Azital-LB 500 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
- Severe, watery diarrhea or bloody stools
- Yellowing of skin or eyes
- Difficulty breathing or swelling of face, lips, or throat
- Irregular or rapid heartbeat
- Severe abdominal pain
- Signs of an allergic reaction such as rash or hives
- Hearing loss or ringing in the ears
If experiencing severe symptoms, call emergency services immediately.
What is azecas lb 500mg tablet used for?
This medicine is a combination of azithromycin 500 mg, an antibiotic, and lactic acid bacillus 60 million spores, a probiotic. It is used to treat bacterial infections of the respiratory tract, skin, and certain sexually transmitted infections. The probiotic helps protect gut health during antibiotic treatment. Take it exactly as prescribed by your doctor.
- Generic Name: Azithromycin + Lactic acid bacillus
- Manufacturer: Casca Remedies Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 azecas lb 500mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा एज़िथ्रोमाइसिन 500 मिलीग्राम और लैक्टिक एसिड बैसिलस 60 मिलियन स्पोर्स का संयोजन है। यह एक एंटीबायोटिक है जो बैक्टीरिया के कारण होने वाले संक्रमणों जैसे निमोनिया, साइनसाइटिस, गले में संक्रमण, कान में संक्रमण, त्वचा संक्रमण और कुछ यौन संचारित संक्रमणों के इलाज के लिए इस्तेमाल किया जाता है। इसमें मौजूद प्रोबायोटिक आंतों के अच्छे बैक्टीरिया की रक्षा करने में मदद करता है। यह दवा वायरल संक्रमण जैसे सर्दी-जुकाम के लिए प्रभावी नहीं है। इसे डॉक्टर के निर्देशानुसार पूरा कोर्स करें।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में दस्त, मतली, पेट दर्द, उल्टी, सिरदर्द और स्वाद में बदलाव शामिल हैं। ये आमतौर पर हल्के होते हैं और कुछ दिनों में ठीक हो जाते हैं। कभी-कभी गंभीर दस्त, लीवर की समस्या, अनियमित दिल की धड़कन या गंभीर एलर्जी हो सकती है। अगर आपको पीलिया, गंभीर दस्त, सांस लेने में कठिनाई या चकत्ते दिखें तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। पूरा कोर्स पूरा करें, भले ही आप बेहतर महसूस करें। इसे दूसरों के साथ साझा न करें। अगर आपको लीवर, किडनी या दिल की समस्या है, या आप गर्भवती हैं या स्तनपान करा रही हैं, तो डॉक्टर को बताएं। एल्युमिनियम या मैग्नीशियम वाले एंटासिड के साथ इस दवा को 2 घंटे के अंतराल पर लें। शराब न पिएं। इसे ठंडी और सूखी जगह पर रखें।
💊 azecas lb 500mg tablet Uses & Benefits
[{"condition":"Community-acquired pneumonia","description":"Used to treat mild to moderate community-acquired pneumonia caused by susceptible bacteria such as Streptococcus pneumoniae, Haemophilus influenzae, and Mycoplasma pneumoniae.","evidence":"Well-established"},{"condition":"Acute bacterial sinusitis","description":"Prescribed for acute bacterial sinusitis when symptoms are severe or persist beyond 10 days, targeting common respiratory pathogens.","evidence":"Well-established"},{"condition":"Acute bacterial pharyngitis and tonsillitis","description":"Used as an alternative for patients allergic to penicillin to treat streptococcal pharyngitis and tonsillitis.","evidence":"Well-established"},{"condition":"Acute otitis media","description":"Prescribed for middle ear infections in children and adults when other antibiotics are not suitable.","evidence":"Well-established"},{"condition":"Skin and soft tissue infections","description":"Used for uncomplicated skin infections such as cellulitis, impetigo, and erysipelas caused by susceptible organisms.","evidence":"Well-established"},{"condition":"Urethritis and cervicitis","description":"Used to treat uncomplicated urethritis and cervicitis caused by Chlamydia trachomatis and Neisseria gonorrhoeae, often in combination with other antibiotics.","evidence":"Well-established"},{"condition":"Chronic obstructive pulmonary disease exacerbation","description":"Sometimes prescribed for acute exacerbations of COPD when bacterial infection is suspected.","evidence":"Moderate"}]
Off-label uses: [{"condition":"Bronchiolitis obliterans organizing pneumonia","description":"Azithromycin has been used off-label for its anti-inflammatory effects in this rare lung condition.","evidence":"Limited"},{"condition":"Cystic fibrosis","description":"Long-term azithromycin may be used off-label to reduce exacerbations and improve lung function in cystic fibrosis patients.","evidence":"Moderate"},{"condition":"Malaria prevention","description":"Sometimes used in combination with other medicines for malaria prophylaxis in specific situations.","evidence":"Limited"}]
Primary treatment for: Bacterial infections
Also treats: Community-acquired pneumonia, Acute bacterial sinusitis, Pharyngitis, Tonsillitis, Acute otitis media, Skin infections, Urethritis, Cervicitis
📋 Drug Information
| Generic Name(s) | Azithromycin + Lactic acid bacillus |
| Brand Name | Azital-LB 500 Tablet |
| Manufacturer | Casca Remedies Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | ANTI INFECTIVES |
