What is bactwar 200mg/150mg tablet used for?

This medicine is a combination antibiotic containing Cefixime and Sulbactam, used to treat various bacterial infections. It works by killing bacteria and is taken orally, usually once or twice daily. It should only be used when prescribed by a doctor.

Generic Name: Cefixime + Sulbactam
Manufacturer: Solariz Healthcare Private Limited
Form: Allopathy
Pregnancy Category: Consult doctor
Prescription Required: Yes

🇮🇳 bactwar 200mg/150mg tablet के बारे में (Hindi Summary)

उपयोग: यह दवा सेफिक्सिम और सल्बैक्टम का संयोजन है, जिसका उपयोग विभिन्न जीवाणु संक्रमणों के इलाज के लिए किया जाता है। यह श्वसन पथ, मूत्र पथ, त्वचा और अन्य संक्रमणों के इलाज में प्रभावी है। यह दवा बैक्टीरिया को मारकर काम करती है और इसे मुँह से लिया जाता है। इसे डॉक्टर के निर्देशानुसार ही लें और पूरा कोर्स पूरा करें।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में दस्त, जी मिचलाना, पेट दर्द और सिरदर्द शामिल हैं। ये आमतौर पर हल्के होते हैं और अपने आप ठीक हो जाते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन यदि आपको चेहरे, होंठ या गले में सूजन, सांस लेने में कठिनाई, या गंभीर दाने हों तो तुरंत डॉक्टर से मिलें।

सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। खुराक न छोड़ें और कोर्स पूरा करें। इसे भोजन के साथ लें ताकि पेट की परेशानी कम हो। एंटासिड या आयरन सप्लीमेंट के साथ इस दवा को न लें। यदि आप गर्भवती हैं या स्तनपान करा रही हैं, तो डॉक्टर से सलाह लें। शराब का सेवन न करें।

💊 bactwar 200mg/150mg tablet Uses & Benefits

[{"condition":"Respiratory tract infections","description":"Used to treat bacterial infections of the upper and lower respiratory tract, such as pharyngitis, tonsillitis, sinusitis, and bronchitis.","evidence":"Well-established"},{"condition":"Urinary tract infections","description":"Effective against bacterial infections of the urinary tract, including cystitis and pyelonephritis, caused by susceptible organisms.","evidence":"Well-established"},{"condition":"Skin and soft tissue infections","description":"Used for uncomplicated skin infections such as cellulitis, abscesses, and wound infections caused by susceptible bacteria.","evidence":"Well-established"},{"condition":"Gonorrhea","description":"May be used as part of combination therapy for uncomplicated gonorrhea caused by Neisseria gonorrhoeae.","evidence":"Established"},{"condition":"Otitis media","description":"Sometimes prescribed for middle ear infections in children, though other antibiotics are often preferred.","evidence":"Limited"}]

Off-label uses: [{"condition":"Typhoid fever","description":"Cefixime has been used off-label for treating typhoid fever caused by Salmonella typhi, but resistance patterns vary.","evidence":"Limited"},{"condition":"Prophylaxis in dental procedures","description":"Occasionally used off-label for prevention of infective endocarditis in high-risk patients undergoing dental procedures, but not standard.","evidence":"Limited"}]

Primary treatment for: Bacterial infections

Also treats: Respiratory tract infections, Urinary tract infections, Skin infections, Gonorrhea

📋 Drug Information

Generic Name(s)	Cefixime + Sulbactam
Brand Name	Bactwar 200mg/150mg Tablet
Manufacturer	Solariz Healthcare Private Limited
Packaging / Form	Varies by brand (Allopathy)
Therapeutic Class	ANTI INFECTIVES
Action Class	Cephalosporin + Beta-lactamase inhibitor
Route of Administration	Oral
Storage	Store at room temperature between 15°C and 30°C (59°F to 86°F). Protect from moisture and direct sunlight. Keep in the original container.
Shelf Life	Typically 24 months from the date of manufacture. Refer to the packaging for the exact expiry date.
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

1

Always prescribe this medicine only for confirmed or strongly suspected bacterial infections.

2

Advise patients to complete the full course even if symptoms improve to prevent resistance.

3

Take with food to reduce gastrointestinal side effects.

4

Warn patients about the possibility of Clostridium difficile-associated diarrhea and when to seek help.

5

Adjust dose in renal impairment based on creatinine clearance.

6

Monitor for allergic reactions, especially in patients with penicillin allergy.

