ap cef-az tablet - Cefixime (200mg) + Azithromycin (250mg) medicine

Ap Cef-Az Tablet - Uses, Price, Side Effects

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๐Ÿญ Assure Pharma ๐Ÿ“ฆ Varies by brand ๐Ÿ’Š Allopathy ๐Ÿ“… Updated: Jun 29, 2026
๐Ÿ“‹ Prescription Required ๐Ÿ’Š Generic Available
Medically Reviewed
SaathiMed Expert Panel | Jun 29, 2026

What is ap cef-az tablet used for?

Ap Cef-Az Tablet is a combination antibiotic containing Cefixime (200mg) and Azithromycin (250mg). It is used to treat various bacterial infections such as respiratory tract infections, urinary tract infections, and skin infections. Cefixime works by inhibiting bacterial cell wall synthesis, while Azithromycin stops bacterial protein synthesis, together providing broad-spectrum coverage.

  • Generic Name: Cefixime + Azithromycin
  • Manufacturer: Assure Pharma
  • 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 ap cef-az tablet Uses & Benefits

Respiratory tract infections, urinary tract infections, typhoid fever, gonorrhea, skin and soft tissue infections

Off-label uses: Lyme disease, pertussis, chancroid, granuloma inguinale

๐Ÿ“‹ Drug Information

Generic Name(s)Cefixime + Azithromycin
Brand NameAzicef-LB Tablet
ManufacturerAssure Pharma
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassANTI INFECTIVES
Action ClassCephalosporin antibiotic + Macrolide antibiotic
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: 40-50% absorbed orally; Azithromycin: Rapidly absorbed, 37% bioavailability
DistributionCefixime: Widely distributed, low protein binding; Azithromycin: Extensive tissue distribution, high intracellular concentrations
Protein BindingCefixime: 65%; Azithromycin: 7-50% (concentration-dependent)
MetabolismCefixime: Not extensively metabolized; Azithromycin: Hepatic metabolism via demethylation
Half-LifeCefixime: 3-4 hours; Azithromycin: 68 hours (terminal)
ExcretionCefixime: Renal (50% unchanged); Azithromycin: Biliary (primarily) and renal
BioavailabilityCefixime: 40-50%; Azithromycin: 37%
Onset of ActionCefixime: 1-2 hours; Azithromycin: 2-3 hours
Peak Plasma TimeCefixime: 4 hours; Azithromycin: 2-3 hours
Duration of ActionCefixime: 12-24 hours; Azithromycin: 24 hours (prolonged due to long half-life)

How It Works

Cefixime inhibits bacterial cell wall synthesis by binding to penicillin-binding proteins; Azithromycin inhibits protein synthesis by binding to 50S ribosomal subunit

Mechanism Steps

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

๐Ÿ’ก How to Take ap cef-az 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 ap cef-az 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
  • Hepatotoxicity
  • QT prolongation
  • Torsades de pointes

โš ๏ธ Rare Side Effects

  • Interstitial nephritis
  • Hemolytic anemia
  • Thrombocytopenia
  • Agranulocytosis
  • Pancreatitis

Consult your doctor if you experience any unusual symptoms.

๐Ÿ”ฌ Drug Interactions

โš ๏ธ DrugSeverityEffect
Warfarin Major Increased bleeding risk
Antacids Moderate Reduced absorption of Cefixime
Digoxin Moderate Increased digoxin levels

๐Ÿšจ Major Interactions

  • Warfarin
  • Disulfiram
  • Methotrexate
  • Ergot derivatives
  • Pimozide

โšก Moderate Interactions

  • Oral contraceptives
  • Antacids
  • Digoxin
  • Cyclosporine
  • Theophylline

โ„น๏ธ Minor Interactions

  • Vitamin K antagonists
  • Probenecid

๐Ÿฝ๏ธ Food Interactions

Cefixime: Food delays absorption; Azithromycin: Food decreases absorption (take on empty stomach)

๐Ÿท Alcohol Interaction

Avoid alcohol; may increase risk of hepatotoxicity and disulfiram-like reaction

๐Ÿ›ก๏ธ Safety & Warnings

Liver
Moderate
Kidney
Low
Heart
Low
Pregnancy
Category A

๐Ÿšซ Contraindications

Hypersensitivity to cephalosporins, macrolides, or any component; history of cholestatic jaundice/hepatic dysfunction with azithromycin

๐Ÿ“Š Monitoring Parameters

Renal function, hepatic function, CBC, signs of superinfection, QT interval if risk factors

๐Ÿคฑ Lactation Safety

Cefixime: Excreted in breast milk in low amounts, generally considered safe; Azithromycin: Excreted

๐Ÿ’Š Overdose Management

Supportive care; no specific antidote; consider gastric lavage if recent ingestion

โฐ Missed Dose

Take as soon as remembered; if near next dose, skip missed dose; do not double dose

๐Ÿ‘จโ€โš•๏ธ Reviewed by Expert

SaathiMed Expert Panel

MD, PhD - Pharmacology

Reviewed: Jun 29, 2026

๐Ÿ”— View Profile

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