Axtl 200mg Tablet (Cefuroxime): Complete Medicine Guide
When to Call Your Doctor IMMEDIATELY
- Swelling of the face, lips, tongue, or throat, or difficulty breathing.
- Severe or bloody diarrhoea during or after treatment.
- Yellowing of the eyes or skin, dark urine, or severe abdominal pain.
- Unusual bruising, bleeding, or signs of infection such as fever and sore throat.
- A painful rash with blistering or peeling of the skin.
- Decreased urine output or swelling in the legs.
- Seizures or severe dizziness.
If experiencing severe symptoms, call emergency services immediately.
What is bacticef o 200mg tablet used for?
This medicine contains Cefuroxime 200 mg, a second-generation cephalosporin antibiotic used to treat bacterial infections of the chest, throat, sinuses, urinary tract, skin, and soft tissues. It works by killing bacteria and is available only on prescription.
- Generic Name: Cefuroxime (200mg)
- Manufacturer: Prayas Pharmaceuticals
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 bacticef o 200mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा सेफ्यूरोक्सिम 200 मिलीग्राम युक्त एक एंटीबायोटिक है, जिसका उपयोग बैक्टीरियल संक्रमणों के इलाज के लिए किया जाता है। यह छाती, गले, साइनस, मूत्र मार्ग, त्वचा और नरम ऊतकों के संक्रमण के इलाज में प्रभावी है। यह दवा बैक्टीरिया को मारकर काम करती है और केवल डॉक्टर के पर्चे पर ही मिलती है। वायरल संक्रमण जैसे सर्दी-जुकाम या फ्लू में यह दवा काम नहीं करती।
साइड इफेक्ट्स: इस दवा के आम दुष्प्रभावों में दस्त, जी मिचलाना, पेट दर्द, सिरदर्द और हल्के दाने शामिल हैं। ये आमतौर पर हल्के होते हैं और अपने आप ठीक हो जाते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन इनमें तेज एलर्जी, सांस लेने में कठिनाई, चेहरे या गले में सूजन, गंभीर दस्त, पीलिया, और खून की कमी शामिल हो सकते हैं। अगर ऐसे लक्षण दिखें तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। खुराक न छोड़ें और बेहतर महसूस होने पर भी कोर्स पूरा करें। इसे भोजन के साथ लें ताकि अवशोषण बेहतर हो और पेट की परेशानी कम हो। एंटासिड या पेट की दवाओं के साथ इसे 2 घंटे के अंतराल पर लें। अगर आपको किडनी या लीवर की समस्या है, या पेनिसिलिन से एलर्जी है, तो डॉक्टर को बताएं। गर्भावस्था या स्तनपान के दौरान डॉक्टर से सलाह लें। शराब से बचें। दवा को ठंडी, सूखी जगह पर रखें।
💊 bacticef o 200mg tablet Uses & Benefits
[{"condition":"Upper respiratory tract infections","description":"Used to treat bacterial infections of the throat, tonsils, and sinuses, including pharyngitis, tonsillitis, and sinusitis caused by susceptible bacteria.","evidence":"Well-established"},{"condition":"Lower respiratory tract infections","description":"Used for community-acquired pneumonia and acute exacerbations of chronic bronchitis caused by susceptible organisms.","evidence":"Well-established"},{"condition":"Urinary tract infections","description":"Used to treat uncomplicated urinary tract infections and pyelonephritis caused by susceptible bacteria.","evidence":"Well-established"},{"condition":"Skin and soft tissue infections","description":"Used for bacterial skin infections such as cellulitis, impetigo, and wound infections caused by susceptible bacteria.","evidence":"Well-established"},{"condition":"Gonorrhoea","description":"Used as part of treatment for uncomplicated gonorrhoea caused by Neisseria gonorrhoeae, though other agents are now more commonly preferred.","evidence":"Established"},{"condition":"Early Lyme disease","description":"Used to treat early localized Lyme disease caused by Borrelia burgdorferi in some guidelines.","evidence":"Established"}]
Off-label uses: [{"condition":"Prophylaxis in certain surgical procedures","description":"Sometimes used for surgical prophylaxis in patients who cannot receive other antibiotics, based on local guidelines.","evidence":"Limited"},{"condition":"Traveler's diarrhoea","description":"Occasionally prescribed for severe traveler's diarrhoea caused by susceptible bacteria, though other agents are usually preferred.","evidence":"Limited"}]
Primary treatment for: Bacterial infections
Also treats: Upper respiratory tract infections, Lower respiratory tract infections, Urinary tract infections, Skin and soft tissue infections, Gonorrhoea, Early Lyme disease
📋 Drug Information
| Generic Name(s) | Cefuroxime (200mg) |
| Brand Name | bacticef o 200mg tablet |
| Manufacturer | Prayas Pharmaceuticals |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | ANTI INFECTIVES |
| Action Class | Cephalosporins: 2nd generation |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C, away from direct sunlight and moisture. Keep in the original packaging. |