7

Avoid concurrent use with warfarin unless monitored closely.

8

Educate patients about the importance of not sharing antibiotics.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅

Fever with productive cough

This medicine is commonly prescribed for bacterial respiratory infections.

Likely Use

✅

Burning urination

This medicine is used for urinary tract infections.

Likely Use

❌

Runny nose and sneezing

This medicine is not effective for viral infections like the common cold.

Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionCefixime is absorbed from the gastrointestinal tract after oral administration. The presence of food may slightly delay absorption but does not significantly affect the overall extent. Sulbactam absorption characteristics when given orally in combination are not well established from the available information.

DistributionCefixime distributes widely into body tissues and fluids, including the respiratory tract, urine, and bile. It crosses the placenta and is excreted in breast milk. Protein binding of Cefixime is approximately 65%. Distribution of Sulbactam when given orally is not well established from the available information.

Protein BindingCefixime is approximately 65% bound to plasma proteins. Protein binding of Sulbactam when administered orally is not established from the available information.

MetabolismCefixime is not significantly metabolized and is excreted largely unchanged. Sulbactam is partially metabolized in the liver, but specific metabolic pathways when given orally are not well established from the available information.

Half-LifeThe elimination half-life of Cefixime is approximately 3 to 4 hours in healthy adults. The half-life may be prolonged in patients with renal impairment. The half-life of Sulbactam when given orally is not established from the available information.

ExcretionCefixime is primarily excreted unchanged in the urine, with about 20-50% of an oral dose recovered in urine within 24 hours. Sulbactam is mainly excreted in the urine as unchanged drug. Renal impairment can affect the excretion of both components.

BioavailabilityThe oral bioavailability of Cefixime is approximately 40-50% in healthy adults. The bioavailability of Sulbactam when given orally is not established from the available information.

Onset of ActionThe onset of antibacterial action begins within 1-2 hours after oral administration, but clinical improvement of symptoms may take 24-48 hours.

Peak Plasma TimePeak plasma concentrations of Cefixime are reached approximately 2-4 hours after oral administration. Peak plasma time for Sulbactam when given orally is not established from the available information.

Duration of ActionThe antibacterial effect of Cefixime lasts for approximately 12-24 hours, allowing for once or twice daily dosing. The duration of action of Sulbactam when given orally is not established from the available information.

How It Works

This medicine combines two active ingredients. Cefixime is a third-generation cephalosporin antibiotic that works by binding to penicillin-binding proteins (PBPs) on the bacterial cell wall, inhibiting cell wall synthesis and leading to bacterial cell death. Sulbactam is a beta-lactamase inhibitor that irreversibly binds to certain beta-lactamase enzymes produced by bacteria, preventing them from breaking down Cefixime. This extends the spectrum of Cefixime to include some beta-lactamase-producing bacteria. Together, they provide a broader coverage against susceptible organisms.

Mechanism Steps

1

Cefixime binds to PBPs: Cefixime binds to specific penicillin-binding proteins on the bacterial cell membrane, inhibiting the cross-linking of peptidoglycan chains in the cell wall.

2

Inhibition of cell wall synthesis: This binding prevents the final transpeptidation step of peptidoglycan synthesis, weakening the bacterial cell wall.

3

Sulbactam inhibits beta-lactamases: Sulbactam irreversibly binds to beta-lactamase enzymes produced by certain bacteria, preventing them from hydrolyzing Cefixime.

4

Bacterial cell lysis: With the cell wall compromised and Cefixime protected, the bacteria undergo lysis and die, resolving the infection.

💡 How to Take bactwar 200mg/150mg tablet

Strength: Each tablet contains Cefixime 200 mg and Sulbactam 150 mg.

1Take the tablet with a full glass of water.

2Take it with food to reduce stomach upset.

3Swallow the tablet whole; do not crush or chew.

4Take at evenly spaced intervals as prescribed.

5Do not take antacids or iron supplements within 2 hours of this medicine.

6Complete the full course as prescribed, even if you feel better.

