cefrine capsule - Cefdinir (300mg) medicine

Avonir 300 Capsule: Comprehensive Medicine Guide

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🏭 Macleods Pharmaceuticals Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 24, 2026
⚠️ Nephrotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
12 min read
Evidence: Well-established
Reviewed by
SaathiMed Expert Panel | Oct 24, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Severe diarrhea or bloody stools
  • Difficulty breathing or swelling of face/throat
  • Severe skin rash with blisters or peeling
  • Seizures
  • Decreased urine output
  • Yellowing of skin or eyes
  • Persistent fever or worsening symptoms

If experiencing severe symptoms, call emergency services immediately.

What is cefrine capsule used for?

This medicine is a cephalosporin antibiotic used to treat bacterial infections such as pneumonia, bronchitis, ear infections, and skin infections. It works by killing bacteria.

  • Generic Name: Cefdinir
  • Manufacturer: Macleods Pharmaceuticals Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 cefrine capsule के बारे में (Hindi Summary)

उपयोग: यह दवा एक एंटीबायोटिक है जिसका उपयोग बैक्टीरियल संक्रमणों के इलाज के लिए किया जाता है, जैसे कि निमोनिया, ब्रोंकाइटिस, कान का संक्रमण, त्वचा का संक्रमण, और गले का संक्रमण। यह बैक्टीरिया को मारकर काम करती है। यह वायरल संक्रमण जैसे फ्लू या सर्दी के लिए प्रभावी नहीं है।

साइड इफेक्ट्स: आम दुष्प्रभावों में दस्त, मतली, पेट दर्द, और सिरदर्द शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन इनमें तेज एलर्जी, गंभीर दस्त, और त्वचा पर चकत्ते शामिल हो सकते हैं। यदि आपको कोई असामान्य लक्षण दिखे तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को लेने से पहले अपने डॉक्टर को बताएं यदि आपको पेनिसिलिन या सेफलोस्पोरिन से एलर्जी है। एंटासिड या आयरन सप्लीमेंट के साथ लेने से बचें, कम से कम 2 घंटे का अंतराल रखें। पूरा कोर्स पूरा करें, भले ही आप बेहतर महसूस करें। गर्भावस्था या स्तनपान के दौरान डॉक्टर से सलाह लें। शराब से बचें।

💡 Did You Know? India is the largest provider of generic medicines globally, supplying over 50% of global vaccine demand.

💊 cefrine capsule Uses & Benefits

[{"condition":"Community-acquired pneumonia","description":"Used to treat mild to moderate community-acquired pneumonia caused by susceptible bacteria.","evidence":"Well-established"},{"condition":"Acute bacterial exacerbation of chronic bronchitis","description":"Effective against bacterial infections that worsen chronic bronchitis.","evidence":"Well-established"},{"condition":"Pharyngitis and tonsillitis","description":"Treats throat infections caused by Streptococcus pyogenes.","evidence":"Well-established"},{"condition":"Uncomplicated skin and skin structure infections","description":"Used for infections like cellulitis and abscesses caused by susceptible bacteria.","evidence":"Well-established"},{"condition":"Acute bacterial otitis media","description":"Treats middle ear infections in children and adults.","evidence":"Well-established"},{"condition":"Acute maxillary sinusitis","description":"Used for sinus infections caused by susceptible bacteria.","evidence":"Well-established"},{"condition":"Uncomplicated urinary tract infections","description":"May be used for UTIs caused by susceptible organisms.","evidence":"Limited"}]

Off-label uses: [{"condition":"Lyme disease","description":"Sometimes used as an alternative for early Lyme disease, but not first-line.","evidence":"Limited"},{"condition":"Gonorrhea","description":"Not recommended due to resistance; other agents preferred.","evidence":"Not established"}]

Primary treatment for: Bacterial infections

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

📋 Drug Information

Generic Name(s)Cefdinir
Brand NameAdcef Insta Use Syrup
ManufacturerMacleods Pharmaceuticals Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassANTI INFECTIVES
Action ClassCephalosporins: 3 generation
Route of AdministrationOral
StorageStore at room temperature between 15°C and 30°C (59°F to 86°F). Keep away from moisture and heat.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine on an empty stomach for best absorption.
2
Avoid taking antacids or iron supplements within 2 hours of this medicine.
3
Complete the full prescribed course even if you feel better.
4
Report any severe diarrhea or allergic reactions immediately.
5
Stay hydrated to help your body recover.
6
Do not share this medicine with others.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Fever with cough
This medicine is commonly prescribed for respiratory infections.
Likely Use
✅
Skin redness and swelling
Used for skin infections.
Likely Use
❌
Runny nose without fever
This medicine is not for viral infections.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionThis medicine is absorbed from the gastrointestinal tract after oral administration. The bioavailability is approximately 20-25% when taken with food, and higher when taken on an empty stomach. Food reduces absorption, so it is best taken without food.
DistributionThis medicine distributes into various body tissues and fluids, including tonsils, sinus mucosa, bronchial mucosa, and skin. It does not penetrate the cerebrospinal fluid well in the absence of inflammation.
Protein BindingApproximately 60-70% bound to plasma proteins, primarily albumin.
MetabolismThis medicine is not extensively metabolized; it is primarily excreted unchanged.
Half-LifeThe elimination half-life is approximately 1.7 hours in healthy adults with normal renal function.
ExcretionThis medicine is primarily excreted unchanged in the urine. Renal clearance is the main route of elimination.
BioavailabilityApproximately 20-25% when taken with food; higher when taken on an empty stomach.
Onset of ActionThe onset of action is typically within 1-2 hours after oral administration, but clinical improvement may take 24-48 hours.
Peak Plasma TimePeak plasma concentrations are reached approximately 2-4 hours after oral administration.
Duration of ActionThe duration of action is typically 12-24 hours, depending on the dose and renal function.

