Azirop-LB Tablet: Comprehensive 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 allergic reaction: rash, itching, swelling of face, lips, tongue, or throat, difficulty breathing.
- Signs of liver injury: yellowing of skin or eyes, dark urine, severe abdominal pain, unusual fatigue.
- Irregular heartbeat: palpitations, dizziness, fainting.
- Severe or bloody diarrhea, which may indicate Clostridium difficile infection.
- Decreased urine output or swelling, which may indicate kidney problems.
- Persistent headache with visual changes.
- High fever that does not improve after 48 hours of treatment.
If experiencing severe symptoms, call emergency services immediately.
What is azipark lb 250mg tablet used for?
This medicine is a combination of azithromycin, an antibiotic, and lactic acid bacillus, a probiotic. It is used to treat bacterial infections of the respiratory tract, skin, and sexually transmitted infections. The probiotic helps prevent diarrhea caused by antibiotics.
- Generic Name: Azithromycin + Lactic acid bacillus
- Manufacturer: Park Pharmaceuticals
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 azipark lb 250mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा एज़िथ्रोमाइसिन और लैक्टिक एसिड बैसिलस का संयोजन है। इसका उपयोग श्वसन पथ, त्वचा और यौन संचारित संक्रमणों के इलाज के लिए किया जाता है। एज़िथ्रोमाइसिन बैक्टीरिया को मारता है और लैक्टिक एसिड बैसिलस पेट के अच्छे बैक्टीरिया को बनाए रखने में मदद करता है।
साइड इफेक्ट्स: आम दुष्प्रभावों में दस्त, मतली, पेट दर्द और सिरदर्द शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन एलर्जी, लीवर की समस्या और अनियमित दिल की धड़कन हो सकती है। यदि आपको लगातार दस्त, पीलिया या धड़कन महसूस हो तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। इसे दूसरों के साथ साझा न करें। अपने डॉक्टर को अन्य दवाओं के बारे में बताएं। इलाज के दौरान शराब से बचें। खुराक भूल जाने पर याद आते ही ले लें, लेकिन अगली खुराक के करीब हो तो छोड़ दें। दोहरी खुराक न लें।
💊 azipark lb 250mg tablet Uses & Benefits
[{"condition":"Community-acquired pneumonia","description":"Used to treat mild to moderate pneumonia caused by susceptible bacteria such as Streptococcus pneumoniae, Haemophilus influenzae, and Mycoplasma pneumoniae.","evidence":"Well-established"},{"condition":"Acute bacterial sinusitis","description":"Effective against sinus infections caused by Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis.","evidence":"Well-established"},{"condition":"Acute bacterial exacerbation of chronic bronchitis","description":"Prescribed for flare-ups of chronic bronchitis caused by susceptible bacteria.","evidence":"Well-established"},{"condition":"Pharyngitis/tonsillitis","description":"Used as an alternative to penicillin for streptococcal pharyngitis in patients allergic to penicillin.","evidence":"Well-established"},{"condition":"Uncomplicated skin and skin structure infections","description":"Treats infections such as cellulitis, impetigo, and erysipelas caused by susceptible bacteria.","evidence":"Well-established"},{"condition":"Urethritis and cervicitis","description":"Used to treat sexually transmitted infections caused by Chlamydia trachomatis and Neisseria gonorrhoeae.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Bronchiolitis obliterans syndrome","description":"Sometimes used in lung transplant patients to prevent or treat chronic rejection.","evidence":"Limited"},{"condition":"Cystic fibrosis","description":"May be used to reduce lung inflammation and improve lung function in some patients.","evidence":"Limited"},{"condition":"Malaria","description":"Used in combination with other antimalarials for treatment of uncomplicated malaria.","evidence":"Limited"}]
Primary treatment for: Bacterial infections
Also treats: Community-acquired pneumonia, Acute bacterial sinusitis, Pharyngitis, Skin infections, Urethritis, Cervicitis
📋 Drug Information
| Generic Name(s) | Azithromycin + Lactic acid bacillus |
| Brand Name | Azital-LB 500 Tablet |
| Manufacturer | Park Pharmaceuticals |
| 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 (59°F to 86°F). Protect from moisture and light. Keep in original container. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | Azithromycin is included in the WHO Model List of Essential Medicines for the treatment of various bacterial infections, including sexually transmitted infections and respiratory tract infections. |
| ICMR Guideline | The Indian Council of Medical Research (ICMR) recommends azithromycin for the treatment of community-acquired pneumonia, enteric fever, and certain sexually transmitted infections, based on local resistance patterns. |
👨⚕️ 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 binds to the 50S ribosomal subunit of susceptible bacteria, inhibiting protein synthesis and thereby stopping bacterial growth. Lactic acid bacillus is a probiotic that helps restore and maintain beneficial gut flora, which may be disrupted by antibiotic therapy.
Mechanism Steps
💡 How to Take azipark lb 250mg tablet
Strength: Azithromycin 250 mg + Lactic acid bacillus 60 million spores immediate-release tablet.