Dosage Information

Adult Dosage	The usual adult dose of this medicine is one tablet taken orally once or twice daily, depending on the type and severity of the infection. The dose may be adjusted by your doctor based on your kidney function and other factors. The duration of treatment is typically 5 to 10 days, but may vary. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not self-medicate or change the dose without consulting your doctor.
Pediatric Dosage	Pediatric dosing is not established from available information. Consult a pediatrician.
Elderly Dosage	Elderly patients may have reduced kidney function and may require dose adjustment. Your doctor will determine the appropriate dose based on your renal function. Regular monitoring of kidney function is advised.
Renal Impairment	In patients with renal impairment, dose adjustment is required. For creatinine clearance between 20-60 mL/min, a reduced dose may be given. For creatinine clearance less than 20 mL/min, the dose may need further reduction or alternative therapy. Consult your doctor for specific dosing.
Hepatic Impairment	No specific dose adjustment is established for hepatic impairment. Use with caution and monitor liver function. Consult your doctor for guidance.
Maximum Daily Dose	The maximum recommended daily dose is generally 400 mg of Cefixime, but this may vary based on the indication and clinical judgment. Do not exceed the dose prescribed by your doctor.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With food

Take with meals

Reduces stomach upset and improves tolerability.

Antacids

Avoid within 2 hours

May reduce absorption of Cefixime.

Iron supplements

Avoid within 2 hours

May reduce absorption of Cefixime.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed

→ Take the missed dose as soon as you remember.

💡 Continue with the regular schedule.

📌 More than half the dosing interval has passed

→ Skip the missed dose.

💡 Do not double dose to catch up.

⚠️ Side Effects of bactwar 200mg/150mg tablet

✅ Common Side Effects

Diarrhea (Common (5-10%))

Usually resolves on its own. Stay hydrated. Consult doctor if persistent or severe.

Nausea (Common (5-10%))

Take with food to reduce nausea. Consult doctor if it persists.

Stomach pain (Common (5-10%))

Take with food. If pain is severe or persistent, consult your doctor.

Headache (Common (5-10%))

Usually resolves on its own. Consult doctor if severe or persistent.

Vomiting (Uncommon (1-5%))

Take with food and stay hydrated. Consult doctor if vomiting continues.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare (<0.1%))

Seek immediate medical attention if you experience swelling of face, lips, throat, difficulty breathing, or severe rash.

Clostridium difficile-associated diarrhea (Rare (<0.1%))

Seek immediate medical attention if you develop persistent watery diarrhea, abdominal cramping, or fever.

Severe skin reactions (Stevens-Johnson syndrome, toxic epidermal necrolysis) (Rare (<0.1%))

Seek immediate medical attention if you notice rash, blistering, peeling skin, or sores in mouth.

Liver problems (hepatitis, cholestasis) (Rare (<0.1%))

Consult doctor if you notice yellowing of skin or eyes, dark urine, or severe abdominal pain.

Kidney problems (acute interstitial nephritis) (Rare (<0.1%))

Consult doctor if you notice decreased urine output, swelling, or fatigue.

⚠️ Rare Side Effects

Blood disorders (leukopenia, thrombocytopenia, eosinophilia)

Report unusual bruising, bleeding, or signs of infection to your doctor.

Seizures

Seek immediate medical attention if seizures occur.

Hemolytic anemia

Report fatigue, pale skin, or shortness of breath to your doctor.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug	Severity	Effect
Warfarin	Major
Carbamazepine	Major
Oral contraceptives	Moderate
Probenecid	Moderate
Furosemide	Moderate
Aminoglycosides	Moderate
Antacids	Minor
Iron supplements	Minor

🚨 Major Interactions

Warfarin
Carbamazepine
Oral contraceptives

⚡ Moderate Interactions

Probenecid
Loop diuretics (e.g., furosemide)
Aminoglycosides

🍷 Alcohol Interaction

Alcohol may worsen certain side effects of this medicine, such as nausea, dizziness, and stomach upset. It is advisable to avoid alcohol while taking this medicine and for a few days after completing the course.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known allergy to Cefixime, other cephalosporins, or any component of the formulation.","History of severe allergic reaction to penicillins (cross-reactivity possible).","Use in patients with a history of Clostridium difficile-associated diarrhea.","Not recommended for viral infections."]

⚠️ Warnings & Precautions

["Use with caution in patients with renal impairment; dose adjustment may be needed.","Use with caution in patients with a history of gastrointestinal disease, especially colitis.","Prolonged use may result in overgrowth of non-susceptible organisms, including fungi.","May cause false-positive results in urine glucose tests using copper reduction methods.","May cause false-positive direct Coombs test.","Serious allergic reactions, including anaphylaxis, have been reported; discontinue immediately if allergic reaction occurs.","Clostridium difficile-associated diarrhea may occur; if suspected, discontinue and treat appropriately.","Do not use in patients with a history of penicillin allergy without assessing cross-reactivity risk."]

