What is cefiwok oz 200 mg/500 mg tablet used for?

This medicine is a prescription antibiotic tablet that combines cefixime 200 mg and ornidazole 500 mg. It is used to treat mixed bacterial infections caused by susceptible aerobic and anaerobic organisms, such as complicated urinary tract infections, intra-abdominal infections, pelvic inflammatory disease, and dental infections. It must be taken exactly as prescribed, with food, and alcohol must be avoided during treatment.

Generic Name: Cefixime + Ornidazole
Manufacturer: Dr Reddy's Laboratories Ltd
Form: Allopathy
Pregnancy Category: Consult doctor
Prescription Required: Yes

🇮🇳 cefiwok oz 200 mg/500 mg tablet के बारे में (Hindi Summary)

उपयोग: यह दवा सेफिक्सिम 200 मिलीग्राम और ओर्निडाज़ोल 500 मिलीग्राम का संयोजन है। यह मुख्य रूप से उन संक्रमणों के इलाज के लिए दी जाती है जो एरोबिक और एनारोबिक दोनों प्रकार के बैक्टीरिया से होते हैं। इसे पेशाब की जटिल नली संक्रमण, पेट के अंदर के संक्रमण, पेल्विक इन्फ्लेमेटरी डिजीज, दांतों के फोड़े और त्वचा के कुछ संक्रमणों में इस्तेमाल किया जाता है। यह दवा वायरल सर्दी-जुकाम या फ्लू में काम नहीं करती। इसे डॉक्टर के बताए अनुसार पूरा कोर्स करना बहुत जरूरी है, भले ही लक्षण जल्दी ठीक होने लगें। इस दवा को लेते समय शराब बिल्कुल न पिएं, क्योंकि इससे उल्टी, चक्कर और दिल की धड़कन तेज हो सकती है।

साइड इफेक्ट्स: इस दवा के सबसे आम दुष्प्रभाव पेट और आंतों से जुड़े होते हैं, जैसे जी मिचलाना, पतला दस्त, पेट में दर्द और मुंह में धातु जैसा स्वाद आना। कुछ लोगों को सिरदर्द, चक्कर या त्वचा पर दाने भी हो सकते हैं। गंभीर लेकिन दुर्लभ दुष्प्रभावों में बहुत ज्यादा दस्त, चेहरे या गले में सूजन, खून की गड़बड़ी, दौरे और लिवर में सूजन शामिल हैं। अगर आपको गंभीर दस्त, सांस लेने में तकलीफ, चेहरे या गले में सूजन, या त्वचा पर फैलता हुआ दाना दिखे, तो तुरंत डॉक्टर से मिलें।

सुरक्षा सलाह: इस दवा को सिर्फ डॉक्टर की सलाह पर ही लें। गोली को पानी के साथ पूरा निगलें और इसे भोजन के साथ लें ताकि पेट की तकलीफ कम हो। गोली को चबाएं या तोड़ें नहीं। अगर लक्षण ठीक होने लगें तो भी पूरा कोर्स पूरा करें, क्योंकि बीच में दवा छोड़ने से संक्रमण फिर से हो सकता है और बैक्टीरिया में दवा का असर कम हो सकता है। इस दवा के साथ और आखिरी खुराक के 48 घंटे बाद तक शराब बिल्कुल न पिएं। अपने डॉक्टर को अपनी सभी दवाओं, खासकर खून पतला करने वाली दवाओं के बारे में बताएं। अगर आप गर्भवती हैं, गर्भधारण की योजना बना रही हैं या स्तनपान करा रही हैं, तो डॉक्टर को जरूर बताएं। यह दवा किसी और के साथ साझा न करें।

