Alcef LB 100 Tablet: A Comprehensive 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, persistent diarrhea or bloody stools
- Rash, itching, or swelling of the face, lips, or throat
- Difficulty breathing or swallowing
- Yellowing of the skin or eyes
- Decreased urine output or swelling in the legs
- Unusual bleeding or bruising
- Seizures
If experiencing severe symptoms, call emergency services immediately.
What is alcef lb 100 tablet used for?
This medicine is a combination antibiotic and probiotic used to treat bacterial infections such as urinary tract infections, respiratory tract infections, and gonorrhea. It works by killing bacteria and helping maintain gut health.
- Generic Name: Cefixime (100mg) + Lactobacillus (2.5Million Spores)
- Manufacturer: Southshourne Corporation India
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 alcef lb 100 tablet के बारे में (Hindi Summary)
उपयोग: यह दवा सेफिक्सिम और लैक्टोबैसिलस का संयोजन है, जिसका उपयोग बैक्टीरियल संक्रमणों जैसे मूत्र मार्ग संक्रमण, श्वसन तंत्र संक्रमण और गोनोरिया के इलाज के लिए किया जाता है। यह बैक्टीरिया को मारकर संक्रमण को रोकती है और आंतों में अच्छे बैक्टीरिया को बनाए रखने में मदद करती है।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में दस्त, जी मिचलाना, पेट दर्द और सिरदर्द शामिल हैं। ये आमतौर पर हल्के और अस्थायी होते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन यदि आपको गंभीर दस्त, एलर्जी, या त्वचा पर चकत्ते दिखाई दें तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। पूरा कोर्स पूरा करें, भले ही आप बेहतर महसूस करें। इसे भोजन के साथ लेने से पेट की परेशानी कम हो सकती है। एंटासिड या आयरन सप्लीमेंट के साथ इस दवा को न लें, कम से कम 2 घंटे का अंतराल रखें। यदि आप गर्भवती हैं या स्तनपान करा रही हैं, तो डॉक्टर को बताएं।
💊 alcef lb 100 tablet Uses & Benefits
[{"condition":"Uncomplicated urinary tract infections","description":"This medicine is used to treat bacterial infections of the urinary tract caused by susceptible organisms such as Escherichia coli and Klebsiella pneumoniae.","evidence":"Well-established"},{"condition":"Respiratory tract infections","description":"It is effective against bacterial bronchitis, pharyngitis, and tonsillitis caused by susceptible strains of Streptococcus pneumoniae and Haemophilus influenzae.","evidence":"Well-established"},{"condition":"Uncomplicated gonorrhea","description":"This medicine is indicated for the treatment of uncomplicated urethral, cervical, or rectal gonorrhea caused by Neisseria gonorrhoeae.","evidence":"Well-established"},{"condition":"Otitis media","description":"It may be used to treat middle ear infections in children caused by susceptible bacteria, though other antibiotics are often preferred.","evidence":"Moderate"}]
Off-label uses: [{"condition":"Traveler's diarrhea","description":"Sometimes prescribed off-label for severe traveler's diarrhea caused by susceptible bacteria, but not routinely recommended.","evidence":"Limited"},{"condition":"Prophylaxis in dental procedures","description":"Rarely used off-label for prevention of infective endocarditis in high-risk patients undergoing dental procedures, but not a standard recommendation.","evidence":"Limited"}]
Primary treatment for: Bacterial infections
Also treats: Urinary tract infections, Respiratory tract infections, Gonorrhea, Otitis media
📋 Drug Information
| Generic Name(s) | Cefixime (100mg) + Lactobacillus (2.5Million Spores) |
| Brand Name | alcef lb 100 tablet |
| Manufacturer | Southshourne Corporation India |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | ANTI INFECTIVES |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C (59°F to 86°F). Protect from moisture and light. Keep out of reach of children. |
| 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
Cefixime, the antibiotic component of this medicine, works by binding to specific penicillin-binding proteins (PBPs) located inside the bacterial cell wall. This binding inhibits the final transpeptidation step of peptidoglycan synthesis, which is essential for the structural integrity of the bacterial cell wall. As a result, the bacterial cell wall becomes weakened and the cell undergoes lysis and death. Lactobacillus, the probiotic component, helps to restore and maintain the natural balance of beneficial bacteria in the gastrointestinal tract, which can be disrupted by antibiotic therapy. This combination aims to treat the infection while reducing the risk of antibiotic-associated diarrhea.
