overgrowth of bacteria, often involving both aerobic and anaerobic organisms.","evidence":"Well-established"},{"condition":"Pelvic inflammatory disease","description":"It is prescribed for pelvic inflammatory disease, a polymicrobial infection of the upper female reproductive tract, to cover both bacterial and protozoal pathogens.","evidence":"Well-established"},{"condition":"Gastrointestinal infections","description":"This medicine may be used for certain gastrointestinal infections caused by susceptible bacteria and protozoa, such as amoebiasis and giardiasis, when combined therapy is needed.","evidence":"Moderate"},{"condition":"Mixed aerobic-anaerobic infections","description":"It is used in mixed infections where both aerobic bacteria and anaerobic bacteria or protozoa are suspected, due to its broad-spectrum coverage.","evidence":"Moderate"}]

Off-label uses: [{"condition":"Dental infections","description":"Sometimes prescribed off-label for dental abscesses or periodontal infections when a combination of antibiotics is deemed necessary.","evidence":"Limited"},{"condition":"Skin and soft tissue infections","description":"May be used off-label for complicated skin infections where mixed organisms are involved, though not a first-line choice.","evidence":"Limited"}]

Primary treatment for: Mixed bacterial and protozoal infections

Also treats: Bacterial vaginosis, Pelvic inflammatory disease, Amoebiasis, Giardiasis

📋 Drug Information

Generic Name(s)Azithromycin + Ornidazole
Brand NameAF Kit Tablet
ManufacturerSystopic Laboratories Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassGYNAECOLOGICAL
Action ClassAntibiotic + Antiprotozoal
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a cool, dry place away from direct sunlight. Keep in the original packaging.
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
Avoid alcohol completely during and for 48 hours after therapy.
3
Complete the full course even if symptoms improve.
4
Do not use this medicine for viral infections like cold or flu.
5
Inform your doctor if you have liver, kidney, or heart conditions.
6
Report any numbness, tingling, or seizures immediately.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

Vaginal discharge with odor
This medicine is commonly prescribed for bacterial vaginosis.
Likely Use
Pelvic pain and fever
May be used for pelvic inflammatory disease.
Likely Use
Common cold
This medicine is not effective against viral infections.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionAzithromycin is rapidly absorbed from the gastrointestinal tract after oral administration, with a bioavailability of approximately 37%. Ornidazole is also well absorbed orally, with a bioavailability of about 90%.
DistributionAzithromycin distributes widely into body tissues, achieving high concentrations in phagocytes and fibroblasts, with a large volume of distribution. Ornidazole distributes extensively into body fluids and tissues, including cerebrospinal fluid.
Protein BindingAzithromycin is approximately 7-50% protein-bound, depending on concentration. Ornidazole is about 13% protein-bound.
MetabolismAzithromycin undergoes extensive hepatic metabolism, primarily via CYP3A4, to inactive metabolites. Ornidazole is metabolized in the liver by hydroxylation and glucuronidation.
Half-LifeAzithromycin has a terminal elimination half-life of approximately 68 hours. Ornidazole has a half-life of about 12-14 hours.
ExcretionAzithromycin is primarily excreted in bile as unchanged drug and metabolites, with about 6% excreted in urine. Ornidazole is excreted mainly in urine as metabolites and unchanged drug, with a small amount in feces.
BioavailabilityAzithromycin oral bioavailability is about 37%. Ornidazole oral bioavailability is approximately 90%.
Onset of ActionAzithromycin onset of action is within 1-2 hours after oral administration. Ornidazole onset is also within 1-2 hours.
Peak Plasma TimeAzithromycin peak plasma time is 2-3 hours. Ornidazole peak plasma time is 1-3 hours.
Duration of ActionAzithromycin has a prolonged duration due to tissue accumulation, with effects lasting several days after a single dose. Ornidazole duration is approximately 12-24 hours.

How It Works

This medicine combines two active ingredients with distinct mechanisms. Azithromycin, a macrolide antibiotic, binds to the 50S ribosomal subunit of susceptible bacteria, inhibiting protein synthesis and thereby stopping bacterial growth. Ornidazole, a nitroimidazole derivative, enters microbial cells and is reduced to reactive intermediates that damage DNA, leading to cell death. Together, they provide broad-spectrum activity against a range of bacteria and protozoa.

Mechanism Steps

1
Azithromycin binding: Azithromycin binds to the 50S ribosomal subunit of susceptible bacteria, blocking the translocation step of protein synthesis.
2
Inhibition of protein synthesis: This binding prevents the addition of amino acids to the growing peptide chain, halting bacterial protein production and inhibiting growth.
3
Ornidazole uptake: Ornidazole diffuses into microbial cells, where its nitro group is reduced by ferredoxin-like electron transport proteins in anaerobic organisms.
4
DNA damage: The reduced intermediates of Ornidazole bind to DNA, causing strand breakage and inhibiting nucleic acid synthesis, leading to cell death.