💊 cefiwok oz 200 mg/500 mg tablet Uses & Benefits

[{"condition":"Complicated urinary tract infections","description":"Used when a mixed aerobic and anaerobic bacterial infection is suspected or confirmed in the urinary tract.","evidence":"Well-established for susceptible organisms"},{"condition":"Intra-abdominal infections","description":"Prescribed for infections such as intra-abdominal abscesses or peritonitis where both aerobic and anaerobic bacteria may be involved.","evidence":"Well-established for susceptible organisms"},{"condition":"Pelvic inflammatory disease","description":"Used as part of a broader treatment plan for upper genital tract infections in women.","evidence":"Well-established for susceptible organisms"},{"condition":"Dental infections","description":"Prescribed for dental abscesses and severe gum infections where anaerobic bacteria are commonly involved.","evidence":"Commonly used in clinical practice"},{"condition":"Skin and soft tissue infections","description":"Used for certain mixed bacterial skin infections when the clinician judges this combination appropriate.","evidence":"Commonly used in clinical practice"}]

Off-label uses: [{"condition":"Giardiasis","description":"Ornidazole, one component of this medicine, is sometimes used for giardiasis, but the cefixime component is not needed for this parasitic infection.","evidence":"Limited for the combination"},{"condition":"Amoebic liver abscess","description":"Ornidazole is active against Entamoeba histolytica, but using this combination for amoebiasis alone exposes the patient to unnecessary cefixime.","evidence":"Limited for the combination"}]

Primary treatment for: Mixed bacterial infections caused by susceptible aerobic and anaerobic organisms

Also treats: Complicated urinary tract infection, Intra-abdominal infection, Pelvic inflammatory disease, Dental abscess, Skin and soft tissue infection

📋 Drug Information

Generic Name(s)	Cefixime + Ornidazole
Brand Name	Aelxim-OZ 200mg/500mg Tablet
Manufacturer	Dr Reddy's Laboratories Ltd
Packaging / Form	Varies by brand (Allopathy)
Therapeutic Class	ANTI INFECTIVES
Action Class	Antibiotic + Antiprotozoal
Route of Administration	Oral. This medicine is a tablet that is swallowed whole with water. It should not be chewed, crushed, or dissolved unless your doctor or pharmacist specifically advises otherwise
Storage	Store this medicine at room temperature, between 15°C and 30°C, in a dry place. Keep it in the original container with the lid tightly closed. Protect it from direct sunlight and moisture. Do not store it in the bathroom. Keep it out of the reach of children and pets.
Shelf Life	The shelf life is usually 24 months from the date of manufacture, but you should always check the expiry date printed on the pack. Do not use the medicine after the expiry date.
WHO Guideline	Not established from the available information for this specific fixed-dose combination. Antibiotic choice should follow local guidelines and culture results.
ICMR Guideline	Not established from the available information for this specific fixed-dose combination. The Indian Council of Medical Research encourages rational antibiotic use and discourages unnecessary fixed-dose combinations.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1

Take this medicine with a meal to reduce nausea and stomach discomfort.

2

Complete the full prescribed course even if you feel better after two or three days.

3

Avoid alcohol completely during treatment and for at least 48 hours after the last dose.

4

Tell your doctor about all other medicines, especially warfarin, carbamazepine, lithium, and oral contraceptives.

5

Do not use this medicine for viral infections such as the common cold or flu.

6

Report severe or bloody diarrhoea to your doctor immediately, as it may be a sign of a serious gut infection.

7

If you have kidney or liver disease, ask your doctor whether the dose needs adjustment.

8

Do not share this medicine with family members or friends, even if their symptoms seem similar.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅

Burning or frequent urination with fever

This medicine may be prescribed for a complicated urinary tract infection caused by susceptible organisms.

Likely Use

✅

Severe tooth pain with swelling

This medicine may be prescribed for a dental abscess along with dental treatment.

Likely Use

✅

Abdominal pain with fever

This medicine may be prescribed for an intra-abdominal infection caused by susceptible organisms.

Likely Use

❌

Common cold or flu

This medicine does not treat viral infections and should not be used for the common cold or flu.

Not Primary

❌

Mild headache without fever

This medicine is not a pain reliever and is not used for mild headache alone.

Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionCefixime is absorbed from the gut after oral intake, and food does not significantly reduce the total amount absorbed. Ornidazole is also well absorbed after oral intake. Taking this medicine with food is recommended mainly to reduce stomach upset rather than to improve absorption.

