azikia 500 lb tablet - Azithromycin (500mg) + Lactic acid bacillus (60Million spores) medicine

azikia 500 lb tablet - Uses, Price, Side Effects & Substitutes

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๐Ÿญ Alicanto Drugs Pvt Ltd ๐Ÿ“ฆ Varies by brand ๐Ÿ’Š Allopathy ๐Ÿ“… Updated: Jun 26, 2026
๐Ÿ“‹ Prescription Required ๐Ÿ’Š Generic Available
Medically Reviewed
Dr. SaathiMed Expert Panel | Jun 26, 2026

What is azikia 500 lb tablet used for?

Azital-LB 500 Tablet (Azithromycin + Lactic acid bacillus) is used to treat ANTI INFECTIVES. It contains Azithromycin (500mg) + Lactic acid bacillus (60Million spores), which Azithromycin binds to the 50S ribosomal subunit of susceptible bacteria, inhibit. Always consult your doctor before use. Take as prescribed.

  • Generic Name: Azithromycin + Lactic acid bacillus
  • Manufacturer: Alicanto Drugs Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: A
  • Prescription Required: Yes
๐Ÿ’ก Did You Know? India has the highest number of USFDA-compliant plants outside the USA.

๐Ÿ’Š azikia 500 lb tablet Uses & Benefits

Respiratory tract infections, skin and soft tissue infections, urethritis, cervicitis, otitis media, community-acquired pneumonia, pharyngitis/tonsillitis, prophylaxis of Mycobacterium avium complex in HIV patients.

Off-label uses: Bronchiectasis, cystic fibrosis, non-tuberculous mycobacterial infections, malaria prophylaxis.

๐Ÿ“‹ Drug Information

Generic Name(s)Azithromycin + Lactic acid bacillus
Brand NameAzital-LB 500 Tablet
ManufacturerAlicanto Drugs Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassANTI INFECTIVES
Action ClassMacrolide 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

AbsorptionRapidly absorbed after oral administration; absorption is enhanced with food.
DistributionWidely distributed throughout body tissues; high concentrations in phagocytes and fibroblasts.
Protein Binding7-50% (concentration-dependent)
MetabolismPrimarily hepatic via demethylation; not extensively metabolized.
Half-Life68 hours (terminal half-life)
ExcretionPrimarily biliary excretion (unchanged drug); renal excretion accounts for about 6%.
Bioavailability37% (oral)
Onset of Action1-2 hours
Peak Plasma Time2-3 hours
Duration of Action24 hours (due to long half-life)

How It Works

Azithromycin binds to the 50S ribosomal subunit of susceptible bacteria, inhibiting protein synthesis. Lactic acid bacillus restores gut flora.

Mechanism Steps

1Azithromycin binds to the 50S ribosomal subunit of susceptible bacteria.
2Inhibits translocation of peptidyl-tRNA from A-site to P-site.
3Blocks protein synthesis, leading to bacteriostatic effect.

๐Ÿ’ก How to Take azikia 500 lb tablet

Follow your doctor's prescription exactly.

โš ๏ธ Side Effects of azikia 500 lb tablet

โœ… Common Side Effects

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

๐Ÿšจ Serious Side Effects

  • Severe allergic reactions (anaphylaxis)
  • Stevens-Johnson syndrome
  • Toxic epidermal necrolysis
  • Hepatotoxicity
  • QT prolongation
  • Torsades de pointes
  • Clostridioides difficile diarrhea

โš ๏ธ Rare Side Effects

  • Hearing loss (reversible)
  • Taste/smell disturbances
  • Interstitial nephritis
  • Acute pancreatitis
  • Myasthenia gravis exacerbation

Consult your doctor if you experience any unusual symptoms.

๐Ÿ”ฌ Drug Interactions

โš ๏ธ DrugSeverityEffect
Warfarin Major Increased INR and bleeding risk
Digoxin Major Increased digoxin levels, risk of toxicity
Ergotamine Major Ergotism (vasospasm)
Pimozide Major Increased risk of cardiac arrhythmias
Colchicine Major Increased colchicine toxicity
Antacids Moderate Decreased azithromycin absorption
Cyclosporine Moderate Increased cyclosporine levels
Nelfinavir Moderate Increased azithromycin levels
Rifabutin Moderate Increased risk of neutropenia
Statins Moderate Increased risk of myopathy/rhabdomyolysis
Theophylline Minor Slight increase in theophylline levels
Triazolam Minor Increased triazolam effect
Carbamazepine Minor Increased carbamazepine levels

๐Ÿšจ Major Interactions

  • Warfarin
  • Digoxin
  • Ergotamine
  • Pimozide
  • Colchicine

โšก Moderate Interactions

  • Antacids
  • Cyclosporine
  • Nelfinavir
  • Rifabutin
  • Statins

โ„น๏ธ Minor Interactions

  • Theophylline
  • Triazolam
  • Carbamazepine

๐Ÿฝ๏ธ Food Interactions

Food reduces absorption; take on an empty stomach (1 hour before or 2 hours after meals).

๐Ÿท Alcohol Interaction

Avoid alcohol; may increase hepatotoxicity risk.

๐Ÿ›ก๏ธ Safety & Warnings

๐Ÿšซ Contraindications

Hypersensitivity to azithromycin, erythromycin, or any macrolide; history of cholestatic jaundice/hepatic dysfunction with prior azithromycin use; concomitant use with pimozide or ergotamine.

๐Ÿ“Š Monitoring Parameters

Liver function tests, ECG (if risk factors for QT prolongation), signs of infection resolution.

๐Ÿคฑ Lactation Safety

Azithromycin excreted in breast milk; use with caution. Lactic acid bacillus safe.

๐Ÿ’Š Overdose Management

Gastric lavage, supportive measures; no specific antidote.

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

Dr. SaathiMed Expert Panel

MD, PhD - Pharmacology

Reviewed: Jun 26, 2026

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