Azibact L 500 mg/500 mg Tablet: Complete 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
- Blood in stool or vomit
- Severe abdominal pain
- Chest pain or difficulty breathing
- Severe headache with visual changes
- Sudden swelling of face, lips, or throat
- Yellowing of skin or eyes
- Decreased urine output
- Tendon pain or swelling
- Numbness or tingling in hands or feet
- Palpitations or fainting
If experiencing severe symptoms, call emergency services immediately.
What is atm lx 500 mg/500 mg tablet used for?
This medicine is a combination antibiotic containing Levofloxacin 500 mg and Azithromycin 500 mg. It is used to treat serious bacterial infections under a doctor's supervision. It works by killing bacteria through two different mechanisms. It should not be used for viral infections.
- Generic Name: Levofloxacin + Azithromycin
- Manufacturer: Indoco Remedies Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 atm lx 500 mg/500 mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा लेवोफ्लोक्सासिन 500 मिलीग्राम और एज़िथ्रोमाइसिन 500 मिलीग्राम का संयोजन है। यह गंभीर बैक्टीरियल संक्रमणों जैसे निमोनिया, त्वचा संक्रमण और श्वसन संक्रमण के इलाज के लिए डॉक्टर की देखरेख में दी जाती है। यह वायरल संक्रमण जैसे सर्दी-जुकाम के लिए नहीं है।
साइड इफेक्ट्स: आम दुष्प्रभावों में मतली, दस्त, पेट दर्द, सिरदर्द, चक्कर आना और स्वाद में बदलाव शामिल हैं। गंभीर दुष्प्रभावों में टेंडन टूटना, तंत्रिका समस्याएं, लीवर की क्षति और हृदय की धड़कन में बदलाव शामिल हैं। कोई भी असामान्य लक्षण होने पर तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। पूरा कोर्स पूरा करें। शराब न लें। पर्याप्त पानी पिएं। एंटासिड, आयरन, जिंक या सुक्राल्फेट के साथ 2 घंटे का अंतर रखें। धूप से बचें। चक्कर आने पर वाहन न चलाएं। टेंडन में दर्द होने पर तुरंत डॉक्टर से मिलें।
💊 atm lx 500 mg/500 mg tablet Uses & Benefits
[{"condition":"Community-acquired pneumonia","description":"Used when a clinician decides dual antibiotic coverage is needed for severe or complicated pneumonia.","evidence":"Well-established for the individual components; combination use is based on clinical judgment."},{"condition":"Complicated skin and soft tissue infections","description":"May be used when broad coverage against multiple bacteria is required.","evidence":"Limited for the fixed-dose combination; individual agents are established."},{"condition":"Mixed respiratory tract infections","description":"Sometimes prescribed when both typical and atypical bacteria are suspected.","evidence":"Limited for the combination; based on clinician experience."}]
Off-label uses: [{"condition":"Mycobacterial infections","description":"Azithromycin and levofloxacin are sometimes used in combination regimens for certain mycobacterial infections under specialist care.","evidence":"Limited and specialist-directed."}]
Primary treatment for: Bacterial infections
Also treats: Community-acquired pneumonia, Complicated skin infections, Mixed respiratory infections
📋 Drug Information
| Generic Name(s) | Levofloxacin + Azithromycin |
| Brand Name | Azibact L 500 mg/500 mg Tablet |
| Manufacturer | Indoco Remedies Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | ANTI INFECTIVES |
| Action Class | Fluoroquinolone + Macrolide Antibiotic |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) in a dry place, away from direct sunlight. |
| 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
Levofloxacin inhibits bacterial DNA gyrase and topoisomerase IV, preventing DNA replication and repair. Azithromycin binds to the 50S ribosomal subunit and inhibits protein synthesis. The two mechanisms are complementary and can be bactericidal or bacteriostatic depending on the organism and concentration.
Mechanism Steps
💡 How to Take atm lx 500 mg/500 mg tablet
Strength: Tablet containing Levofloxacin 500 mg and Azithromycin 500 mg.
Dosage Information
| Adult Dosage | The usual adult dose is one tablet taken orally once daily or as prescribed by your doctor. The exact dose and duration depend on the type and severity of infection, your kidney and liver function, and other medical conditions. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not self-medicate. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more sensitive to side effects, especially tendon rupture, kidney effects, and heart rhythm changes. Dose adjustment may be needed based on kidney function. Consult your doctor. |
| Renal Impairment | Levofloxacin requires dose adjustment in patients with reduced kidney function. Azithromycin generally does not require adjustment. Consult your doctor for personalized dosing. |
| Hepatic Impairment | Azithromycin may require caution in severe liver impairment. Levofloxacin does not require adjustment in mild to moderate liver impairment. Consult your doctor. |
| Maximum Daily Dose | The maximum recommended daily dose is one tablet (Levofloxacin 500 mg + Azithromycin 500 mg) unless otherwise directed by your doctor. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of atm lx 500 mg/500 mg 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 | |
| Amiodarone | Major | |
| Antacids | Major | |
| Corticosteroids | Moderate | |
| NSAIDs | Moderate | |
| Insulin | Moderate | |
| Theophylline | Minor | |
| Caffeine | Minor |
🚨 Major Interactions
- QT-prolonging drugs (e.g., amiodarone, sotalol, quinidine)
- Warfarin
- Antacids, iron, zinc, sucralfate
⚡ Moderate Interactions
- Corticosteroids
- NSAIDs
- Diabetes medicines (sulfonylureas, insulin)
🍷 Alcohol Interaction
Alcohol may increase the risk of dizziness, drowsiness, and liver effects. It is best 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 levofloxacin, azithromycin, or other quinolones or macrolides","History of tendon disorders with fluoroquinolones","Myasthenia gravis","Severe liver impairment","Concurrent use with QT-prolonging drugs unless clearly necessary"]
⚠️ Warnings & Precautions
["May cause tendon rupture, especially in elderly and corticosteroid users.","May cause peripheral neuropathy.","May worsen muscle weakness in myasthenia gravis.","May cause central nervous system effects including seizures.","May cause severe diarrhea due to C. difficile.","May cause blood sugar disturbances in diabetics.","Avoid excessive sun exposure due to photosensitivity risk.","Use with caution in patients with kidney or liver disease.","Do not use for viral infections.","Complete the full course as prescribed."]