DistributionBoth cefixime and ornidazole distribute into many body tissues and fluids, including the urinary tract, abdominal tissues, and pelvic organs, which supports their use in the infections listed for this medicine. Ornidazole also crosses into the central nervous system, which is relevant to its rare neurological side effects.

Protein BindingCefixime is highly bound to plasma proteins, while ornidazole is only weakly bound. The exact percentages are not established from the available information for this fixed-dose combination.

MetabolismCefixime is largely excreted unchanged and is not extensively metabolised by the liver. Ornidazole is metabolised in the liver, mainly by oxidation and glucuronidation. Because ornidazole is liver-metabolised, liver function should be considered before prescribing this medicine to patients with significant liver disease.

Half-LifeThe elimination half-life of cefixime is approximately 3 to 4 hours in healthy adults. The elimination half-life of ornidazole is approximately 12 to 14 hours. These values may be longer in people with kidney or liver impairment.

ExcretionCefixime is excreted mainly unchanged in the urine, so kidney function affects its clearance. Ornidazole is excreted mainly in the urine as metabolites and in small amounts in the faeces. Dose adjustment may be needed in severe kidney or liver impairment.

BioavailabilityThe oral bioavailability of cefixime is approximately 40 to 50 percent. The oral bioavailability of ornidazole is high, generally above 90 percent. Exact values for this fixed-dose combination are not established from the available information.

Onset of ActionCefixime begins to kill susceptible bacteria within a few hours of the first dose, but noticeable symptom improvement usually takes 24 to 72 hours. Ornidazole also starts working within hours, but clinical improvement in anaerobic infections may take a few days.

Peak Plasma TimeCefixime reaches peak plasma levels about 3 to 4 hours after an oral dose. Ornidazole reaches peak plasma levels about 2 to 3 hours after an oral dose.

Duration of ActionBecause cefixime is usually dosed once or twice daily and ornidazole once or twice daily, the antibacterial effect is maintained across the dosing interval. The exact duration of action for this fixed-dose combination is not established from the available information.

How It Works

This medicine works through two separate mechanisms. Cefixime binds to penicillin-binding proteins on the bacterial cell wall and blocks the cross-linking of peptidoglycan, which weakens the cell wall and causes the bacterium to burst and die. Ornidazole enters anaerobic bacteria and protozoa and, once inside, its nitro group is reduced to reactive intermediates that damage microbial DNA, which stops the organism from reproducing and eventually kills it. Because the two ingredients target different organisms and different processes, the combination covers a wider range of aerobic and anaerobic pathogens than either ingredient alone.

Mechanism Steps

1

Cefixime binds penicillin-binding proteins: Cefixime attaches to penicillin-binding proteins on the bacterial cell membrane and blocks the final step of cell wall construction.

2

Bacterial cell wall weakens: Without proper cross-linking, the bacterial cell wall becomes fragile and the bacterium cannot maintain its shape or internal pressure.

3

Bacterium dies: The weakened bacterium bursts and dies, which helps the body clear the aerobic part of the infection.

4

Ornidazole enters anaerobic organisms: Ornidazole passes into susceptible anaerobic bacteria and protozoa, where its nitro group is chemically reduced.

5

DNA damage stops reproduction: The reduced ornidazole intermediates damage microbial DNA, which blocks replication and leads to the death of the organism.

💡 How to Take cefiwok oz 200 mg/500 mg tablet

Strength: Each tablet contains cefixime 200 mg and ornidazole 500 mg. The dosage form is an immediate-release tablet for oral use.

1Wash your hands before taking the tablet.

2Take the tablet with a full glass of water.

3Swallow the tablet whole. Do not chew, crush, or break it.

4Take it with a meal or snack to reduce stomach upset.

5Take it at the same time each day to keep steady levels in your body.

6If you are also taking antacids or iron supplements, take them at least two hours apart from this medicine.

7Complete the full course prescribed by your doctor, even if you feel better.

