Deaxime-LB 200mg Tablet: Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Severe, watery, or bloody diarrhea that does not improve
- Swelling of the face, lips, tongue, or throat, or difficulty breathing
- Widespread rash with blisters or peeling skin
- High fever with chills and severe abdominal pain
- Decreased urine output or swelling in the legs
- Unusual bruising or bleeding
- Yellowing of the skin or eyes
- Persistent vomiting or inability to keep fluids down
If experiencing severe symptoms, call emergency services immediately.
What is Fimial-LB Tablet used for?
This medicine is a combination of cefixime, an antibiotic, and lactobacillus, a probiotic. It is used to treat bacterial infections such as urinary tract, respiratory, ear, and skin infections. The antibiotic kills susceptible bacteria, while the probiotic helps protect the gut from antibiotic-related diarrhea. It is available only by prescription and should be taken exactly as directed.
- Generic Name: Cefixime (200mg) + Lactobacillus (60Million cells)
- Manufacturer: Chemo Healthcare Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 Fimial-LB Tablet के बारे में (Hindi Summary)
उपयोग: यह दवा सेफिक्सिम और लैक्टोबैसिलस का संयोजन है, जिसका उपयोग बैक्टीरियल संक्रमणों के इलाज के लिए किया जाता है। यह मूत्र मार्ग संक्रमण, श्वसन तंत्र संक्रमण, कान के संक्रमण, और त्वचा संक्रमण के इलाज में प्रभावी है। सेफिक्सिम बैक्टीरिया को मारता है, जबकि लैक्टोबैसिलस पेट के अच्छे बैक्टीरिया को बनाए रखने में मदद करता है, जिससे एंटीबायोटिक से होने वाले दस्त का खतरा कम हो सकता है। यह दवा केवल डॉक्टर के पर्चे पर मिलती है और पूरा कोर्स पूरा करना जरूरी है।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में दस्त, जी मिचलाना, पेट दर्द, और सिरदर्द शामिल हैं। कुछ लोगों को दाने या चक्कर भी आ सकते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन अगर आपको गंभीर दस्त, खूनी दस्त, सांस लेने में कठिनाई, चेहरे या गले में सूजन, या त्वचा पर छाले दिखें, तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें और पूरा कोर्स पूरा करें, भले ही आप बेहतर महसूस करें। इसे पानी के साथ निगलें, चबाएं नहीं। खाने के साथ या बिना खाने के ले सकते हैं, लेकिन अगर पेट खराब हो तो खाने के साथ लें। शराब न पिएं। गर्भवती या स्तनपान कराने वाली महिलाएं डॉक्टर से सलाह लें। इसे बच्चों से दूर रखें और ठंडी, सूखी जगह पर स्टोर करें।
💊 Fimial-LB Tablet Uses & Benefits
[{"condition":"Uncomplicated urinary tract infections","description":"This medicine is used to treat bladder and urinary tract infections caused by cefixime-susceptible bacteria such as Escherichia coli and Klebsiella species.","evidence":"Well-established"},{"condition":"Respiratory tract infections","description":"It is prescribed for acute bronchitis, pharyngitis, and tonsillitis when caused by susceptible bacteria, helping to reduce symptoms and clear the infection.","evidence":"Well-established"},{"condition":"Ear infections","description":"This medicine may be used for acute otitis media caused by susceptible organisms, often when other antibiotics are not suitable.","evidence":"Established"},{"condition":"Skin and soft tissue infections","description":"It can treat uncomplicated skin infections such as cellulitis and abscesses caused by susceptible bacteria.","evidence":"Established"},{"condition":"Gonorrhea","description":"Cefixime is used as a single-dose treatment for uncomplicated gonococcal infections in some settings, though local resistance patterns should be considered.","evidence":"Established"}]
Off-label uses: [{"condition":"Prophylaxis in dental procedures","description":"Occasionally used off-label to prevent infection in certain dental procedures for patients at high risk, but this is not a standard approved use.","evidence":"Limited"},{"condition":"Traveler's diarrhea","description":"Sometimes prescribed off-label for moderate to severe traveler's diarrhea caused by susceptible bacteria, but fluoroquinolones or azithromycin are more commonly used.","evidence":"Limited"}]
Primary treatment for: Bacterial infections
Also treats: Urinary tract infections, Respiratory tract infections, Otitis media, Skin infections, Gonorrhea
📋 Drug Information
| Generic Name(s) | Cefixime (200mg) + Lactobacillus (60Million cells) |
| Brand Name | Fimial-LB Tablet |
| Manufacturer | Chemo Healthcare Pvt Ltd |
| Packaging / Form | strip of 10 tablets (Allopathy) |
| Therapeutic Class | |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C (59°F to 86°F). Protect from moisture, heat, and direct sunlight. Keep the tablets in their original blister pack or container until it is time to take them. Do not refrigerate unless specifically instructed. Keep out of reach of children and pets. |
| Shelf Life | 24 months from the date of manufacture, or as printed on the packaging. |
| 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
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
Cefixime, the antibiotic component of this medicine, works by binding to specific penicillin-binding proteins located inside the bacterial cell wall. This binding inhibits the final step of peptidoglycan synthesis, which is essential for the strength and structure of the bacterial cell wall. As a result, the bacterial cell wall becomes weak and the bacterium cannot maintain its shape, leading to cell lysis and death. Cefixime is bactericidal against a wide range of gram-positive and gram-negative bacteria, although it is more stable against certain beta-lactamases than earlier cephalosporins. The lactobacillus component is a live probiotic that helps maintain the natural balance of intestinal flora, which can be disrupted by antibiotic therapy. Lactobacillus does not directly treat the infection but supports digestive health during and after antibiotic use.