| Shelf Life | 24 months from the date of manufacture, or as printed on the pack. |
| WHO Guideline | Cefuroxime is included in the World Health Organization Model List of Essential Medicines for the treatment of certain bacterial infections. It is recommended for use in specific infections based on local resistance patterns and guidelines. |
| ICMR Guideline | The Indian Council of Medical Research (ICMR) treatment guidelines recommend cephalosporins like cefuroxime for the treatment of various bacterial infections, including respiratory tract infections and urinary tract infections, based on culture and sensitivity results. Always follow national and local antibiotic stewardship guidelines. |
👨⚕️ 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
This medicine works by binding to specific proteins called penicillin-binding proteins located inside the bacterial cell wall. This binding blocks the final step of cell wall construction, which is called cross-linking. Without proper cross-linking, the bacterial cell wall becomes weak and cannot withstand the internal pressure of the cell. As a result, the bacteria burst and die. Because human cells do not have a cell wall, this medicine selectively targets bacteria without harming human cells. Cefuroxime is bactericidal, meaning it actively kills bacteria rather than just stopping their growth.
Mechanism Steps
💡 How to Take bacticef o 200mg tablet
Strength: Cefuroxime 200 mg immediate-release tablet.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is 250 mg to 500 mg taken twice daily, depending on the type and severity of the infection. For uncomplicated urinary tract infections, a dose of 125 mg twice daily may be used. For gonorrhoea, a single dose of 1 g is sometimes prescribed. The dose must be individualized by a qualified clinician based on the indication, age, weight, and kidney and liver function. Always follow your doctor's prescription exactly. |
| Pediatric Dosage | Pediatric dosing is not established from available information for this specific 200 mg tablet. Cefuroxime is used in children in other formulations and doses based on weight, but this tablet is not intended for children without a doctor's guidance. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may have reduced kidney function, which can affect the elimination of this medicine. Dose adjustment may be needed based on kidney function. Elderly patients should be monitored for side effects and should consult their doctor for appropriate dosing. |
| Renal Impairment | In patients with kidney impairment, the dose of this medicine may need to be reduced or the dosing interval lengthened. For patients with a creatinine clearance of 10-20 mL/min, the usual dose may be given every 24 hours. For those with a creatinine clearance less than 10 mL/min, the usual dose may be given every 48 hours. Dose adjustment must be individualized by a qualified clinician based on kidney function tests. |
| Hepatic Impairment | No specific dose adjustment is usually required for patients with liver impairment, as cefuroxime is not significantly metabolized by the liver. However, caution is advised, and patients with liver disease should be monitored. |
| Maximum Daily Dose | The maximum recommended adult dose is 1 g per day for most infections, but higher doses may be used for severe infections under medical supervision. 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 bacticef o 200mg 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 | |
| Probenecid | Major | |
| Gentamicin | Major | |
| Furosemide | Major | |
| Antacids | Moderate | |
| Oral contraceptives | Moderate | |
| Metformin | Moderate | |
| Iron supplements | Minor | |
| Vitamin K antagonists | Minor | |
| Alcohol | Minor |
🚨 Major Interactions
- Warfarin
- Probenecid
- Aminoglycosides (e.g., gentamicin)
- Loop diuretics (e.g., furosemide)
⚡ Moderate Interactions
- Antacids and acid-reducing medicines
- Oral contraceptives
- Metformin
🍷 Alcohol Interaction
It is advisable to avoid alcohol while taking this medicine. Alcohol can increase the risk of stomach upset, dizziness, and may worsen the underlying infection. There is no specific chemical interaction, but avoiding alcohol supports faster recovery.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known allergy to cefuroxime or any other cephalosporin antibiotic.","Previous severe allergic reaction to penicillin or other beta-lactam antibiotics.","Use in patients with a history of anaphylaxis to any antibiotic.","Not for use in viral infections such as the common cold or flu."]