8Do not drink alcohol during treatment and for at least 48 hours after the last dose.

Dosage Information

Adult Dosage	The usual adult dose of this medicine is one tablet taken by mouth once or twice daily, depending on the type and severity of the infection. The exact dose, frequency, and duration must be individualized by a qualified clinician based on the indication, the patient's age, weight, kidney function, and liver function. Do not change the dose or stop the medicine on your own. Always complete the full course prescribed by your doctor.
Pediatric Dosage	Pediatric dosing for this fixed-dose combination is not established from the available information. Cefixime and ornidazole are sometimes used in children at doses calculated by weight, but this must be decided by a paediatrician. Do not give this medicine to a child unless a paediatrician has prescribed it.
Elderly Dosage	Older adults may need a lower dose or a longer dosing interval, especially if kidney function is reduced. Kidney function should be checked before and during treatment. Elderly patients are also more likely to take other medicines, so a careful review of all medicines is important to avoid interactions.
Renal Impairment	Cefixime is cleared mainly by the kidneys, so the dose or dosing interval may need to be adjusted in people with reduced kidney function. Ornidazole does not usually need adjustment for kidney impairment, but the combination should be used with caution. The exact adjustment must be individualized by a qualified clinician based on the measured kidney function.
Hepatic Impairment	Ornidazole is metabolised by the liver, so people with significant liver disease may need a lower dose or a different medicine. Liver function should be assessed before treatment. The exact adjustment must be individualized by a qualified clinician.
Maximum Daily Dose	The maximum daily dose of this fixed-dose combination is not established from the available information. Do not exceed the dose prescribed by your doctor.

Dosage Timeline

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

🍽️ Food Timing Guide

Meals

Take with food

Reduces nausea and stomach discomfort.

Alcohol

Avoid completely

Ornidazole can cause a disulfiram-like reaction with flushing, vomiting, and a fast heartbeat.

Grapefruit juice

Avoid large amounts

Grapefruit can affect drug-metabolising enzymes, and it is safer to avoid large amounts during treatment.

Antacids and iron supplements

Separate by at least two hours

They may reduce the 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 for the next dose.

📌 More than half the dosing interval has passed

→ Skip the missed dose and wait for the next scheduled dose.

💡 Do not take two doses at the same time to catch up.

📌 You are unsure whether to take the missed dose

→ Contact your doctor or pharmacist for advice.

💡 Never double the dose without medical advice.

⚠️ Side Effects of cefiwok oz 200 mg/500 mg tablet

✅ Common Side Effects

Nausea (Common)

Take the tablet with food and drink plenty of water. Tell your doctor if nausea persists or prevents you from eating.

Loose stools or mild diarrhoea (Common)

Stay hydrated. Seek medical advice if diarrhoea becomes severe, bloody, or lasts more than a few days.

Stomach pain or discomfort (Common)

Take the medicine with a meal. Avoid spicy and oily food until the discomfort settles.

Metallic taste in the mouth (Common)

This usually fades with time. Chewing sugar-free gum or rinsing the mouth may help.

Headache (Uncommon)

Rest and stay hydrated. Consult your doctor if the headache is severe or persistent.

Dizziness (Uncommon)

Avoid driving or operating machinery until you know how this medicine affects you.

🚨 Serious Side Effects

Clostridioides difficile-associated diarrhoea (Uncommon)

Seek medical attention if you develop severe, watery, or bloody diarrhoea, or diarrhoea that starts after finishing the course.

Severe allergic reaction (anaphylaxis) (Rare)

Call emergency services immediately if you develop swelling of the face, lips, or throat, difficulty breathing, or a widespread rash.

Severe skin reactions such as Stevens-Johnson syndrome (Rare)

Stop the medicine and seek emergency care if you develop painful skin peeling, mouth sores, or a spreading rash with fever.

Blood disorders such as low white cell or platelet count (Rare)

Report unusual bruising, bleeding, fever, or persistent sore throat to your doctor promptly.

Seizures (Rare)

Seek immediate medical help if you have a seizure or unusual confusion.

