cefoclox xl tablet - Cefpodoxime Proxetil (200mg) + Lactobacillus (500mg) medicine

cefoclox xl tablet - Uses, Price, Side Effects & Substitutes

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๐Ÿญ Khandelwal Laboratories Pvt Ltd ๐Ÿ“ฆ Varies by brand ๐Ÿ’Š Allopathy ๐Ÿ“… Updated: Jun 27, 2026
๐Ÿ“‹ Prescription Required ๐Ÿ’Š Generic Available
Medically Reviewed
Dr. SaathiMed Expert Panel | Jun 27, 2026

What is cefoclox xl tablet used for?

Acef LB (Cefpodoxime Proxetil + Lactobacillus) is used to treat ANTI INFECTIVES. It contains Cefpodoxime Proxetil (200mg) + Lactobacillus (500mg), which Cefpodoxime inhibits bacterial cell wall synthesis by binding to penicillin-bind. Always consult your doctor before use. Take as prescribed.

  • Generic Name: Cefpodoxime Proxetil + Lactobacillus
  • Manufacturer: Khandelwal Laboratories Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: B
  • Prescription Required: Yes
๐Ÿ’ก Did You Know? The Indian pharmaceutical market is expected to reach $130 billion by 2030.

๐Ÿ’Š cefoclox xl tablet Uses & Benefits

Respiratory tract infections, urinary tract infections, skin and soft tissue infections, otitis media, sinusitis, and to prevent antibiotic-associated diarrhea.

Off-label uses: Prophylaxis of recurrent urinary tract infections, Treatment of Lyme disease

๐Ÿ“‹ Drug Information

Generic Name(s)Cefpodoxime Proxetil + Lactobacillus
Brand NameAcef LB
ManufacturerKhandelwal Laboratories Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassANTI INFECTIVES
Action ClassCephalosporin antibiotic + Probiotic
Route of AdministrationOral
StorageStore at room temperature (20-25ยฐC), protect from light and moisture.
Shelf LifeAs per manufacturer

๐Ÿ”ฌ Pharmacology (PK/PD)

Pharmacokinetics

AbsorptionCefpodoxime proxetil is absorbed from the gastrointestinal tract and hydrolyzed to active cefpodoxime. Absorption is enhanced by food.
DistributionCefpodoxime is widely distributed into body tissues and fluids, including lungs, pleural fluid, and tonsils.
Protein BindingCefpodoxime: 21-29% bound to plasma proteins.
MetabolismCefpodoxime proxetil is de-esterified to active cefpodoxime; minimal hepatic metabolism.
Half-LifeCefpodoxime: 2-3 hours (prolonged in renal impairment).
ExcretionCefpodoxime: Primarily excreted unchanged in urine (80%) via glomerular filtration and tubular secretion.
BioavailabilityCefpodoxime: Approximately 50% (increased with food).
Onset of ActionCefpodoxime: Rapid; within 1-2 hours.
Peak Plasma TimeCefpodoxime: 2-3 hours after oral administration.
Duration of ActionCefpodoxime: Approximately 12 hours.

How It Works

Cefpodoxime inhibits bacterial cell wall synthesis by binding to penicillin-binding proteins (PBPs), inhibiting transpeptidation and autolysin inhibition. Lactobacillus restores intestinal flora.

Mechanism Steps

1Cefpodoxime proxetil is absorbed and de-esterified to active cefpodoxime.
2Cefpodoxime binds to penicillin-binding proteins (PBPs) on bacterial cell wall.
3Inhibition of transpeptidase enzymes prevents cross-linking of peptidoglycan chains.

๐Ÿ’ก How to Take cefoclox xl tablet

Follow your doctor's prescription exactly.

โš ๏ธ Side Effects of cefoclox xl tablet

โœ… Common Side Effects

  • Diarrhea
  • Nausea
  • Vomiting
  • Abdominal pain
  • Headache
  • Vaginal candidiasis

๐Ÿšจ Serious Side Effects

  • Pseudomembranous colitis
  • Severe allergic reactions (anaphylaxis)
  • Stevens-Johnson syndrome
  • Seizures
  • Hemolytic anemia

โš ๏ธ Rare Side Effects

  • Hepatitis
  • Interstitial nephritis
  • Thrombocytopenia
  • Agranulocytosis

Consult your doctor if you experience any unusual symptoms.

๐Ÿ”ฌ Drug Interactions

โš ๏ธ DrugSeverityEffect
Warfarin Major Increased INR and bleeding risk
Probenecid Major Decreased renal excretion of cefpodoxime, increased toxicity
Live typhoid vaccine Major Reduced vaccine efficacy
BCG vaccine Major Reduced vaccine efficacy
Loop diuretics Moderate Increased nephrotoxicity risk
Aminoglycosides Moderate Increased nephrotoxicity risk
Oral contraceptives Moderate Reduced contraceptive efficacy
Antacids Minor Decreased absorption of cefpodoxime
H2 antagonists Minor Decreased absorption of cefpodoxime
Iron supplements Minor Decreased absorption of cefpodoxime

๐Ÿšจ Major Interactions

  • Warfarin
  • Probenecid
  • Live typhoid vaccine
  • BCG vaccine

โšก Moderate Interactions

  • Loop diuretics
  • Aminoglycosides
  • Oral contraceptives

โ„น๏ธ Minor Interactions

  • Antacids
  • H2 antagonists
  • Iron supplements

๐Ÿฝ๏ธ Food Interactions

Food increases absorption of cefpodoxime

๐Ÿท Alcohol Interaction

No known interaction, but alcohol may increase side effects like dizziness.

๐Ÿ›ก๏ธ Safety & Warnings

๐Ÿšซ Contraindications

Hypersensitivity to cephalosporins or penicillins; severe renal impairment (CrCl <30 mL/min) without dose adjustment.

๐Ÿ“Š Monitoring Parameters

Renal function, signs of superinfection, diarrhea, allergic reactions.

๐Ÿคฑ Lactation Safety

Cefpodoxime is excreted in breast milk in low amounts; use with caution.

๐Ÿ’Š Overdose Management

Supportive care; hemodialysis may enhance elimination.

โฐ Missed Dose

Take as soon as remembered; if near next dose, skip missed dose. Do not double dose.

๐Ÿ‘จโ€โš•๏ธ Reviewed by Expert

Dr. SaathiMed Expert Panel

MD, PhD - Pharmacology

Reviewed: Jun 27, 2026

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