💡 How to Take af kit tablet

Strength: Azithromycin 1000 mg + Ornidazole 750 mg immediate-release tablets.

1Take the tablet with a full glass of water.
2Swallow the tablet whole; do not crush or chew.
3Take with food to reduce stomach upset.
4Take at the same time each day to maintain consistent levels.
5Complete the full course as prescribed, even if you feel better.

Dosage Information

Adult DosageThe usual adult dose is one kit (Azithromycin 1000 mg + Ornidazole 750 mg) taken orally once daily for 3 to 7 days, depending on the indication. The exact dose and duration must be individualized by a qualified clinician based on the type and severity of infection, patient's age, weight, renal and hepatic function, and clinical response. Do not self-medicate.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may require dose adjustment based on renal and hepatic function. Use with caution and monitor for side effects.
Renal ImpairmentDose adjustment may be needed in patients with renal impairment. Consult your doctor for individualized dosing.
Hepatic ImpairmentUse with caution in patients with hepatic impairment. Dose adjustment may be necessary. Monitor liver function.
Maximum Daily DoseThe maximum recommended daily dose is one kit (Azithromycin 1000 mg + Ornidazole 750 mg). Do not exceed the prescribed dose.

Dosage Timeline

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

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
Alcohol
Avoid
May cause disulfiram-like reaction.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of af kit tablet

✅ Common Side Effects

Nausea (Common (5-10%))
Take with food to reduce nausea. If persistent, consult your doctor.
Diarrhea (Common (5-10%))
Stay hydrated. Avoid anti-diarrheal medications without consulting your doctor.
Metallic taste (Common (5-10%))
Usually resolves on its own. Chewing sugar-free gum may help.
Headache (Common (5-10%))
Rest and stay hydrated. Consult doctor if severe or persistent.
Dizziness (Common (5-10%))
Avoid driving or operating machinery until you know how it affects you.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Seek immediate medical attention if you experience rash, swelling, or difficulty breathing.
Seizures (Rare (<0.1%))
Stop the medicine and seek emergency care immediately.
Peripheral neuropathy (Rare (<0.1%))
Report numbness, tingling, or weakness to your doctor promptly.
Liver damage (hepatotoxicity) (Rare (<0.1%))
Seek medical attention if you notice yellowing of eyes or skin, dark urine, or severe abdominal pain.
Severe skin reactions (Stevens-Johnson syndrome) (Rare (<0.1%))
Stop the medicine and seek immediate medical care if you develop a rash with blisters or peeling skin.

⚠️ Rare Side Effects

QT prolongation and arrhythmias
Report palpitations, fainting, or irregular heartbeat to your doctor immediately.
Blood dyscrasias
Report unusual bruising or bleeding to your doctor.
Encephalopathy
Seek medical attention if you experience confusion, disorientation, or difficulty speaking.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Major
Ergot alkaloids Major
Disulfiram Major
Antacids Moderate
Cyclosporine Moderate
Digoxin Moderate
Cimetidine Minor
Phenytoin Minor
Alcohol Major
Live vaccines Moderate

🚨 Major Interactions

  • Warfarin
  • Ergot alkaloids
  • Disulfiram

⚡ Moderate Interactions

  • Antacids containing aluminum or magnesium
  • Cyclosporine
  • Digoxin

🍷 Alcohol Interaction

Avoid alcohol consumption while taking this medicine and for at least 48 hours after the last dose. Ornidazole can cause a disulfiram-like reaction with alcohol, leading to severe nausea, vomiting, flushing, headache, and rapid heart rate.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known hypersensitivity to Azithromycin, Ornidazole, or other macrolides/nitroimidazoles","Severe hepatic impairment","History of blood dyscrasias","Concurrent use with ergot alkaloids","First trimester of pregnancy (relative)"]

⚠️ Warnings & Precautions

["Avoid alcohol during and for 48 hours after therapy.","May cause dizziness; avoid driving or operating machinery until you know how it affects you.","Use with caution in patients with seizure disorders.","May prolong QT interval; use with caution in patients with cardiac conditions.","Complete the full course as prescribed to prevent resistance.","Inform your doctor if you have liver or kidney disease.","Not recommended for children unless prescribed by a pediatrician."]

🤱 Lactation Safety

Azithromycin and Ornidazole are excreted in breast milk. Consult your doctor before breastfeeding while taking this medicine.

💊 Overdose Management

Overdose may cause severe nausea, vomiting, diarrhea, and neurological symptoms. Seek immediate medical attention. Treatment is symptomatic and supportive. There is no specific antidote. Gastric lavage may be considered if within 1-2 hours of ingestion. Monitor vital signs and provide supportive care.

