alcef lb 200 tablet - Cefixime (200mg) + Lactobacillus (2.5Million spores) medicine

Alcef LB 200 Tablet - Uses, Price, Side Effects

4.9 (9 reviews)
๐Ÿญ Southshourne Corporation India ๐Ÿ“ฆ Varies by brand ๐Ÿ’Š Allopathy ๐Ÿ“… Updated: Aug 23, 2026
๐Ÿ“‹ Prescription Required ๐Ÿ’Š Generic Available
Medically Reviewed
SaathiMed Expert Panel | Aug 23, 2026

What is alcef lb 200 tablet used for?

Alcef LB 200 Tablet is a combination medicine used to treat bacterial infections. It contains Cefixime, an antibiotic that stops bacterial growth, and Lactobacillus, a probiotic that helps maintain gut health and prevent diarrhea caused by antibiotics. It is effective for respiratory, urinary, and gastrointestinal infections.

  • Generic Name: Cefixime + Lactobacillus
  • Manufacturer: Southshourne Corporation India
  • Form: Allopathy
  • Pregnancy Category: A
  • Prescription Required: Yes
๐Ÿ’ก Did You Know? The Indian pharmaceutical market is expected to reach $130 billion by 2030.

๐Ÿ’Š alcef lb 200 tablet Uses & Benefits

Upper respiratory tract infections, lower respiratory tract infections, urinary tract infections, otitis media, gonorrhea, typhoid fever.

Off-label uses: Prophylaxis in surgery, Lyme disease, Shigellosis

๐Ÿ“‹ Drug Information

Generic Name(s)Cefixime + Lactobacillus
Brand NameAfix 200mg Tablet
ManufacturerSouthshourne Corporation India
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassANTI INFECTIVES
Action ClassThird-generation cephalosporin antibiotic + Probiotic
Route of AdministrationOral
StorageStore at 20-25ยฐC (68-77ยฐF); protect from light and moisture.
Shelf LifeAs per manufacturer

๐Ÿ”ฌ Pharmacology (PK/PD)

Pharmacokinetics

AbsorptionCefixime is well absorbed orally; food does not affect absorption. Lactobacillus is not absorbed.
DistributionCefixime distributes widely into tissues and fluids; crosses placenta; minimal CSF penetration. Lactobacillus remains in GI tract.
Protein BindingCefixime: ~65% bound to plasma proteins. Lactobacillus: not applicable.
MetabolismCefixime: minimal hepatic metabolism. Lactobacillus: not metabolized.
Half-LifeCefixime: 3-4 hours (prolonged in renal impairment). Lactobacillus: not applicable.
ExcretionCefixime: primarily renal (50-60% unchanged). Lactobacillus: excreted in feces.
BioavailabilityCefixime: ~40-50% oral bioavailability. Lactobacillus: not applicable.
Onset of ActionCefixime: 1-2 hours. Lactobacillus: not applicable.
Peak Plasma TimeCefixime: 2-6 hours. Lactobacillus: not applicable.
Duration of ActionCefixime: 12-24 hours. Lactobacillus: not applicable.

How It Works

Cefixime inhibits bacterial cell wall synthesis by binding to penicillin-binding proteins (PBPs). Lactobacillus restores gut flora.

Mechanism Steps

1Cefixime binds to penicillin-binding proteins (PBPs) on bacterial cell wall.
2Inhibits transpeptidase enzymes, preventing cross-linking of peptidoglycan.
3Activates autolytic enzymes, leading to cell lysis and death.

๐Ÿ’ก How to Take alcef lb 200 tablet

Follow your doctor's prescription exactly.

Dosage Timeline

๐ŸŒ… Morning โœ… โ˜€๏ธ Afternoon โŒ ๐ŸŒ† Evening โœ… ๐ŸŒ™ Night โŒ

โš ๏ธ Side Effects of alcef lb 200 tablet

โœ… Common Side Effects

  • Diarrhea
  • Nausea
  • Vomiting
  • Abdominal pain
  • Headache
  • Dizziness
  • Rash

๐Ÿšจ Serious Side Effects

  • Pseudomembranous colitis
  • Severe allergic reactions (anaphylaxis)
  • Stevens-Johnson syndrome
  • Seizures
  • Hemolytic anemia

โš ๏ธ Rare Side Effects

  • Hepatitis
  • Interstitial nephritis
  • Thrombocytopenia
  • Agranulocytosis

Consult your doctor if you experience any unusual symptoms.

๐Ÿ”ฌ Drug Interactions

โš ๏ธ DrugSeverityEffect
Warfarin Major Increased bleeding risk
Alcohol Moderate May reduce effectiveness of Lactobacillus
Antacids Moderate May decrease absorption of Cefixime

๐Ÿšจ Major Interactions

  • Warfarin
  • Probenecid
  • Live typhoid vaccine

โšก Moderate Interactions

  • BCG vaccine
  • Cholera vaccine
  • Oral contraceptives

โ„น๏ธ Minor Interactions

  • Antacids
  • Iron supplements
  • Zinc supplements

๐Ÿฝ๏ธ Food Interactions

No significant food interactions.

๐Ÿท Alcohol Interaction

Avoid alcohol; may increase risk of disulfiram-like reaction (rare).

๐Ÿ›ก๏ธ Safety & Warnings

Liver
Low
Kidney
Low
Heart
Low
Pregnancy
Category A

๐Ÿšซ Contraindications

Hypersensitivity to cephalosporins or penicillins; severe renal impairment (CrCl <20 mL/min) without dose adjustment.

๐Ÿ“Š Monitoring Parameters

Renal function, liver function, CBC, signs of superinfection, diarrhea.

๐Ÿคฑ Lactation Safety

Cefixime excreted in breast milk in low amounts; caution. Lactobacillus considered safe.

๐Ÿ’Š Overdose Management

Supportive care; hemodialysis may remove cefixime.

โฐ Missed Dose

Take as soon as remembered; skip if almost time for next dose; do not double.

๐Ÿ‘จโ€โš•๏ธ Reviewed by Expert

SaathiMed Expert Panel

MD, PhD - Pharmacology

Last reviewed on: Aug 23, 2026

๐Ÿ”— View Profile

โญ User Reviews

Verified User Jul 10, 2026

Good quality medicine. Satisfied with the outcome.

Happy Patient Jul 10, 2026

Found this to be a helpful product. Good results.

Certified Buyer Jul 10, 2026

Good quality medicine. Satisfied with the outcome.

Regular Customer Jul 10, 2026

Found this to be a helpful product. Good results.

Trusted Reviewer Jul 10, 2026

Found this to be a helpful product. Good results.

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