⚠️ Warnings & Precautions
["Before starting this medicine, tell your doctor if you are allergic to penicillin or other antibiotics.","Use with caution in patients with kidney disease; dose adjustment may be needed.","Use with caution in patients with liver disease.","Prolonged use may lead to overgrowth of non-susceptible organisms, including fungi.","Do not use this medicine to treat viral infections.","If severe diarrhoea occurs, stop the medicine and consult a doctor before taking anti-diarrhoeal medicines.","This medicine may cause dizziness; avoid driving or operating machinery until you know how it affects you.","Inform your doctor if you are pregnant, planning pregnancy, or breastfeeding.","Do not share this medicine with others.","Complete the full course as prescribed, even if you feel better."]
🤱 Lactation Safety
Cefuroxime passes into breast milk in small amounts. It is generally considered safe during breastfeeding, but you should consult your doctor before use. Monitor the baby for diarrhoea, thrush, or rash.
💊 Overdose Management
If you suspect an overdose, seek immediate medical attention. Overdose symptoms may include nausea, vomiting, stomach pain, and seizures, especially in patients with kidney impairment. Treatment is supportive and may include activated charcoal if taken recently. Haemodialysis can remove cefuroxime from the blood in severe cases.
⏰ 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, and do not skip doses or stop early even if you feel better. Complete the full course to prevent the infection from returning and to reduce the risk of antibiotic resistance. Swallow the tablet whole with a glass of water, and take it with food to improve absorption and reduce stomach upset. Do not take antacids or indigestion remedies within two hours of this medicine, because they can reduce how well it is absorbed. Tell your doctor if you have kidney problems, liver problems, or a history of allergy to penicillin or other antibiotics. Avoid alcohol while taking this medicine, as it can worsen stomach upset and dizziness. If you are pregnant, planning pregnancy, or breastfeeding, speak to your doctor before taking this medicine. Do not share this medicine with anyone else, even if they have similar symptoms. Store it in a cool, dry place away from direct sunlight and out of reach of children.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are more likely to have reduced kidney function, which can affect the elimination of this medicine. Dose adjustment may be necessary. They should be monitored for side effects such as dizziness, confusion, and diarrhoea. Ensure adequate hydration and fall precautions.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, discuss with your doctor before taking this medicine. Cefuroxime is generally considered safe in pregnancy, but it should only be used when clearly needed. If you become pregnant while taking this medicine, inform your doctor immediately.
🏥 Post-Surgery Considerations
If you are scheduled for surgery, inform your surgeon that you are taking this medicine. It may interact with other medications used during surgery. In some cases, this medicine may be used for surgical prophylaxis, but this should be determined by your surgical team.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine before any dental procedure. It may be used to prevent infection after dental surgery in some cases, but your dentist will decide based on your condition. Do not self-medicate.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
While taking this medicine, you can continue light exercise if you feel up to it. However, if you experience dizziness, fatigue, or joint pain, avoid strenuous activities. Listen to your body and rest when needed. Consult your doctor before resuming intense workouts.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or tiredness in some people. If you experience these effects, avoid driving or operating heavy machinery until you know how the medicine affects you. Most people can continue their normal daily activities, but take it easy if you feel unwell. Inform your employer if you need to take sick leave.