| Action Class | Macrolide antibiotic + Probiotic |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C. Protect from moisture and direct sunlight. Keep in the original container. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | The World Health Organization includes azithromycin in its Model List of Essential Medicines for the treatment of certain bacterial infections, including sexually transmitted infections and respiratory tract infections. Always follow your local guidelines and your doctor's advice. |
| ICMR Guideline | The Indian Council of Medical Research recommends azithromycin as a treatment option for community-acquired pneumonia and other susceptible bacterial infections, in accordance with national antimicrobial stewardship guidelines. Use should be guided by culture and sensitivity results when possible. |
👨⚕️ 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
Azithromycin, the antibiotic component of this medicine, works by binding to the 50S ribosomal subunit of susceptible bacteria. This binding blocks the translocation step of protein synthesis, preventing the bacteria from making essential proteins needed for growth and multiplication. As a result, bacterial growth is stopped and the immune system can clear the infection. The lactic acid bacillus component is a probiotic that helps maintain a healthy balance of intestinal bacteria, which may be disrupted by antibiotic therapy. It does not directly kill bacteria but supports gut health during and after treatment.
Mechanism Steps
💡 How to Take azecas lb 500mg tablet
Strength: Azithromycin 500 mg + Lactic acid bacillus 60 million spores immediate-release tablet.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is one 500 mg tablet taken once daily for 3 to 5 days, depending on the type and severity of the infection. For some infections, a single 1 gram dose may be prescribed. The exact dose and duration must be individualized by a qualified clinician based on the indication, age, weight, renal and hepatic function, and other medicines you are taking. Do not self-adjust the dose. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician for appropriate dosing in children. |
| Elderly Dosage | Elderly patients may be more sensitive to the side effects of this medicine, especially heart rhythm changes and hearing loss. Dose adjustment is not usually required, but your doctor may monitor you more closely. Always inform your doctor about all other medicines you are taking. |
| Renal Impairment | Dose adjustment is not usually required for mild to moderate renal impairment. In severe renal impairment, use with caution and consult your doctor. |
| Hepatic Impairment | Use with caution in patients with liver disease. Dose adjustment may be needed in severe hepatic impairment. Consult your doctor. |
| Maximum Daily Dose | The maximum recommended daily dose is 500 mg for the 3-day or 5-day regimen, or a single 1 gram dose for certain indications. Do not exceed the dose prescribed by your doctor. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of azecas lb 500mg 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 | |
| Ergotamine | Major | |
| Digoxin | Major | |
| Amiodarone | Major | |
| Antacids (Al/Mg) | Moderate | |
| Cyclosporine | Moderate | |
| Statins | Moderate | |
| Fluconazole | Minor | |
| Midazolam | Minor |
🚨 Major Interactions
- Warfarin
- Ergotamine and dihydroergotamine
- Digoxin
- Amiodarone
- Antacids containing aluminum or magnesium
⚡ Moderate Interactions
- Cyclosporine
- HMG-CoA reductase inhibitors (statins)
- Nelfinavir
🍷 Alcohol Interaction
Alcohol does not directly interact with azithromycin, but it can worsen stomach upset, nausea, and dizziness. It may also put extra stress on the liver. It is best to avoid alcohol while taking this medicine and for a few days after finishing the course.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to azithromycin, erythromycin, or any macrolide antibiotic","History of cholestatic jaundice or hepatic dysfunction associated with prior azithromycin use","Severe liver disease","Concurrent use with ergotamine or dihydroergotamine","Known QT interval prolongation or history of torsades de pointes"]
⚠️ Warnings & Precautions
["Do not use for viral infections such as the common cold or flu.","Complete the full course as prescribed, even if symptoms improve.","Use with caution in patients with liver disease, kidney disease, or heart rhythm disorders.","May cause severe diarrhea; if it occurs, seek medical advice before taking anti-diarrheal medicines.","Avoid concurrent use with other QT-prolonging drugs.","Inform your doctor if you are pregnant, planning pregnancy, or breastfeeding.","Do not share this medicine with others.","Keep out of reach of children."]
🤱 Lactation Safety
Azithromycin is excreted in small amounts in breast milk. It is generally considered compatible with breastfeeding, but you should consult your doctor before using this medicine while nursing. Monitor the infant for diarrhea, vomiting, or rash.
