Alcef LB 200 Tablet: Comprehensive 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 watery diarrhea or diarrhea with fever and abdominal cramps
- Swelling of the face, lips, tongue, or throat
- Difficulty breathing or wheezing
- Widespread rash, blistering, or peeling of the skin
- Unusual bleeding or bruising
- Decreased urine output or swelling in the legs
- Yellowing of the skin or eyes
- Seizures
If experiencing severe symptoms, call emergency services immediately.
What is alcef lb 200 tablet used for?
This medicine is a combination of cefixime, an antibiotic, and lactobacillus, a probiotic. It is used to treat bacterial infections such as respiratory tract infections, urinary tract infections, and ear infections. The antibiotic kills bacteria, while the probiotic helps protect gut health.
- Generic Name: Cefixime + Lactobacillus
- Manufacturer: Southshourne Corporation India
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 alcef lb 200 tablet के बारे में (Hindi Summary)
उपयोग: यह दवा सेफिक्सिम और लैक्टोबैसिलस का संयोजन है। यह बैक्टीरियल संक्रमण जैसे श्वसन तंत्र संक्रमण, मूत्र मार्ग संक्रमण और कान के संक्रमण के इलाज के लिए इस्तेमाल की जाती है। सेफिक्सिम बैक्टीरिया को मारता है और लैक्टोबैसिलस पेट के अच्छे बैक्टीरिया की रक्षा करता है।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में दस्त, जी मिचलाना, पेट दर्द और सिरदर्द शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन एलर्जी, गंभीर दस्त या त्वचा पर चकत्ते हो सकते हैं। अगर कोई गंभीर लक्षण दिखे 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। दवा को भोजन के साथ या बिना भोजन के ले सकते हैं। एंटासिड या आयरन सप्लीमेंट के साथ लेने से बचें। यदि आपको गंभीर दस्त, चकत्ते या सांस लेने में कठिनाई हो तो तुरंत डॉक्टर से मिलें।
💊 alcef lb 200 tablet Uses & Benefits
[{"condition":"Respiratory tract infections","description":"Used to treat bacterial bronchitis, pharyngitis, and tonsillitis caused by susceptible organisms.","evidence":"Well-established"},{"condition":"Urinary tract infections","description":"Effective against uncomplicated urinary tract infections caused by susceptible bacteria such as Escherichia coli and Klebsiella species.","evidence":"Well-established"},{"condition":"Ear infections","description":"Prescribed for acute otitis media caused by susceptible bacteria like Haemophilus influenzae and Moraxella catarrhalis.","evidence":"Well-established"},{"condition":"Gonorrhea","description":"Used as a single-dose treatment for uncomplicated gonorrhea caused by Neisseria gonorrhoeae.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Traveler's diarrhea","description":"Sometimes prescribed off-label for severe traveler's diarrhea caused by susceptible bacteria.","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: Respiratory tract infections, Urinary tract infections, Ear infections, Gonorrhea
📋 Drug Information
| Generic Name(s) | Cefixime + Lactobacillus |
| Brand Name | Afix 200mg Tablet |
| Manufacturer | Southshourne Corporation India |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | ANTI INFECTIVES |
| Action Class | Third-generation cephalosporin antibiotic + Probiotic |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C (59°F to 86°F). Protect from moisture and direct sunlight. 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
Cefixime, the antibiotic component of this medicine, works by binding to specific penicillin-binding proteins inside the bacterial cell wall. This binding inhibits the final step of peptidoglycan synthesis, which is essential for the strength and structure of the bacterial cell wall. As a result, the bacterial cell wall becomes weak and the bacterium eventually dies. Cefixime is bactericidal, meaning it kills bacteria directly. The lactobacillus component is a probiotic that helps maintain the natural balance of beneficial bacteria in the intestines, which can be disrupted by antibiotic therapy. Lactobacillus does not have antibacterial action against the infection itself but supports gut health during treatment.
Mechanism Steps
💡 How to Take alcef lb 200 tablet
Strength: Each tablet contains Cefixime 200 mg and Lactobacillus 2.5 million spores.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is 200 mg to 400 mg per day, taken as a single daily dose or divided into two doses every 12 hours, 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 respiratory tract infections, 200 mg twice daily is often 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 exactly. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician for appropriate dosing in children. |
| Elderly Dosage | Elderly patients may have reduced kidney function, which can affect the elimination of cefixime. Dose adjustment may be necessary based on renal function. Consult your doctor for personalized dosing. |
| Renal Impairment | In patients with renal impairment, the dose of cefixime may need to be reduced. For creatinine clearance between 20 and 40 mL/min, a dose of 200 mg once daily is often recommended. For creatinine clearance less than 20 mL/min, a dose of 200 mg every 48 hours or as directed by a doctor. Always consult a healthcare provider for dose adjustment. |
| Hepatic Impairment | No specific dose adjustment is required for hepatic impairment, as cefixime is not significantly metabolized by the liver. However, caution is advised in patients with both hepatic and renal impairment. |
| Maximum Daily Dose | The maximum recommended daily dose of cefixime is 400 mg. Do not exceed this dose unless directed by a doctor. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of alcef lb 200 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 | |
| Live bacterial vaccines | Minor |
🚨 Major Interactions
- Warfarin
- Carbamazepine
⚡ Moderate Interactions
- Antacids (aluminum or magnesium hydroxide)
- Iron supplements
- Probenecid
🍷 Alcohol Interaction
Alcohol does not directly interact with cefixime or lactobacillus, but drinking alcohol while you have an infection may worsen dehydration and slow recovery. It is best to avoid alcohol until you have completed the course and feel better.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known allergy to cefixime, other cephalosporins, or any component of the formulation","History of severe allergic reaction to penicillin","Severe renal impairment without dose adjustment","Use in patients with a history of Clostridioides difficile-associated diarrhea"]
⚠️ Warnings & Precautions
["Use with caution in patients with penicillin allergy due to potential cross-reactivity.","May cause Clostridioides difficile-associated diarrhea; if severe diarrhea occurs, stop the medicine and consult a doctor.","Dose adjustment may be needed in patients with kidney disease.","May reduce the effectiveness of oral contraceptives; use backup contraception.","Do not use for viral infections as it is ineffective and may promote resistance.","Complete the full course as prescribed even if symptoms improve."]