Liver inflammation (Rare)

Report yellowing of the eyes or skin, dark urine, or severe tiredness to your doctor.

⚠️ Rare Side Effects

Pancreatitis

Seek urgent care for severe upper abdominal pain that radiates to the back.

Peripheral neuropathy

Report numbness, tingling, or burning in the hands or feet to your doctor.

Kidney inflammation

Report decreased urine output or swelling to your doctor promptly.

Severe low platelet count

Seek medical attention for unexplained bruises or bleeding.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug	Severity	Effect
Warfarin	Major
Alcohol	Major
Carbamazepine	Major
Oral contraceptives	Moderate
Probenecid	Moderate
Furosemide	Moderate
Lithium	Moderate
Antacids	Minor
Iron supplements	Minor
Metformin	Minor

🚨 Major Interactions

Warfarin and other vitamin K antagonists
Alcohol
Carbamazepine

⚡ Moderate Interactions

Oral contraceptives
Probenecid
Loop diuretics such as furosemide
Lithium

🍷 Alcohol Interaction

Alcohol must be completely avoided while taking this medicine and for at least 48 hours after the last dose. Ornidazole can cause a disulfiram-like reaction with facial flushing, severe nausea, vomiting, headache, and a rapid heartbeat. Alcohol can also worsen stomach upset and dizziness caused by this medicine.

🔎 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 this medicine.","Known allergy to ornidazole or other nitroimidazole medicines such as metronidazole or tinidazole.","Previous severe allergic reaction to penicillin, because of the risk of cross-reactivity with cephalosporins.","Use of alcohol during treatment and for at least 48 hours after the last dose.","Pregnancy, especially in the first trimester, unless the clinician decides it is clearly necessary.","Severe liver disease, unless the clinician decides the benefit outweighs the risk.","Children below the age for which this combination is approved, unless specifically prescribed by a paediatrician."]

⚠️ Warnings & Precautions

["Tell your doctor about all allergies, especially to antibiotics, before starting this medicine.","Do not use this medicine for viral infections such as the common cold or flu, because it will not help and may cause harm.","Complete the full prescribed course even if you feel better early, to reduce the risk of resistance and relapse.","Avoid alcohol completely during treatment and for at least 48 hours after the last dose.","Tell your doctor if you have kidney or liver disease, because the dose may need adjustment.","Tell your doctor if you take warfarin, carbamazepine, lithium, or oral contraceptives.","Stop the medicine and seek urgent care if you develop a severe rash, facial swelling, or difficulty breathing.","Report severe or bloody diarrhoea to your doctor, because it may be a sign of a serious gut infection.","Do not share this medicine with anyone else, even if they have similar symptoms.","Keep this medicine out of the reach of children."]

🤱 Lactation Safety

Cefixime passes into breast milk in small amounts and is generally considered compatible with breastfeeding, but ornidazole also passes into breast milk and may cause side effects in the infant. Breastfeeding mothers should consult their doctor before using this medicine. If it is prescribed, the doctor may advise timing feeds to reduce infant exposure.

💊 Overdose Management

There is no specific antidote for an overdose of this medicine. If a large amount has been taken, seek emergency medical care immediately. Treatment is supportive and may include stomach emptying if the patient is seen very early, along with monitoring of vital signs, kidney function, liver function, and blood counts. Dialysis is not known to remove cefixime or ornidazole effectively, so it is not a routine part of overdose management.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember, provided there is enough time before the next scheduled dose. If it is almost time for the next dose, skip the missed dose and continue with your regular schedule. Never take two doses at the same time to make up for a missed dose.

