Alcan 150mg/200mg Tablet: Complete Medicine Guide
When to Call Your Doctor IMMEDIATELY
- Difficulty breathing or swelling of the face, lips, or throat
- Severe skin rash with blisters or peeling
- Yellowing of the eyes or skin
- Severe abdominal pain or bloody diarrhea
- Irregular heartbeat or fainting
- Decreased urine output or swelling in the legs
- Unusual bleeding or bruising
- Persistent high fever despite taking the medicine
If experiencing severe symptoms, call emergency services immediately.
What is alcan 150mg/200mg tablet used for?
This medicine is a prescription combination of fluconazole 150 mg and cefixime 200 mg used to treat mixed bacterial and fungal infections. It works by killing fungi and bacteria. Take it exactly as prescribed, usually with food, and complete the full course.
- Generic Name: Fluconazole + Cefixime
- Manufacturer: Allpa India Medicines Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 alcan 150mg/200mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा फ्लुकोनाज़ोल 150 मिलीग्राम और सेफिक्सिम 200 मिलीग्राम का संयोजन है। इसका उपयोग बैक्टीरिया और फंगस दोनों के कारण होने वाले मिश्रित संक्रमणों के इलाज के लिए किया जाता है। यह आमतौर पर जननांग संक्रमण, मूत्र मार्ग संक्रमण और त्वचा संक्रमण में दी जाती है। यह दवा डॉक्टर के पर्चे के बिना नहीं लेनी चाहिए।
साइड इफेक्ट्स: आम दुष्प्रभावों में जी मिचलाना, पेट दर्द, दस्त, सिरदर्द और हल्के दाने शामिल हैं। कुछ लोगों को चक्कर आना या स्वाद में बदलाव महसूस हो सकता है। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन अगर सांस लेने में कठिनाई, चेहरे या गले में सूजन, या त्वचा पर गंभीर दाने हों तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। इसे दूसरों के साथ साझा न करें। अपने डॉक्टर को अन्य सभी दवाओं के बारे में बताएं, खासकर खून पतला करने वाली दवाएं, मधुमेह की दवाएं और एंटासिड। इलाज के दौरान शराब न पिएं। पूरा कोर्स पूरा करें, चाहे आप बेहतर महसूस करें।
💊 alcan 150mg/200mg tablet Uses & Benefits
[{"condition":"Mixed bacterial and fungal genital infections","description":"Used when a clinician identifies both susceptible bacteria and fungi, such as in complicated vulvovaginitis or balanitis.","evidence":"Limited"},{"condition":"Complicated urinary tract infections with fungal involvement","description":"May be prescribed when urine culture shows both bacteria and yeast, but only under specialist guidance.","evidence":"Limited"},{"condition":"Skin and soft tissue infections with suspected mixed organisms","description":"Rarely used for mixed skin infections when both bacterial and fungal causes are suspected.","evidence":"Limited"}]
Off-label uses: [{"condition":"Prophylaxis in immunocompromised patients","description":"Sometimes considered for preventing mixed infections in very specific high-risk patients, but not standard.","evidence":"Limited"}]
Primary treatment for: Mixed bacterial and fungal infections
Also treats: Complicated urinary tract infections, Genital infections, Skin infections
📋 Drug Information
| Generic Name(s) | Fluconazole + Cefixime |
| Brand Name | Alcan 150mg/200mg Tablet |
| Manufacturer | Allpa India Medicines Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | ANTI INFECTIVES |
| Action Class | Antifungal + Antibiotic |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C. Keep away from direct sunlight and moisture. Keep in the original container. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ 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 combines two active ingredients with separate mechanisms. Fluconazole inhibits the fungal cytochrome P450 enzyme 14-alpha-demethylase, blocking the conversion of lanosterol to ergosterol, which weakens the fungal cell membrane. Cefixime binds to penicillin-binding proteins and inhibits bacterial cell wall synthesis, leading to bacterial death. Together they target both fungal and bacterial components of a mixed infection.