⏰ 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 by your doctor. Do not share it with others, even if they have similar symptoms. Avoid alcohol while taking this medicine and for at least 48 hours after the last dose, as it may cause a disulfiram-like reaction with Ornidazole. Inform your doctor if you have liver or kidney problems, heart rhythm disorders, or a history of seizures. Do not drive or operate heavy machinery if you experience dizziness or drowsiness. Complete the full course as prescribed, even if you feel better, to prevent recurrence and resistance. Store in a cool, dry place away from direct sunlight and out of reach of children.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more susceptible to side effects such as dizziness, confusion, and liver or kidney toxicity. Dose adjustment may be needed based on renal and hepatic function. Monitor closely.

🤰 Pregnancy Planning (TTC)

Consult your doctor before planning pregnancy while on this medicine. Both Azithromycin and Ornidazole should be used with caution during pregnancy. Discuss risks and benefits with your healthcare provider.

🏥 Post-Surgery Considerations

Inform your surgeon if you are taking this medicine before surgery. It may interact with anesthetics and other medications. Your doctor may advise stopping it temporarily.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine. It may interact with certain antibiotics or anesthetics used during dental procedures.

💚 Lifestyle Tips for Better Results

🏃
Maintain good hygiene to prevent infections.
🥗
Stay well hydrated.
😴
Avoid alcohol during and after therapy.
💧
Eat a balanced diet to support recovery.
🧘
Get adequate rest.
🌞
Complete the full course as prescribed.

🏋️ Exercise Considerations

Avoid strenuous exercise if you feel dizzy or weak. Light activity is fine if you feel up to it.

🥗 Diet Recommendations

Include probiotics like yogurt to support gut health.
Avoid spicy and oily foods to reduce stomach upset.
Stay well hydrated.

💼 Impact on Daily Work & Life

This medicine may cause dizziness or drowsiness. Avoid driving or operating heavy machinery until you know how it affects you. It is advisable to take it when you can rest if needed.

🛑 When to Stop This Medicine

Do not stop this medicine without consulting your doctor, even if you feel better. Stopping early may 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 increase the risk of liver toxicity, peripheral neuropathy, and blood dyscrasias. It should only be used for the prescribed duration. Regular monitoring of liver and kidney function is advised if prolonged therapy is necessary.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Probiotics

Can help restore healthy gut and vaginal flora during and after antibiotic therapy.

Evidence: Moderate
Good hygiene practices

Helps prevent recurrence of infections.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

Antibiotics may reduce the efficacy of live vaccines. Avoid live vaccines during therapy and for a few days after. Consult your doctor for specific advice.

📦 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 direct sunlight. 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 32-year-old woman with bacterial vaginosis
She was prescribed this medicine for 5 days. She experienced mild nausea initially but it subsided after taking it with food. Her symptoms resolved completely by the end of the course.
💡 Lesson: Taking the medicine with food helps reduce nausea and improves tolerability.
👤 A 45-year-old man with amoebiasis
He was prescribed this medicine for 7 days. He reported a metallic taste and mild dizziness but completed the course. His diarrhea and abdominal cramps resolved.
💡 Lesson: Metallic taste and dizziness are common and usually temporary. Completing the course is essential for cure.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: You may start feeling better within 1-2 days, but complete the full course as prescribed.

Q: Can I take it with food?

A: Yes, take it with food to reduce stomach upset.

Q: What if I miss a dose?

A: Take it as soon as you remember, but if it's almost time for the next dose, skip it and continue your schedule.

🤔 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 af kit tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: AF Kit Tablet can cure any infection.
    Fact: It is only effective against specific susceptible bacteria and protozoa. It should not be used for viral infections like colds or flu.
  • Myth: You can stop taking AF Kit Tablet once you feel better.
    Fact: You must complete the full course as prescribed to prevent recurrence and resistance.
  • Myth: AF Kit Tablet is safe to take with alcohol.
    Fact: Alcohol must be avoided as it can cause a severe disulfiram-like reaction.

🔄 Alternative Options

Generic Alternatives

  • Azithromycin 1000 mg + Ornidazole 750 mg tablets (various manufacturers)

Brand Alternatives

  • AF Kit Tablet (Systopic Laboratories Pvt Ltd)

📊 Comparison with Similar Medicines

[{"medicine":"AF Kit Tablet","composition":"Azithromycin 1000 mg + Ornidazole 750 mg","uses":"Mixed infections","notes":"Combination therapy"},{"medicine":"Azithromycin alone","composition":"Azithromycin 1000 mg","uses":"Bacterial infections","notes":"No protozoal coverage"},{"medicine":"Ornidazole alone","composition":"Ornidazole 750 mg","uses":"Protozoal and anaerobic infections","notes":"No aerobic coverage"}]

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