💊 Overdose Management
Overdose of this medicine may cause severe nausea, vomiting, diarrhea, and hearing loss. If you suspect an overdose, contact your doctor or a poison control center immediately. Treatment is supportive and symptomatic. There is no specific antidote.
⏰ 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 a double dose to make up for a missed one.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not share it with others, even if they have similar symptoms. Complete the full course even if you feel better after a few days, because stopping early can allow bacteria to become resistant. Inform your doctor if you have liver problems, heart rhythm disorders, myasthenia gravis, or kidney disease before starting this medicine. Avoid taking antacids that contain aluminum or magnesium within two hours of this medicine, as they can reduce its absorption. Tell your doctor about all other medicines you are taking, especially blood thinners, digoxin, ergot medicines, and other antibiotics. Do not drink alcohol while taking this medicine, as it may worsen stomach upset and liver stress. If you are pregnant, planning pregnancy, or breastfeeding, consult your doctor before using this medicine. Store it at room temperature away from moisture and direct sunlight, and keep it out of reach of children.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more prone to side effects such as heart rhythm changes, hearing loss, and liver problems. Your doctor may monitor you more closely. Inform your doctor about all other medicines you are taking.
🤰 Pregnancy Planning (TTC)
If you are planning pregnancy, consult your doctor before taking this medicine. Azithromycin is generally considered safe during pregnancy when clearly needed, but always seek medical advice.
🏥 Post-Surgery Considerations
If you are scheduled for surgery, inform your surgeon that you are taking this medicine. It may interact with other medicines 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 medicines or affect healing. Your dentist may recommend postponing elective procedures until you complete the course.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
You may continue light exercise if you feel up to it, but avoid strenuous activities if you have fever, fatigue, or muscle aches. Listen to your body and rest when needed.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or drowsiness in some people. Avoid driving or operating heavy machinery until you know how it affects you. You can usually continue your normal daily activities if you feel well, but take rest when needed.
🛑 When to Stop This Medicine
Do not stop taking this medicine before completing the full course, even if you feel better. If you experience serious side effects such as severe diarrhea, rash, or yellowing of eyes, stop the medicine and contact your doctor immediately.
📅 Long-Term Use Effects
Long-term use of azithromycin is not recommended unless specifically prescribed for conditions like cystic fibrosis. Prolonged use can lead to bacterial resistance, gut flora imbalance, and rare side effects such as hearing loss or liver problems. Regular monitoring may be needed if used for extended periods.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Supportive care can help relieve symptoms while the antibiotic works.
Evidence: Well-establishedCan help maintain gut health during antibiotic therapy.
Evidence: Moderate💉 Vaccination Considerations
💉 If You're Getting Vaccinated
Antibiotics do not interact with vaccines. However, if you are scheduled for a live vaccine, inform your doctor as antibiotics may affect the vaccine's effectiveness. Generally, it is safe to receive vaccines while taking this medicine.
📦 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 the prescription label. Bring a copy of your prescription in case customs officials ask. Store it in a cool, dry place away from direct sunlight. If crossing time zones, continue taking your doses at the same interval as prescribed, but consult your doctor for specific advice. Do not pack it in checked luggage; keep it in your carry-on bag.
💰 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 you must complete the full course as prescribed.
A: Yes, you can take it with or without food. Taking it with a light meal may 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 dose.
A: Consult your doctor before taking this medicine during pregnancy. It is generally considered safe when clearly needed.
A: It is best to avoid alcohol while taking this medicine as it can worsen stomach upset and liver stress.
🤔 Common Patient Concerns
🔄 Substitutes for azecas lb 500mg tablet
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Tziro 500 LB TabletOtik Biotec ₹62.81 16.3% CHEAPER
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arnicide az 500mg tabletArnvis Pharma Pvt Ltd ₹65.55 12.6% CHEAPER
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azicepta 500mg tabletIncepta Pharma ₹66.00 12% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: Antibiotics can cure the common cold.
Fact: The common cold is caused by viruses, and this medicine is only effective against bacteria. It will not cure viral infections. - Myth: You can stop taking antibiotics once you feel better.
Fact: You must complete the full course as prescribed to prevent bacterial resistance and ensure the infection is fully cleared. - Myth: Antibiotics always cause diarrhea.
Fact: Not everyone gets diarrhea. This medicine contains a probiotic to help reduce the risk of antibiotic-associated diarrhea. - Myth: It is safe to take antibiotics without a prescription.
Fact: This medicine is prescription-only. Self-medication can lead to incorrect treatment, resistance, and side effects.
🔄 Alternative Options
Generic Alternatives
- Azithromycin 500 mg + Lactic acid bacillus 60 million spores tablet
Brand Alternatives
- Azital-LB 500 Tablet