Dosage Information
| Adult Dosage | The usual adult dose for most infections is 500 mg on the first day, followed by 250 mg once daily on days 2 to 5. For certain infections, a single 1 g dose may be used. For sexually transmitted infections, a single 1 g dose is often prescribed. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more susceptible to side effects such as QT prolongation and hearing loss. Dose adjustment may be needed based on renal function. Consult a doctor. |
| Renal Impairment | No dose adjustment is generally needed for mild to moderate renal impairment. In severe renal impairment (GFR <10 mL/min), use with caution and monitor closely. |
| Hepatic Impairment | No dose adjustment is recommended for mild to moderate hepatic impairment. Use with caution in severe hepatic impairment. |
| Maximum Daily Dose | The maximum recommended daily dose is 500 mg for most indications, but a single 1 g dose may be used for certain infections. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of azipark lb 250mg 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 | |
| Amiodarone | Major | |
| Antacids | Moderate | |
| Digoxin | Moderate | |
| Cyclosporine | Moderate | |
| Carbamazepine | Minor | |
| Phenytoin | Minor |
🚨 Major Interactions
- Warfarin
- Ergotamine
- Amiodarone
⚡ Moderate Interactions
- Antacids (aluminum or magnesium based)
- Digoxin
- Cyclosporine
🍷 Alcohol Interaction
Alcohol may increase the risk of stomach upset and liver problems. It is advisable to avoid alcohol while taking this medicine.
🔎 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","Concurrent use with ergotamine or dihydroergotamine"]
⚠️ Warnings & Precautions
["Serious allergic reactions, including anaphylaxis, can occur. Discontinue and seek immediate care if suspected.","Hepatotoxicity: Discontinue if signs of liver injury occur.","QT prolongation: Use with caution in patients with risk factors.","Clostridium difficile-associated diarrhea: May occur; monitor if diarrhea develops.","Superinfection: Prolonged use may lead to overgrowth of non-susceptible organisms.","Renal impairment: Use with caution; dose adjustment may be needed.","Myasthenia gravis: May exacerbate symptoms."]
🤱 Lactation Safety
Azithromycin is excreted in breast milk in small amounts and is generally considered safe during breastfeeding. Consult your doctor to weigh benefits and risks.
💊 Overdose Management
Overdose may cause severe nausea, diarrhea, and hearing loss. Treatment is symptomatic and supportive. Contact a poison control center or emergency room immediately if overdose is suspected.
⏰ 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. Inform your doctor about all other medicines you are taking, especially antacids, warfarin, and other antibiotics. Avoid alcohol during treatment. If you miss a dose, take it as soon as you remember unless it is almost time for the next dose; do not double the dose. Store at room temperature away from moisture and heat. Keep out of reach of children.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more sensitive to side effects such as QT prolongation, hearing loss, and liver problems. Dose adjustment may be needed based on kidney function. Regular monitoring is advised.
🤰 Pregnancy Planning (TTC)
If you are planning pregnancy or are pregnant, consult your doctor before taking this medicine. Azithromycin is generally considered safe, but the benefits and risks should be weighed.
🏥 Post-Surgery Considerations
If you are scheduled for surgery, inform your surgeon about this medicine. It may interact with anesthetics or other medications used during surgery. Your doctor may advise stopping it before surgery.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine. It may interact with other medications used during dental procedures. No specific precautions are usually needed, but good communication is important.
💚 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 or fatigue. Listen to your body and rest when needed.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or fatigue in some people. Avoid driving or operating heavy machinery if you experience these effects. Most people can continue their normal activities, but rest is important for recovery.
🛑 When to Stop This Medicine
Do not stop taking this medicine early unless your doctor advises you to. Complete the full prescribed course to prevent recurrence and resistance. If you experience severe side effects, contact your doctor immediately.
📅 Long-Term Use Effects
Long-term use of azithromycin is not recommended unless specifically prescribed for chronic conditions. Prolonged use may lead to bacterial resistance, gut flora imbalance, and rare side effects like hearing loss or liver problems. Regular monitoring may be required if used for extended periods.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Depending on the infection and resistance patterns, other antibiotics like amoxicillin or clarithromycin may be used.
Evidence: Well-establishedCan be taken separately to maintain gut health during antibiotic therapy.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
Antibiotics like azithromycin do not interact with vaccines. However, if you are acutely ill with fever, vaccination may be deferred until you recover. Consult your doctor for personalized advice.
📦 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 moisture. If traveling across time zones, adjust dosing times gradually to maintain consistent intervals. Check customs regulations for carrying prescription medicines. Keep a list of your medications with you at all times.
💰 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 it is important to complete the full course as prescribed.
A: Yes, you can take it with or without food. Taking it with food may help 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 the dose.
A: Azithromycin is generally considered safe during pregnancy when clearly needed, but consult your doctor before taking any medicine.
A: It is advisable to avoid alcohol as it may increase the risk of stomach upset and liver problems.
🤔 Common Patient Concerns
🔄 Substitutes for azipark lb 250mg tablet
View AllAlternative brands with exact same active ingredient:
-
zomy lb 250mg tabletTNT Lifesciences ₹55.31 24.2% CHEAPER
-
zumazi 250 tabletZumax Biocare ₹66.56 8.8% CHEAPER
-
azicepta 250mg tabletIncepta Pharma ₹67.00 8.2% CHEAPER
-
azirop-lb tabletFarlex Pharmaceuticals Pvt Ltd ₹70.31 3.7% CHEAPER
-
jacin 250 lb tabletJaiwik Biotech ₹72.19 1.1% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: Antibiotics can cure viral infections like the common cold.
Fact: Antibiotics only work against bacteria. This medicine is not effective for viral infections. - Myth: You can stop taking antibiotics once you feel better.
Fact: You must complete the full prescribed course to prevent bacterial resistance and relapse. - Myth: Probiotics in antibiotics are unnecessary.
Fact: Probiotics like lactic acid bacillus help maintain gut health and reduce antibiotic-associated diarrhea.
🔄 Alternative Options
Generic Alternatives
- Azithromycin 250 mg + Lactic acid bacillus 60 million spores tablet
Brand Alternatives
- Azee-LB
- Azithral-LB
- Zithrox-LB