🤱 Lactation Safety

Cefixime is excreted in breast milk in small amounts and is generally considered compatible with breastfeeding. Sulbactam excretion in breast milk is not well established. Consult your doctor before using this medicine while breastfeeding.

💊 Overdose Management

Overdose of this medicine may cause nausea, vomiting, stomach pain, and diarrhea. In severe cases, seizures, encephalopathy, or renal impairment may occur. Treatment is symptomatic and supportive. There is no specific antidote. In case of overdose, seek immediate medical attention. Hemodialysis may be considered in severe cases, especially with renal impairment.

⏰ 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 to catch up.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor. Do not skip doses or stop taking it early, even if you feel better, as this can lead to antibiotic resistance and recurrence of infection. Take the tablet with a full glass of water, preferably with food to reduce stomach upset. Avoid taking antacids or iron supplements within two hours of this medicine, as they can reduce its absorption. Inform your doctor if you have a history of kidney disease, liver disease, or allergies to antibiotics. Do not share this medicine with others, even if they have similar symptoms. If you are pregnant, planning to become pregnant, or breastfeeding, consult your doctor before taking this medicine. Avoid alcohol while taking this medicine, as it may worsen side effects. If you miss a dose, take it as soon as you remember, but if it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose. Store this medicine at room temperature, away from moisture and direct sunlight. Keep out of reach of children.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may have reduced kidney function and are at higher risk of side effects. Dose adjustment may be necessary. Monitor renal function regularly.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, consult your doctor before taking this medicine. Cefixime is generally considered safe, but Sulbactam safety is not well established.

🏥 Post-Surgery Considerations

This medicine may be prescribed to prevent or treat surgical site infections. Follow your surgeon's instructions carefully.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine. It may interact with other medications used during dental procedures.

💚 Lifestyle Tips for Better Results

🏃

Stay well hydrated to help flush out the infection.

🥗

Get plenty of rest to support your immune system.

😴

Eat a balanced diet rich in fruits and vegetables.

💧

Practice good hygiene to prevent reinfection.

🧘

Avoid close contact with others if you have a contagious infection.

🌞

Complete the full course of antibiotics as prescribed.

🏋️ Exercise Considerations

If you experience dizziness or fatigue while taking this medicine, avoid strenuous exercise or operating heavy machinery until you know how it affects you.

🥗 Diet Recommendations

Include probiotic-rich foods like yogurt to maintain gut health.

Stay hydrated with water and clear fluids.

Avoid spicy and oily foods if you have stomach upset.

Eat small, frequent meals if you have nausea.

💼 Impact on Daily Work & Life

This medicine may cause dizziness or fatigue in some people. If affected, avoid driving or operating machinery. Otherwise, it usually does not significantly impact daily activities.

🛑 When to Stop This Medicine

Stop taking this medicine only after completing the full prescribed course or as directed by your doctor. If you experience serious side effects, stop and seek medical advice immediately.

📅 Long-Term Use Effects

Long-term use of this medicine is not recommended unless prescribed for a specific chronic infection. Prolonged use may lead to antibiotic resistance, superinfections, and rare blood or liver abnormalities. Regular monitoring may be required if used for extended periods.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Other antibiotics

Depending on the infection and susceptibility, other antibiotics like amoxicillin-clavulanate or azithromycin may be used.

Evidence: Well-established

Supportive care

Rest, hydration, and symptomatic treatment can complement antibiotic therapy.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

Antibiotics may reduce the effectiveness of live bacterial vaccines like typhoid vaccine. Consult your doctor about timing of vaccinations while on 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 a copy of your prescription. Keep it in your carry-on luggage to avoid loss. Store at room temperature and protect from moisture. If crossing time zones, adjust dosing times gradually as advised by your doctor. Check customs regulations for carrying prescription medicines. Do not pack it in checked baggage.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old woman with a urinary tract infection

She was prescribed this medicine for a UTI. She took it with food as advised and completed the 7-day course. Her symptoms improved within 3 days, but she continued the full course to prevent recurrence. She experienced mild nausea initially, which subsided after taking it with meals.

💡 Lesson: Completing the full course and taking with food improves outcomes and reduces side effects.