How It Works

This medicine works by inhibiting bacterial cell wall synthesis. It binds to penicillin-binding proteins, specifically transpeptidases, which are enzymes involved in cross-linking peptidoglycan chains in the bacterial cell wall. This inhibition weakens the cell wall, leading to bacterial cell lysis and death. It is bactericidal against susceptible organisms.

Mechanism Steps

1
Binding to penicillin-binding proteins: This medicine binds to specific penicillin-binding proteins on the bacterial cell membrane.
2
Inhibition of cell wall synthesis: This binding inhibits the transpeptidation reaction necessary for cross-linking peptidoglycan, weakening the cell wall.
3
Bacterial cell lysis: The weakened cell wall cannot withstand osmotic pressure, leading to cell lysis and death.

💡 How to Take cefrine capsule

Strength: Cefdinir 300 mg immediate-release capsule

1Take this medicine by mouth with or without food, but preferably on an empty stomach.
2Swallow the capsule whole with a glass of water.
3If you are also taking antacids or iron supplements, take this medicine at least 2 hours before or after them.
4Complete the full course as prescribed, even if you feel better.
5Do not crush, chew, or open the capsule.

Dosage Information

Adult DosageThe usual adult dose of this medicine is 300 mg taken orally every 12 hours for 5 to 10 days, depending on the type and severity of infection. For uncomplicated urinary tract infections, a single 300 mg dose may be used. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may have reduced renal function; dose adjustment may be necessary based on creatinine clearance. Consult a doctor.
Renal ImpairmentIn patients with creatinine clearance less than 30 mL/min, the dose should be reduced to 300 mg once daily. For patients on hemodialysis, 300 mg after each dialysis session. Consult a doctor for individualized dosing.
Hepatic ImpairmentNo dose adjustment is needed for hepatic impairment.
Maximum Daily Dose600 mg per day for adults with normal renal function.

Dosage Timeline

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

🍽️ Food Timing Guide

Food
Take on an empty stomach
Food reduces absorption.
Iron-rich foods
Separate by 2 hours
Iron reduces absorption.

⏰ What to Do If You Miss a Dose

📌 Less than 6 hours since missed dose
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than 6 hours since missed dose
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of cefrine capsule

✅ Common Side Effects

Diarrhea (Common (5-10%))
Usually resolves on its own. Stay hydrated. Consult doctor if persistent or severe.
Nausea (Common (3-5%))
Take with food if it helps, but note food reduces absorption. Consult doctor if severe.
Headache (Common (2-5%))
Usually resolves. Consult doctor if persistent.
Abdominal pain (Common (2-5%))
Usually mild. Consult doctor if severe.
Vaginal moniliasis (Uncommon (1-2%))
Consult doctor for antifungal treatment if needed.

🚨 Serious Side Effects

Clostridioides difficile-associated diarrhea (Rare (<0.1%))
Seek immediate medical attention if you develop severe diarrhea, abdominal cramps, or fever.
Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Seek emergency help if you experience difficulty breathing, swelling of face or throat, or severe rash.
Stevens-Johnson syndrome (Very rare (<0.01%))
Seek immediate medical attention if you develop a painful rash with blisters or peeling skin.
Seizures (Rare (<0.1%))
Seek immediate medical attention if seizures occur, especially in patients with renal impairment.

⚠️ Rare Side Effects

Blood dyscrasias (e.g., neutropenia, thrombocytopenia)
Report unusual bruising or bleeding to your doctor.
Interstitial nephritis
Report decreased urine output or swelling to your doctor.
Hepatitis
Report yellowing of skin or eyes to your doctor.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Antacids Major
Iron supplements Major
Warfarin Moderate
Probenecid Moderate

🚨 Major Interactions

  • Antacids containing aluminum or magnesium
  • Iron supplements
  • Warfarin

⚡ Moderate Interactions

  • Probenecid

🍷 Alcohol Interaction

Alcohol may worsen side effects such as nausea, dizziness, and abdominal pain. 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 allergy to cefdinir or other cephalosporins","Severe allergic reaction to penicillins"]

⚠️ Warnings & Precautions

["Use with caution in patients with renal impairment; dose adjustment may be needed.","May cause Clostridioides difficile-associated diarrhea; if severe diarrhea occurs, stop and consult doctor.","May cause seizures in patients with renal impairment.","Avoid use in patients with a history of penicillin allergy due to cross-reactivity.","Do not use for viral infections."]