Mechanism Steps
💡 How to Take alcan 150mg/200mg tablet
Strength: Tablet containing fluconazole 150 mg and cefixime 200 mg.
Dosage Information
| Adult Dosage | The usual adult dose is one tablet taken orally once or twice daily, depending on the infection being treated. The exact dose and duration must be individualized by a qualified clinician based on the indication, severity of infection, age, weight, kidney function, and liver function. Do not self-adjust the dose. Always follow your doctor's prescription. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may need dose adjustment based on kidney function. Fluconazole is excreted by the kidneys, and kidney function declines with age. Cefixime dose may also need adjustment. Consult your doctor for appropriate dosing. |
| Renal Impairment | Dose adjustment is required in patients with kidney disease. Fluconazole dose should be reduced based on creatinine clearance. Cefixime dose may also need adjustment. Consult your doctor for personalized dosing. |
| Hepatic Impairment | Use with caution in patients with liver disease. Fluconazole and cefixime may rarely affect the liver. Dose adjustment may be needed. Consult your doctor for personalized dosing. |
| Maximum Daily Dose | The maximum daily dose should not exceed the prescribed amount. For fluconazole, the maximum adult dose is usually 400 mg per day for most indications, but higher doses may be used in specific serious infections under specialist care. For cefixime, the maximum adult dose is usually 400 mg per day. Do not exceed the prescribed dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of alcan 150mg/200mg tablet
✅ 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 | |
| Oral hypoglycemics | Major | |
| QT-prolonging drugs | Major | |
| Rifampicin | Major | |
| Tacrolimus | Major | |
| Phenytoin | Moderate | |
| Cyclosporine | Moderate | |
| Theophylline | Moderate | |
| Zidovudine | Moderate | |
| Antacids | Moderate |
🚨 Major Interactions
- Warfarin
- Oral hypoglycemics (sulfonylureas)
- QT-prolonging drugs (e.g., amiodarone, sotalol)
- Rifampicin
- Tacrolimus
⚡ Moderate Interactions
- Phenytoin
- Cyclosporine
- Theophylline
- Zidovudine
- Antacids
🍷 Alcohol Interaction
Avoid alcohol while taking this medicine. Alcohol can increase the risk of liver problems and may worsen side effects such as nausea and dizziness. It can also interfere with your body's ability to fight infection.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known allergy to fluconazole, other azole antifungals, cefixime, or other cephalosporins","Severe liver disease","Severe kidney disease (dose adjustment needed, may be contraindicated)","History of severe allergic reaction to penicillins (cross-reactivity possible)","Use with caution in patients with QT prolongation or taking QT-prolonging drugs","Pregnancy (especially high doses of fluconazole)"]
⚠️ Warnings & Precautions
["Do not use for viral infections like common cold or flu.","Complete the full course as prescribed even if you feel better.","Inform your doctor if you have liver or kidney disease.","Avoid alcohol during treatment.","Use effective contraception while taking this medicine.","Report any signs of allergic reaction immediately.","Do not share this medicine with others.","Take with food to reduce stomach upset.","If you develop severe diarrhea, consult your doctor before taking anti-diarrheal medicines.","Inform your doctor if you are taking blood thinners, diabetes medicines, or antacids."]
🤱 Lactation Safety
Fluconazole passes into breast milk in small amounts. Cefixime also passes into breast milk. Consult your doctor before breastfeeding while taking this medicine.
💊 Overdose Management
If you suspect an overdose, seek emergency medical attention immediately. Symptoms of overdose may include severe nausea, vomiting, stomach pain, dizziness, and fainting. Treatment is supportive and symptomatic. There is no specific antidote. Fluconazole can be removed by hemodialysis. Cefixime is not significantly removed by dialysis.