Additional Safety Advice

General Safety

Take this medicine only when a qualified clinician has prescribed it for you. Swallow the tablet whole with a full glass of water and take it with food to reduce stomach upset. Do not chew or crush the tablet. Complete the entire course even if you feel better after a few days, because stopping early can allow the infection to return and can promote antibiotic resistance. Avoid alcohol completely while taking this medicine and for at least 48 hours after the last dose, because ornidazole can cause a disulfiram-like reaction with flushing, severe nausea, vomiting, and a rapid heartbeat. Inform your doctor about all other medicines you take, especially blood thinners such as warfarin. Tell your doctor if you are pregnant, planning pregnancy, or breastfeeding. Do not share this medicine with anyone else, even if they have similar symptoms. Store the tablets in their original container away from moisture and direct sunlight.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Older adults may have reduced kidney function, which can cause cefixime to build up in the body. The dose or dosing interval may need to be adjusted. Elderly patients are also more likely to take other medicines, so a careful review of all medicines is important to avoid interactions. Watch for dizziness and falls, and report any new symptoms to your doctor promptly.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy, tell your doctor before starting this medicine. Ornidazole is usually avoided in the first trimester unless there is no safer alternative. If you become pregnant while taking this medicine, contact your doctor immediately for advice. Do not start or stop this medicine on your own during pregnancy planning.

🏥 Post-Surgery Considerations

This medicine may be prescribed after some surgeries to prevent or treat mixed bacterial infections. Follow your surgeon's instructions about when to start and stop the medicine. Tell your surgeon and anaesthetist about all medicines you take, including this one, before any procedure. Avoid alcohol after surgery, especially while taking this medicine.

🦷 Dental Procedures

This medicine is sometimes prescribed for dental abscesses or after certain dental procedures. Tell your dentist if you are taking this medicine or any other antibiotics. It is important to complete the full course and to keep your follow-up dental appointments. Avoid alcohol during treatment and for at least 48 hours after the last dose.

💚 Lifestyle Tips for Better Results

🏃

Drink plenty of water throughout the day to stay hydrated, especially if you have loose stools.

🥗

Eat light, easily digestible meals while you are recovering from the infection.

😴

Avoid alcohol completely during treatment and for at least 48 hours after the last dose.

💧

Get adequate rest to help your body fight the infection.

🧘

Wash your hands frequently to prevent the spread of infection to others.

🌞

Do not share personal items such as towels or toothbrushes during an active infection.

🚭

Finish the full course of antibiotics even if you feel better early.

🏋️ Exercise Considerations

Mild activity such as walking is usually fine if you feel well. Avoid strenuous exercise if you have fever, dizziness, or fatigue. If you feel dizzy or weak, do not drive or operate heavy machinery until you feel better. Ask your doctor when you can return to your normal exercise routine.

🥗 Diet Recommendations

Take the tablet with a meal or snack to reduce stomach upset.

Drink plenty of water and fluids to stay hydrated.

Eat light, bland foods such as rice, bananas, and toast if you have loose stools.

Avoid spicy, oily, and heavy foods while you have stomach discomfort.

Avoid alcohol completely during treatment and for at least 48 hours after the last dose.

Include yogurt or probiotics if your doctor approves, to help maintain healthy gut bacteria.

💼 Impact on Daily Work & Life

Most people can continue their usual work while taking this medicine, but you should avoid driving or operating heavy machinery if you feel dizzy or drowsy. If your work involves handling food or close contact with vulnerable people, ask your doctor about any precautions. Take the medicine at the same time each day to keep steady levels in your body, and plan your doses around your work schedule.

🛑 When to Stop This Medicine

Do not stop this medicine on your own before completing the prescribed course, even if you feel better. Stopping early can allow the infection to return and can promote antibiotic resistance. If you develop a serious side effect such as a severe rash, facial swelling, difficulty breathing, or severe diarrhoea, stop the medicine and seek medical help immediately. Always consult your doctor before stopping this medicine for any other reason.

📅 Long-Term Use Effects

This medicine is usually prescribed for a short course, so long-term effects are uncommon. Prolonged or repeated use of antibiotics can lead to antibiotic resistance, gut flora imbalance, and a higher risk of Clostridioides difficile infection. Rarely, prolonged use of nitroimidazoles such as ornidazole has been associated with peripheral neuropathy. If long-term treatment is needed, your doctor may monitor your blood counts, liver function, and kidney function regularly.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Culture-directed antibiotic therapy

When possible, a sample is sent for culture and sensitivity testing so that the antibiotic can be chosen specifically for the organism causing the infection.