🤱 Lactation Safety

This medicine is excreted in breast milk in small amounts. It is generally considered safe during breastfeeding, but consult your doctor.

💊 Overdose Management

Overdose may cause nausea, vomiting, and diarrhea. Treatment is symptomatic and supportive. In case of overdose, contact a poison control center or emergency room immediately.

⏰ 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

General Safety

Before taking this medicine, inform your doctor if you are allergic to penicillin or other cephalosporin antibiotics. Also, tell your doctor about any kidney problems, as dose adjustment may be needed. This medicine may interact with antacids containing aluminum or magnesium, as well as iron supplements, reducing its absorption. Take this medicine at least 2 hours before or after such products. If you are pregnant or breastfeeding, consult your doctor before use. Do not share this medicine with others, even if they have similar symptoms. Complete the full prescribed course, even if you feel better, to prevent resistance. Avoid alcohol while taking this medicine, as it may worsen side effects like nausea and dizziness. If you experience severe diarrhea, stop the medicine and contact your doctor immediately. Store this medicine at room temperature, away from moisture and heat.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may have reduced kidney function and may require dose adjustment. Monitor for signs of superinfection.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy, consult your doctor before taking this medicine. It is generally considered safe but use only if clearly needed.

🏥 Post-Surgery Considerations

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

🦷 Dental Procedures

This medicine may be prescribed before dental procedures if you have a history of infective endocarditis. Inform your dentist if you are taking it.

💚 Lifestyle Tips for Better Results

🏃
Stay well hydrated.
🥗
Get plenty of rest.
😴
Eat a balanced diet to support recovery.
💧
Practice good hygiene to prevent infection spread.
🧘
Avoid close contact with sick individuals.

🏋️ Exercise Considerations

You may continue light exercise if you feel up to it, but avoid strenuous activity if you have fever or fatigue.

🥗 Diet Recommendations

Drink plenty of fluids.
Include probiotics like yogurt to prevent diarrhea.
Avoid alcohol.
Eat light, easily digestible meals.

💼 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.

🛑 When to Stop This Medicine

Stop this medicine only after completing the prescribed course or if your doctor advises. If you experience severe side effects, contact your doctor immediately.

📅 Long-Term Use Effects

Long-term use of this medicine is not common. Prolonged use may lead to bacterial resistance and superinfections. Regular monitoring of renal function is advised if used for extended periods.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Other antibiotics

Depending on the infection, other antibiotics like amoxicillin or azithromycin may be used.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

This medicine does not interact with vaccines. However, if you are scheduled for a live vaccine, consult your doctor.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate

✅ 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. Check customs regulations for carrying prescription medicines.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old man with acute bronchitis
He was prescribed this medicine for 7 days. He took it on an empty stomach as directed and completed the course. His cough and fever improved within 3 days, and he recovered fully.
💡 Lesson: Taking the medicine as prescribed and completing the course leads to successful treatment.
👤 A 28-year-old woman with a skin infection
She started this medicine but stopped after 2 days when the redness reduced. The infection returned and was harder to treat. She then completed the full course and recovered.
💡 Lesson: Stopping antibiotics early can lead to recurrence and resistance.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: You may start feeling better within 24-48 hours, but complete the full course.

Q: Can I take this medicine with food?

A: It is best taken on an empty stomach, but if it upsets your stomach, you can take it with food, though absorption may be reduced.

Q: What if I miss a dose?

A: Take it as soon as you remember, but if it's almost time for the next dose, skip it. Do not double dose.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine with food?
  • How long does it take to work?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?
  • Is it safe during pregnancy?
  • Does it interact with my other medicines?

🔄 Substitutes for cefrine capsule

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 viral infections like the flu.
    Fact: This medicine is an antibiotic and only works against bacterial infections, not viruses.
  • Myth: You can stop taking this medicine once you feel better.
    Fact: You must complete the full course to prevent resistance and ensure the infection is fully treated.

🔄 Alternative Options

Generic Alternatives

  • Cefdinir 300 mg capsule

Brand Alternatives

  • Avonir 300 capsule

📊 Comparison with Similar Medicines

[{"medicine":"Cefdinir","class":"Third-generation cephalosporin","route":"Oral","common_use":"Respiratory, skin, ear infections"},{"medicine":"Cefixime","class":"Third-generation cephalosporin","route":"Oral","common_use":"Respiratory, urinary tract infections"},{"medicine":"Cefpodoxime","class":"Third-generation cephalosporin","route":"Oral","common_use":"Respiratory, skin infections"}]

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