⏰ 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 two doses at the same time to make up for a missed dose.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not share it with others. Inform your doctor about all other medicines, especially blood thinners, diabetes medicines, and antacids. Avoid alcohol during treatment. Use effective contraception while taking this medicine. Complete the full course even if you feel better. Do not stop suddenly without medical advice.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more sensitive to the side effects of this medicine, especially dizziness and kidney problems. Kidney function declines with age, so dose adjustment may be needed. Monitor liver and kidney function regularly. Consult your doctor for appropriate dosing.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before taking this medicine. Fluconazole may be harmful to the developing fetus, especially at high doses. Use effective contraception while taking this medicine. Discuss alternative treatments with your doctor if you are trying to conceive.
🏥 Post-Surgery Considerations
If you have recently had surgery, inform your surgeon and doctor before taking this medicine. It may interact with other medicines used during surgery. Your doctor will assess whether it is safe to take this medicine after surgery.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine before any dental procedure. It may interact with antibiotics or other medicines used during dental work. Your dentist may advise you to continue or temporarily stop the medicine based on your condition.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
This medicine may cause dizziness in some people. Avoid heavy exercise or operating machinery if you feel dizzy. Mild to moderate exercise is generally safe. Stay hydrated during exercise.
🥗 Diet Recommendations
💼 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. Most people can continue their normal daily activities. Take the medicine with food to reduce stomach upset. Inform your employer if you need to take it during work hours.
🛑 When to Stop This Medicine
Do not stop taking this medicine without consulting your doctor. Complete the full prescribed course even if you feel better. If you experience severe side effects such as allergic reactions, severe diarrhea, or yellowing of the eyes, stop the medicine and seek medical attention immediately. Your doctor will advise you on when it is safe to stop.
📅 Long-Term Use Effects
Long-term use of this medicine may increase the risk of liver and kidney problems, fungal resistance, and vitamin deficiencies. It should only be used for the prescribed duration. If long-term therapy is needed, your doctor will monitor your liver and kidney function regularly. Do not self-medicate for extended periods.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
For localized skin or genital infections, topical treatments may be used instead of oral medicines.
Evidence: Well-establishedMay help restore healthy bacteria and prevent fungal overgrowth, especially after antibiotic use.
Evidence: LimitedKeeping the affected area clean and dry can help prevent and manage infections.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
This medicine does not interact with most vaccines. However, if you are scheduled for a live vaccine, inform your doctor as antibiotics may affect the vaccine's effectiveness. There is no specific contraindication for vaccines with this medicine.
📦 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
Keep out of reach of children
❌ DON'T
Do not use after expiry date
✈️ Traveling with This Medicine
When traveling, carry this medicine in its original packaging with a copy of your prescription. Keep it in your hand luggage to avoid temperature extremes. Store at room temperature and protect from direct sunlight. If crossing time zones, continue your regular dosing schedule as prescribed. Check local customs regulations for carrying prescription medicines. Carry enough supply for your entire trip.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: You may start feeling better within 2 to 3 days, but it may take longer depending on the infection. Complete the full course as prescribed.
A: Yes, taking it with food is recommended to 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 dose.
A: No, you should avoid alcohol as it can increase the risk of liver problems and worsen side effects.
A: Consult your doctor before taking this medicine during pregnancy. Fluconazole may be harmful to the fetus, especially at high doses.
🤔 Common Patient Concerns
🛑 Myths vs. Facts
- Myth: This medicine can cure any infection.
Fact: This medicine only treats specific bacterial and fungal infections. It does not work for viral infections like colds or flu. - Myth: I can stop taking it once I feel better.
Fact: You must complete the full course to prevent the infection from returning and to avoid resistance. - Myth: It is safe to take with alcohol.
Fact: Alcohol should be avoided as it can increase the risk of liver problems and worsen side effects. - Myth: This medicine is safe for everyone.
Fact: It is not safe for people with certain allergies, liver disease, kidney disease, or during pregnancy without medical advice.
🔄 Alternative Options
Generic Alternatives
- Fluconazole 150 mg + Cefixime 200 mg tablet
Brand Alternatives
- Alcan 150mg/200mg tablet