🤱 Lactation Safety
Both levofloxacin and azithromycin are excreted in breast milk. Consult your doctor before breastfeeding while taking this medicine.
💊 Overdose Management
Seek emergency medical attention. Treatment is supportive and symptomatic. There is no specific antidote. Monitor ECG and electrolytes.
⏰ 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.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not share it with others. Complete the full course even if you feel better. Avoid alcohol while taking this medicine. Stay well hydrated. Do not take antacids, iron, zinc, or sucralfate within 2 hours before or after this medicine. Avoid excessive sunlight and use sunscreen. Tell your doctor about all other medicines you take, especially blood thinners, diabetes medicines, and heart rhythm medicines. Do not drive or operate machinery if you feel dizzy. If you develop tendon pain, stop and call your doctor immediately. If you have diarrhea that is severe or bloody, contact your doctor before taking anti-diarrheal medicines.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are at higher risk of tendon rupture, kidney problems, and heart rhythm changes. Dose adjustment may be needed based on kidney function. Close monitoring is advised.
🤰 Pregnancy Planning (TTC)
If you are planning pregnancy, consult your doctor before taking this medicine. Both levofloxacin and azithromycin should be used during pregnancy only if clearly needed.
🏥 Post-Surgery Considerations
Inform your surgeon if you are taking this medicine before any surgery. It may interact with anesthetics and other medications.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine. It may interact with certain antibiotics or painkillers used during dental procedures.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise or heavy lifting while taking this medicine, as it may increase the risk of tendon injury. Consult your doctor before starting any new exercise routine.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or drowsiness. Avoid driving or operating heavy machinery until you know how it affects you. Take rest as needed.
🛑 When to Stop This Medicine
Do not stop this medicine without consulting your doctor. If you experience serious side effects like tendon pain, severe diarrhea, or allergic reactions, stop immediately and seek medical help.
📅 Long-Term Use Effects
Long-term use of this medicine can increase the risk of antibiotic resistance, tendon problems, nerve damage, and liver or kidney issues. It should only be used for the prescribed duration. Regular monitoring may be needed if used for prolonged periods.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Based on culture and sensitivity, a narrower antibiotic may be used.
Evidence: Well-establishedRest, fluids, and fever control can complement antibiotic therapy.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
Antibiotics do not interfere with most vaccines. However, consult your doctor about timing if you are scheduled for any vaccine.
📦 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
Carry this medicine in its original packaging with a copy of your prescription. Store at room temperature and protect from direct sunlight. If traveling across time zones, adjust dosing times gradually as advised by your doctor. Check customs regulations for carrying prescription medicines.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: You may start feeling better within 24-72 hours, but you must complete the full course as prescribed.
A: Yes, taking it with food can reduce stomach upset. However, avoid dairy and antacids within 2 hours of the dose.
A: Take it as soon as you remember. If it is almost time for the next dose, skip the missed dose. Do not double dose.
🤔 Common Patient Concerns
🔄 Substitutes for atm lx 500 mg/500 mg tablet
View AllAlternative brands with exact same active ingredient:
-
qulef z 500 mg/500 mg tabletHetero Drugs Ltd ₹97.03 30.8% CHEAPER
-
levolve z 500 mg/500 mg tabletKoye Pharmaceuticals Pvt ltd ₹117.19 16.4% CHEAPER
-
azibact l 500 mg/500 mg tabletIpca Laboratories Ltd ₹119.03 15.1% CHEAPER
-
xuv 500 mg/500 mg tabletMedley Pharmaceuticals ₹121.88 13% CHEAPER
-
levomac az tabletMacleods Pharmaceuticals Pvt Ltd ₹136.13 2.9% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can cure any infection.
Fact: It only works for specific bacterial infections and should not be used for viral infections. - Myth: You can stop taking it once you feel better.
Fact: You must complete the full course to prevent resistance and relapse. - Myth: It is safe to take with any other medicine.
Fact: It can interact with many medicines, so always inform your doctor.
🔄 Alternative Options
Generic Alternatives
- Levofloxacin 500 mg + Azithromycin 500 mg tablet (generic)
Brand Alternatives
- Azibact L 500 mg/500 mg tablet