Evidence: Well-established

Single-agent antibiotic therapy

If the infection is caused by only one type of organism, a single antibiotic may be enough instead of a combination.

Evidence: Well-established

Supportive care

Rest, fluids, and pain relief can help manage symptoms while the infection is being treated.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

Antibiotics do not interfere with most vaccines, but if you are unwell with a fever, your doctor may advise waiting until you have recovered before receiving a vaccine. This medicine is not a substitute for vaccination. Continue your routine vaccination schedule as advised by your doctor.

📦 Storage Guide

✅ DO

Store at room temperature between 15°C and 30°C.

❌ DON'T

Do not store in the refrigerator unless the label says so.

✅ DO

Keep the tablets in their original container with the lid tightly closed.

❌ DON'T

Do not transfer the tablets to an unmarked container.

✅ DO

Keep the medicine away from direct sunlight and moisture.

❌ DON'T

Do not store it in the bathroom cabinet.

✅ DO

Keep the medicine out of the reach of children and pets.

❌ DON'T

Do not use the medicine after the expiry date.

✈️ Traveling with This Medicine

Carry this medicine in its original packaging with the prescription label visible. Keep a copy of your prescription with you, especially when travelling internationally, because this is a prescription antibiotic. Store the tablets at room temperature and protect them from heat, moisture, and direct sunlight. If you are crossing time zones, continue taking the medicine at the same interval as prescribed, but ask your doctor how to adjust the timing. Do not pack it in checked luggage, because extreme temperatures in the cargo hold can affect the medicine. Check the customs rules of your destination country for prescription antibiotics before you travel.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 38-year-old woman with a complicated urinary tract infection

She was prescribed this medicine for a complicated urinary tract infection. She took the tablet with breakfast and dinner as advised and avoided alcohol completely. Her burning and frequent urination improved within three days, but she completed the full seven-day course. She reported mild nausea in the first two days, which settled after she started taking the tablet with a proper meal.

💡 Lesson: Taking this medicine with food reduces stomach upset, and completing the full course helps prevent relapse and resistance.

👤 A 52-year-old man with a dental abscess

He visited his dentist with severe tooth pain and swelling. The dentist drained the abscess and prescribed this medicine along with pain relief. He completed the five-day course and returned for a root canal. He was warned not to drink alcohol, and he followed this advice strictly. His swelling and pain resolved without complications.

💡 Lesson: This medicine works best when combined with the necessary dental procedure, and avoiding alcohol prevents a dangerous reaction.

👤 A 29-year-old woman with pelvic inflammatory disease

She was started on this medicine as part of a broader treatment plan for pelvic inflammatory disease. She was advised to use backup contraception because antibiotics can reduce the effectiveness of birth control pills. She completed the course and attended follow-up as scheduled. Her symptoms improved steadily over the first week.

💡 Lesson: Antibiotics can reduce the effectiveness of oral contraceptives, so an additional barrier method is important during treatment.

💬 Questions Patients Often Ask

Q: How long does this medicine take to work?

A: Most people notice some improvement in fever, pain, and other symptoms within 24 to 72 hours of starting this medicine. However, you must complete the full prescribed course even if you feel better early.

Q: Can I take this medicine with food?

A: Yes. This medicine should be taken with a meal or snack to reduce nausea and stomach discomfort. Swallow the tablet whole with a full glass of water.

Q: Can I drink alcohol while taking this medicine?

A: No. Alcohol must be avoided completely during treatment and for at least 48 hours after the last dose, because ornidazole can cause a disulfiram-like reaction with flushing, severe nausea, vomiting, and a fast heartbeat.

Q: What should I do if I miss a dose?

A: If you remember within half the dosing interval, take the missed dose as soon as possible. If more than half the interval has passed, skip the missed dose and continue with your regular schedule. Never take two doses at the same time.

Q: Is this medicine safe during pregnancy?

