comtrix o tablet - Cefixime (200mg) + Lactobacillus (60Million spores) medicine

comtrix o tablet - Uses, Price, Side Effects & Substitutes

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๐Ÿญ Comed Chemicals Ltd ๐Ÿ“ฆ Varies by brand ๐Ÿ’Š Allopathy ๐Ÿ“… Updated: Jun 26, 2026
๐Ÿ“‹ Prescription Required ๐Ÿ’Š Generic Available
Medically Reviewed
Dr. SaathiMed Expert Panel | Jun 26, 2026

What is comtrix o tablet used for?

Afix 200mg Tablet (Cefixime + Lactobacillus) is used to treat ANTI INFECTIVES. It contains Cefixime (200mg) + Lactobacillus (60Million spores), which Cefixime inhibits bacterial cell wall synthesis by binding to penicillin-binding. Always consult your doctor before use. Take as prescribed.

  • Generic Name: Cefixime + Lactobacillus
  • Manufacturer: Comed Chemicals Ltd
  • Form: Allopathy
  • Pregnancy Category: A
  • Prescription Required: Yes
๐Ÿ’ก Did You Know? The Indian pharmaceutical market is expected to reach $130 billion by 2030.

๐Ÿ’Š comtrix o tablet Uses & Benefits

Upper respiratory tract infections, lower respiratory tract infections, urinary tract infections, otitis media, gonorrhea, typhoid fever.

Off-label uses: Prophylaxis in surgery, Lyme disease, Shigellosis

๐Ÿ“‹ Drug Information

Generic Name(s)Cefixime + Lactobacillus
Brand NameAfix 200mg Tablet
ManufacturerComed Chemicals Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassANTI INFECTIVES
Action ClassThird-generation cephalosporin antibiotic + Probiotic
Route of AdministrationOral
StorageStore at 20-25ยฐC (68-77ยฐF); protect from light and moisture.
Shelf LifeAs per manufacturer

๐Ÿ”ฌ Pharmacology (PK/PD)

Pharmacokinetics

AbsorptionCefixime is well absorbed orally; food does not affect absorption. Lactobacillus is not absorbed.
DistributionCefixime distributes widely into tissues and fluids; crosses placenta; minimal CSF penetration. Lactobacillus remains in GI tract.
Protein BindingCefixime: ~65% bound to plasma proteins. Lactobacillus: not applicable.
MetabolismCefixime: minimal hepatic metabolism. Lactobacillus: not metabolized.
Half-LifeCefixime: 3-4 hours (prolonged in renal impairment). Lactobacillus: not applicable.
ExcretionCefixime: primarily renal (50-60% unchanged). Lactobacillus: excreted in feces.
BioavailabilityCefixime: ~40-50% oral bioavailability. Lactobacillus: not applicable.
Onset of ActionCefixime: 1-2 hours. Lactobacillus: not applicable.
Peak Plasma TimeCefixime: 2-6 hours. Lactobacillus: not applicable.
Duration of ActionCefixime: 12-24 hours. Lactobacillus: not applicable.

How It Works

Cefixime inhibits bacterial cell wall synthesis by binding to penicillin-binding proteins (PBPs). Lactobacillus restores gut flora.

Mechanism Steps

1Cefixime binds to penicillin-binding proteins (PBPs) on bacterial cell wall.
2Inhibits transpeptidase enzymes, preventing cross-linking of peptidoglycan.
3Activates autolytic enzymes, leading to cell lysis and death.

๐Ÿ’ก How to Take comtrix o tablet

Follow your doctor's prescription exactly.

โš ๏ธ Side Effects of comtrix o tablet

โœ… Common Side Effects

  • Diarrhea
  • Nausea
  • Vomiting
  • Abdominal pain
  • Headache
  • Dizziness
  • Rash

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 bleeding risk
Probenecid Major Decreased renal excretion of cefixime, increased toxicity
Live typhoid vaccine Major Reduced vaccine efficacy
BCG vaccine Moderate Reduced vaccine efficacy
Cholera vaccine Moderate Reduced vaccine efficacy
Oral contraceptives Moderate Reduced contraceptive efficacy
Antacids Minor Possible reduced absorption of cefixime
Iron supplements Minor Possible reduced absorption
Zinc supplements Minor Possible reduced absorption

๐Ÿšจ Major Interactions

  • Warfarin
  • Probenecid
  • Live typhoid vaccine

โšก Moderate Interactions

  • BCG vaccine
  • Cholera vaccine
  • Oral contraceptives

โ„น๏ธ Minor Interactions

  • Antacids
  • Iron supplements
  • Zinc supplements

๐Ÿฝ๏ธ Food Interactions

No significant food interactions.

๐Ÿท Alcohol Interaction

Avoid alcohol; may increase risk of disulfiram-like reaction (rare).

๐Ÿ›ก๏ธ Safety & Warnings

๐Ÿšซ Contraindications

Hypersensitivity to cephalosporins or penicillins; severe renal impairment (CrCl <20 mL/min) without dose adjustment.

๐Ÿ“Š Monitoring Parameters

Renal function, liver function, CBC, signs of superinfection, diarrhea.

๐Ÿคฑ Lactation Safety

Cefixime excreted in breast milk in low amounts; caution. Lactobacillus considered safe.

๐Ÿ’Š Overdose Management

Supportive care; hemodialysis may remove cefixime.

โฐ Missed Dose

Take as soon as remembered; skip if almost time for next dose; do not double.

๐Ÿ‘จโ€โš•๏ธ Reviewed by Expert

Dr. SaathiMed Expert Panel

MD, PhD - Pharmacology

Reviewed: Jun 26, 2026

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