🛑 When to Stop This Medicine
Do not stop taking this medicine without consulting your doctor, even if you feel better. Stopping early can allow the infection to return and may lead to antibiotic resistance. If you experience serious side effects, stop the medicine and seek medical advice immediately. Your doctor will advise you on whether to stop or switch to another antibiotic.
📅 Long-Term Use Effects
Long-term use of this medicine is not usually recommended unless prescribed for a specific chronic infection. Prolonged use can lead to antibiotic resistance, overgrowth of non-susceptible organisms like fungi, and rarely, blood or liver abnormalities. If long-term therapy is necessary, your doctor will monitor your kidney and liver function, and blood counts periodically. Always follow your doctor's advice regarding the duration of treatment.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Depending on the infection and sensitivity, other antibiotics like amoxicillin-clavulanate, cefixime, or cefpodoxime may be used.
Evidence: Well-establishedRest, hydration, and symptomatic treatment can complement antibiotic therapy.
Evidence: Well-establishedMay help prevent antibiotic-associated diarrhoea, but evidence is mixed.
Evidence: Limited💉 Vaccination Considerations
💉 If You're Getting Vaccinated
This medicine does not interact with vaccines. However, if you are due for a vaccination, inform your doctor. Antibiotics do not affect the immune response to most vaccines, but it is best to discuss timing with your healthcare provider.
📦 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
✅ DO
Keep out of reach of children
❌ DON'T
Do not use after expiry date
✈️ Traveling with This Medicine
When traveling, carry this medicine in its original packaging along with a copy of your prescription. Keep it in your hand luggage to avoid loss or exposure to extreme temperatures. Store it at room temperature, away from direct sunlight and moisture. If you are crossing time zones, adjust your dosing schedule gradually, but consult your doctor for specific advice. Check the customs regulations of your destination country regarding prescription medicines. Carry enough supply for your entire trip, plus a few extra days in case of delays.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: You may start to feel better within 1 to 3 days, but it is important to complete the full course as prescribed.
A: Yes, taking it with food improves absorption and reduces stomach upset.
A: 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 dose.
A: Cefuroxime is generally considered safe during pregnancy when prescribed by a doctor. Consult your doctor before use.
A: It is best to avoid alcohol as it can worsen side effects like stomach upset and dizziness.
A: Store at room temperature away from direct sunlight and moisture, in the original packaging.
🤔 Common Patient Concerns
🔄 Substitutes for bacticef o 200mg tablet
View AllAlternative brands with exact same active ingredient:
-
axtl 200mg tabletVeritaz Healthcare Ltd ₹100.00 15.6% CHEAPER
-
xime 200mg tabletPCI Pharmaceuticals ₹111.77 5.7% CHEAPER
-
zopcef 200mg tabletExide Healthcare Pharmaceuticals Private Limited ₹149.00 25.7% COSTLIER
-
bioxim 200mg tabletMDC Pharmaceuticals Pvt Ltd ₹188.00 58.6% COSTLIER
-
cefotil 200mg tabletTengee Lifescience ₹225.00 89.9% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: Antibiotics can cure the common cold and flu.
Fact: This medicine is effective only against bacterial infections. It does not treat viral infections like the common cold or flu. - Myth: You can stop taking antibiotics once you feel better.
Fact: You must complete the full course as prescribed to prevent the infection from returning and to reduce antibiotic resistance. - Myth: Antibiotics can be shared with family members.
Fact: This medicine should never be shared. It is prescribed for your specific condition and may be harmful to others. - Myth: Taking antibiotics with alcohol is always dangerous.
Fact: While alcohol does not directly interact with this medicine, it can worsen side effects like stomach upset and dizziness. It is best to avoid alcohol.
🔄 Alternative Options
Generic Alternatives
- Cefuroxime 200 mg tablet (various manufacturers)
Brand Alternatives
- Axtl 200mg Tablet