🤱 Lactation Safety
Cefixime is excreted in small amounts in breast milk and is generally considered safe for breastfeeding mothers. Lactobacillus is also considered safe. However, monitor the infant for diarrhea or thrush. Consult your doctor before use.
💊 Overdose Management
Overdose of this medicine may cause nausea, vomiting, stomach pain, and diarrhea. In severe cases, it may lead to seizures, especially in patients with kidney disease. If you suspect an overdose, seek emergency medical attention immediately. Treatment is supportive and symptomatic. Hemodialysis may be considered in severe cases but is not routinely recommended.
⏰ 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 once to make up for a missed dose.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not skip doses or stop early, even if you feel better, because incomplete treatment can allow bacteria to become resistant. Take the tablet with a full glass of water, with or without food, but taking it with food may reduce stomach upset. Avoid taking antacids or iron supplements within two hours of this medicine, as they can reduce its absorption. If you are using other antibiotics or medications, inform your doctor. Do not share this medicine with others. If you miss a dose, take it as soon as you remember, but if it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose. Store this medicine at room temperature, away from moisture and direct sunlight. Keep out of reach of children. If you experience severe diarrhea, rash, or difficulty breathing, seek medical help immediately.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may have reduced kidney function, which can affect the elimination of cefixime. Dose adjustment may be necessary. They should also be monitored for signs of allergic reactions and diarrhea.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before taking this medicine. Cefixime is generally considered safe during pregnancy, but the decision should be made 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 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 other medications or affect the procedure. Your dentist may recommend postponing non-urgent dental work until you complete the course.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
You can continue light to moderate exercise if you feel up to it, but avoid strenuous activities if you have fever, fatigue, or dizziness. Listen to your body and rest when needed.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or headache in some people. If you experience these side effects, avoid driving or operating heavy machinery until you feel better. Most people can continue their normal daily activities while taking this medicine.
🛑 When to Stop This Medicine
Do not stop taking this medicine before completing the full prescribed course, even if you feel better. If you experience severe side effects such as severe diarrhea, rash, or difficulty breathing, stop the medicine and seek immediate medical attention. Always consult your doctor before stopping.
📅 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 an imbalance in gut flora. If you need to take it for more than 2 weeks, your doctor should monitor your kidney and liver function. Always follow your doctor's advice regarding the duration of treatment.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Can help maintain gut health during antibiotic treatment, but should be taken at least 2 hours apart from the antibiotic.
Evidence: Well-establishedHelps flush out bacteria from the urinary tract and supports recovery.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
Antibiotics like cefixime may reduce the effectiveness of live bacterial vaccines. Complete the antibiotic course before receiving live vaccines, or consult your doctor for timing.
📦 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 with a copy of your prescription. Keep it in your carry-on luggage to avoid temperature extremes. Store at room temperature and protect from moisture. If crossing time zones, adjust your dosing schedule gradually, but consult your doctor for specific advice. Check local customs regulations regarding prescription medicines before you travel.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: You may start feeling better within 24 to 48 hours, 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: 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: Cefixime is generally considered safe during pregnancy when prescribed by a doctor. Consult your doctor before taking any medicine during pregnancy.
A: It is best to avoid alcohol until you complete the course and feel better, as alcohol may worsen dehydration and slow recovery.
🤔 Common Patient Concerns
🔄 Substitutes for alcef lb 200 tablet
View AllAlternative brands with exact same active ingredient:
-
saffy lb 200mg tablet dtMandevis Pharma ₹115.73 38.3% CHEAPER
-
junofix 200mg tabletZynovia Lifecare ₹121.88 35% CHEAPER
-
nevcef 200 lb tabletNivia Lifescience ₹121.88 35% CHEAPER
-
cefvax-lb tabletVaxova Drugs Pvt Ltd ₹125.00 33.3% CHEAPER
-
mintocef lb 200mg tabletMint Life Sciences Pvt Ltd ₹126.56 32.5% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can cure viral infections like the common cold.
Fact: This medicine is an antibiotic and is only effective against bacterial infections. It does not work for viral infections. - Myth: You can stop taking this medicine as soon as you feel better.
Fact: You must complete the full prescribed course to ensure all bacteria are killed and to prevent resistance. - Myth: This medicine is safe to take without a prescription.
Fact: This is a prescription medicine. It should only be taken under a doctor's supervision.
🔄 Alternative Options
Generic Alternatives
- Cefixime 200 mg + Lactobacillus 2.5 million spores tablet