👤 A 50-year-old man with a respiratory tract infection

He started this medicine for bronchitis. After 2 days, he felt better and wanted to stop, but his doctor advised completing the 10-day course. He did so and recovered fully without recurrence. He was reminded not to share the medicine with his wife who had similar symptoms.

💡 Lesson: Stopping antibiotics early can lead to relapse and resistance. Always complete the prescribed course.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: You may start feeling better within 24-48 hours, but it is important to complete the full course as prescribed.

Q: Can I take it with food?

A: Yes, taking it with food can reduce stomach upset.

Q: What if I miss a dose?

A: Take it as soon as you remember, but if it's almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.

Q: Is it safe during pregnancy?

A: Consult your doctor before taking this medicine if you are pregnant or planning to become pregnant.

Q: Can I drink alcohol while taking this?

A: It is advisable to avoid alcohol as it may worsen side effects.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

Can I take this medicine long-term?
Will it affect my kidney function?
Can I drive after taking this medicine?
Does it interact with my blood pressure medicine?
What if I miss a dose?
Can I drink alcohol while taking this?

🔄 Substitutes for bactwar 200mg/150mg tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

Myth: Antibiotics can cure viral infections like the common cold.
Fact: This medicine is effective only against bacterial infections. It does not treat viral infections.
Myth: You can stop taking antibiotics once you feel better.
Fact: You must complete the full prescribed course to prevent recurrence and antibiotic resistance.
Myth: Antibiotics can be shared with others who have similar symptoms.
Fact: Never share antibiotics. They are prescribed for a specific infection and person.

🔄 Alternative Options

Generic Alternatives

Cefixime 200 mg + Sulbactam 150 mg tablet (various manufacturers)

Brand Alternatives

Bactwar 200mg/150mg tablet

📊 Comparison with Similar Medicines

[{"medicine":"Cefixime + Sulbactam","composition":"Cefixime 200 mg + Sulbactam 150 mg","route":"Oral","frequency":"Once or twice daily"},{"medicine":"Cefixime alone","composition":"Cefixime 200 mg","route":"Oral","frequency":"Once or twice daily"},{"medicine":"Cefixime + Clavulanic acid","composition":"Cefixime 200 mg + Clavulanic acid 125 mg","route":"Oral","frequency":"Twice daily"}]

Bactwar 200mg/150mg Tablet: Complete Medicine Guide

When to Call Your Doctor IMMEDIATELY

What is bactwar 200mg/150mg tablet used for?

🇮🇳 bactwar 200mg/150mg tablet के बारे में (Hindi Summary)

💊 bactwar 200mg/150mg tablet Uses & Benefits

📋 Drug Information

👨‍⚕️ Doctor's Practical Tips

🔍 Is This Medicine Right for Your Symptom?

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

How It Works

Mechanism Steps

💡 How to Take bactwar 200mg/150mg tablet

Dosage Information

Dosage Timeline

🍽️ Food Timing Guide

⏰ What to Do If You Miss a Dose

⚠️ Side Effects of bactwar 200mg/150mg tablet

✅ Common Side Effects

🚨 Serious Side Effects

⚠️ Rare Side Effects

🔬 Drug Interactions

🚨 Major Interactions

⚡ Moderate Interactions

🍷 Alcohol Interaction

🔎 Check Your Other Medicines

🛡️ Safety & Warnings

🚫 Contraindications

⚠️ Warnings & Precautions

🤱 Lactation Safety

💊 Overdose Management

⏰ Missed Dose

Additional Safety Advice

👴 Special Considerations for Elderly

💡 For Patients Above 65

🤰 Pregnancy Planning (TTC)

🏥 Post-Surgery Considerations

🦷 Dental Procedures

💚 Lifestyle Tips for Better Results

🏋️ Exercise Considerations

🥗 Diet Recommendations

💼 Impact on Daily Work & Life

🛑 When to Stop This Medicine

📅 Long-Term Use Effects

🌿 Non-Medicine Approaches

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

📦 Storage Guide

✅ DO

❌ DON'T

✅ DO

❌ DON'T

✅ DO

❌ DON'T

✈️ Traveling with This Medicine

💰 Cost Analysis & Savings

👥 Real Patient Stories

💬 Questions Patients Often Ask

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

🔄 Substitutes for bactwar 200mg/150mg tablet

🛑 Myths vs. Facts

🔄 Alternative Options

Generic Alternatives

Brand Alternatives

📊 Comparison with Similar Medicines

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