Mechanism Steps
💡 How to Take alcef lb 100 tablet
Strength: Cefixime 100 mg + Lactobacillus 2.5 million spores immediate-release tablet
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is 200 mg to 400 mg per day, taken as a single dose or in two divided doses, depending on the type and severity of the infection. For uncomplicated urinary tract infections, a common dose is 200 mg twice daily or 400 mg once daily. For uncomplicated gonorrhea, a single 400 mg dose is often used. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may have reduced renal function and may require dose adjustment. Dose must be individualized by a qualified clinician based on renal function. |
| Renal Impairment | In patients with renal impairment, dose adjustment is required. For creatinine clearance (CrCl) 20-40 mL/min, the dose should be reduced to 200 mg once daily. For CrCl less than 20 mL/min, the dose should be reduced to 200 mg every 48 hours or as directed by a physician. Dose must be individualized by a qualified clinician. |
| Hepatic Impairment | No specific dose adjustment is recommended for patients with hepatic impairment, but caution is advised. Dose must be individualized by a qualified clinician. |
| Maximum Daily Dose | The maximum recommended daily dose is 400 mg. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of alcef lb 100 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 | |
| Carbamazepine | Major | |
| Antacids | Moderate | |
| Iron supplements | Moderate | |
| Probenecid | Moderate | |
| Oral contraceptives | Minor | |
| Loop diuretics | Minor |
🚨 Major Interactions
- Warfarin
- Carbamazepine
⚡ Moderate Interactions
- Antacids (aluminum or magnesium hydroxide)
- Iron supplements
- Probenecid
🍷 Alcohol Interaction
Alcohol does not directly interact with cefixime, but it may worsen gastrointestinal side effects such as nausea and abdominal pain. 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 allergy to cefixime or other cephalosporin antibiotics","History of severe allergic reaction to penicillin","Porphyria","Severe renal impairment without dose adjustment"]
⚠️ Warnings & Precautions
["Serious allergic reactions, including anaphylaxis, can occur. Discontinue and seek immediate medical help if signs occur.","Clostridioides difficile-associated diarrhea can occur. Report severe or persistent diarrhea.","Use with caution in patients with a history of gastrointestinal disease, especially colitis.","Dose adjustment is required in patients with renal impairment.","Prolonged use may lead to overgrowth of non-susceptible organisms.","May cause dizziness; avoid driving or operating machinery until you know how it affects you."]
🤱 Lactation Safety
Cefixime is excreted in human breast milk in low concentrations. It is generally considered safe during breastfeeding, but consult your doctor to weigh the benefits and risks. Monitor the infant for diarrhea or thrush.
💊 Overdose Management
Overdose of this medicine may cause nausea, vomiting, abdominal pain, and diarrhea. There is no specific antidote. Treatment is symptomatic and supportive. In case of overdose, contact a poison control center or emergency room immediately.
⏰ 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
Take this medicine exactly as prescribed by your doctor. Do not skip doses or stop the course early, even if you feel better. Take the tablet with a full glass of water, preferably with food to reduce stomach upset. Avoid taking antacids or iron supplements within two hours of this medicine, as they can reduce its absorption. Inform your doctor if you have kidney problems, a history of gastrointestinal disease, or if you are pregnant or breastfeeding. Do not share this medicine with others, even if they have similar symptoms.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may have reduced renal function and may require dose adjustment. Monitor renal function closely.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before taking this medicine. It is generally considered safe but should be used only if clearly needed.
🏥 Post-Surgery Considerations
This medicine may be prescribed to prevent or treat surgical site infections. Follow your surgeon's instructions carefully.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine. It may interact with other medications used during dental procedures.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
This medicine may cause dizziness in some people. Avoid strenuous exercise or driving if you feel dizzy. Otherwise, light to moderate exercise is generally safe.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or headache in some individuals. If affected, avoid driving or operating heavy machinery until you know how it affects you. Otherwise, it should not significantly impact your daily activities.
🛑 When to Stop This Medicine
Do not stop taking this medicine without consulting your doctor, even if you feel better. Complete the full prescribed course. If you experience severe side effects, contact your doctor immediately for advice.
📅 Long-Term Use Effects
Long-term use of this medicine is not recommended unless prescribed for a specific chronic infection. Prolonged use may lead to antibiotic resistance and superinfection. Regular monitoring of renal and hepatic function may be required if used for extended periods.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Can help maintain gut health during antibiotic therapy.
Evidence: Well-establishedHelps flush out bacteria in urinary tract infections.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
This medicine may reduce the effectiveness of live bacterial vaccines like the typhoid vaccine. Consult your doctor for timing of vaccinations.
📦 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
When traveling, carry this medicine in its original packaging along with a copy of your prescription. Store it at room temperature and protect it from extreme heat or moisture. If crossing time zones, adjust your dosing schedule gradually, but consult your doctor for specific advice. 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 2 to 3 days, but it is important to 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: It is classified as Pregnancy Category B. Consult your doctor before taking it if you are pregnant or planning to become pregnant.
A: It is advisable to avoid alcohol as it may worsen side effects like nausea and abdominal pain.
🤔 Common Patient Concerns
🛑 Myths vs. Facts
- Myth: Antibiotics can cure viral infections like the common cold.
Fact: This medicine is effective only against bacterial infections. It does not treat viral infections. - Myth: You can stop taking antibiotics once you feel better.
Fact: You must complete the full prescribed course to prevent the infection from returning and to avoid antibiotic resistance. - Myth: Probiotics in antibiotics are unnecessary.
Fact: The lactobacillus in this medicine helps restore beneficial gut bacteria and may reduce antibiotic-associated diarrhea.
🔄 Alternative Options
Generic Alternatives
- Cefixime 100 mg + Lactobacillus 2.5 million spores tablet
Brand Alternatives
- Alcef LB 100 Tablet