A: This medicine should be used during pregnancy only when a qualified clinician decides that the benefit clearly outweighs the risk. Ornidazole is usually avoided in the first trimester. Do not start or stop this medicine during pregnancy without medical advice.

Q: Can this medicine be used for a cold or flu?

A: No. This medicine only works against susceptible bacteria and some protozoa. It does not treat viral infections such as the common cold or flu.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

Can I take this medicine on an empty stomach?
How long does this medicine take to work?
Can I stop this medicine if I feel better?
Does this medicine affect my birth control pills?
Can I take this medicine with other antibiotics?
What should I do if I develop diarrhoea during treatment?
Is this medicine safe for my kidneys?
Can I take this medicine if I am allergic to penicillin?

🔄 Substitutes for cefiwok oz 200 mg/500 mg tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

Myth: This medicine can cure any infection, including viral colds and flu.
Fact: This medicine only works against susceptible bacteria and some protozoa. It does not treat viral infections such as the common cold or flu.
Myth: You can stop this medicine as soon as you feel better.
Fact: You should complete the full prescribed course. Stopping early can allow the infection to return and can promote antibiotic resistance.
Myth: It is safe to drink alcohol while taking this medicine.
Fact: Alcohol must be avoided completely during treatment and for at least 48 hours after the last dose, because ornidazole can cause a disulfiram-like reaction.
Myth: This medicine can be shared with family members who have similar symptoms.
Fact: Antibiotics should never be shared. The dose and choice of antibiotic depend on the individual patient and the specific infection.

🔄 Alternative Options

Generic Alternatives

Cefixime 200 mg plus ornidazole 500 mg tablet
Cefixime 200 mg plus ornidazole 500 mg film-coated tablet

Brand Alternatives

Aelxim-OZ 200 mg/500 mg tablet

📊 Comparison with Similar Medicines

[{"medicine":"This medicine (cefixime 200 mg plus ornidazole 500 mg)","composition":"Cefixime 200 mg plus ornidazole 500 mg","class":"Cephalosporin plus nitroimidazole","coverage":"Aerobic and anaerobic bacteria","typical_use":"Mixed infections such as complicated urinary tract infection, intra-abdominal infection, pelvic inflammatory disease, dental abscess"},{"medicine":"Cefixime 200 mg alone","composition":"Cefixime 200 mg","class":"Cephalosporin","coverage":"Mainly aerobic bacteria","typical_use":"Urinary tract infection, respiratory tract infection, uncomplicated gonorrhoea"},{"medicine":"Ornidazole 500 mg alone","composition":"Ornidazole 500 mg","class":"Nitroimidazole","coverage":"Anaerobic bacteria and protozoa","typical_use":"Amoebiasis, giardiasis, anaerobic infections, bacterial vaginosis"},{"medicine":"Amoxicillin 500 mg plus clavulanic acid 125 mg","composition":"Amoxicillin 500 mg plus clavulanic acid 125 mg","class":"Penicillin plus beta-lactamase inhibitor","coverage":"Aerobic and some anaerobic bacteria","typical_use":"Respiratory, skin, dental, and urinary tract infections"}]

Aelxim-OZ 200mg/500mg Tablet: Complete Medicine Guide

When to Call Your Doctor IMMEDIATELY

What is cefiwok oz 200 mg/500 mg tablet used for?

🇮🇳 cefiwok oz 200 mg/500 mg tablet के बारे में (Hindi Summary)

💊 cefiwok oz 200 mg/500 mg 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 cefiwok oz 200 mg/500 mg tablet

Dosage Information

Dosage Timeline

🍽️ Food Timing Guide

⏰ What to Do If You Miss a Dose

⚠️ Side Effects of cefiwok oz 200 mg/500 mg 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

✅ 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 cefiwok oz 200 mg/500 mg tablet

🛑 Myths vs. Facts

🔄 Alternative Options

Generic Alternatives

Brand Alternatives

📊 Comparison with Similar Medicines

😊 Was this information helpful?

Browse Medicines A-Z

✍️ Write a Review

❓ Ask a Question

⚠️ Report an Issue