Mechanism Steps
💡 How to Take Fimial-LB Tablet
Strength: Cefixime 200 mg + Lactobacillus 60 million cells immediate-release tablet
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is one tablet (cefixime 200 mg with lactobacillus 60 million cells) taken orally once daily or as directed by your doctor. The exact dose and duration depend on the type and severity of the infection, your kidney function, and other medical conditions. For uncomplicated urinary tract infections, a common regimen is 200 mg once daily for 3 to 7 days. For respiratory tract infections, it may be taken for 5 to 10 days. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not self-adjust the dose. Always complete the full course as prescribed. |
| Pediatric Dosage | Pediatric dosing is not established from available information for this specific combination product. Consult a pediatrician for appropriate dosing in children. |
| Elderly Dosage | Elderly patients may have reduced kidney function, which can affect the elimination of cefixime. Dose adjustment may be necessary based on renal function. Elderly patients should be monitored for signs of toxicity and dehydration. Consult a doctor for appropriate dosing. |
| Renal Impairment | In patients with renal impairment, the dose of cefixime may need to be reduced. For creatinine clearance between 20 and 40 mL/min, a dose of 200 mg once daily may be appropriate. For creatinine clearance less than 20 mL/min, a dose of 200 mg every other day or as directed by a nephrologist is recommended. Close monitoring of renal function is advised. Dose must be individualized by a qualified clinician. |
| Hepatic Impairment | No specific dose adjustment is typically required for patients with hepatic impairment alone. However, patients with both hepatic and renal impairment should be monitored closely. Consult your doctor for personalized dosing. |
| Maximum Daily Dose | The maximum recommended daily dose of cefixime for adults is 400 mg per day, but the usual dose in this combination product is 200 mg once daily. Do not exceed the dose prescribed by your doctor. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of Fimial-LB Tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
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)
- Other antibiotics (e.g., aminoglycosides)
🍷 Alcohol Interaction
It is advisable to avoid alcohol while taking this medicine. Alcohol can increase the risk of stomach upset, dizziness, and may worsen the underlying infection. It can also put extra strain on the liver and kidneys, which are already working to process the antibiotic. If you have a history of alcohol use disorder, discuss this with your doctor before starting treatment.
🔎 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","History of severe immediate hypersensitivity reaction to penicillins or other beta-lactam antibiotics","Use in patients with a history of Clostridioides difficile-associated diarrhea","Not recommended for viral infections such as the common cold or flu"]
⚠️ Warnings & Precautions
["Use with caution in patients with renal impairment; dose adjustment may be necessary.","May cause antibiotic-associated diarrhea; if severe, consider Clostridioides difficile infection.","Serious allergic reactions, including anaphylaxis, can occur. Discontinue immediately if suspected.","May reduce the effectiveness of oral contraceptives; use backup contraception.","Prolonged use may lead to overgrowth of non-susceptible organisms, including fungi.","Patients with phenylketonuria should check the label for phenylalanine content.","Do not use for viral infections; it will not work and may cause harm.","Keep out of reach of children."]
🤱 Lactation Safety
Cefixime is excreted in small amounts in breast milk. It is generally considered compatible with breastfeeding, but you should consult your doctor before using this medicine while nursing. Monitor the infant for diarrhea, thrush, or rash. Lactobacillus is considered safe during breastfeeding.
💊 Overdose Management
If you suspect an overdose of this medicine, seek emergency medical attention immediately. Symptoms of overdose may include severe nausea, vomiting, diarrhea, and abdominal pain. There is no specific antidote for cefixime. Treatment is supportive and symptomatic, including hydration and monitoring of vital signs. In severe cases, hemodialysis may be considered, but it is not routinely recommended. Contact a poison control center or go to the nearest emergency room if an overdose is suspected.
⏰ Missed Dose
If you miss a dose of this medicine, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take two doses at the same time to make up for a missed dose. If you are unsure, consult your doctor or pharmacist.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor, and complete the full course even if you start feeling better after a few days. Stopping early can allow the infection to return and may contribute to antibiotic resistance. Swallow the tablet whole with a glass of water, and take it with or without food according to your doctor's instructions. If stomach upset occurs, taking it with a meal may help. Do not share this medicine with anyone else, even if they have similar symptoms, because antibiotics must be matched to the specific infection and patient. Inform your doctor about all other medicines, supplements, and herbal products you are taking, especially blood thinners, oral contraceptives, and other antibiotics. Tell your doctor if you are pregnant, planning pregnancy, or breastfeeding. Avoid alcohol during treatment as it may worsen stomach upset and dizziness. Store the tablets in their original packaging, away from moisture, heat, and direct sunlight, and keep them out of reach of children. If you miss a dose, take it as soon as you remember unless it is almost time for the next dose; never double the dose to catch up.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may have reduced kidney function, which can affect the elimination of cefixime. Dose adjustment may be necessary based on renal function. Elderly patients should be monitored for signs of dehydration, dizziness, and falls. They may also be more susceptible to antibiotic-associated diarrhea. Regular follow-up with a doctor is recommended.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, discuss with your doctor before taking this medicine. Cefixime is generally considered safe during pregnancy, but it should only be used when clearly needed. If you become pregnant while taking this medicine, inform your doctor immediately.
🏥 Post-Surgery Considerations
If you are scheduled for surgery, inform your surgeon and anesthesiologist that you are taking this medicine. It may interact with other medications used during surgery. In some cases, your doctor may advise you to stop the medicine before surgery, but do not do so without medical advice.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine before any dental procedure. It may interact with other medications or affect the healing process. Your dentist may recommend postponing non-urgent procedures until you have completed the course.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
While taking this medicine, you may feel tired or dizzy. Avoid strenuous exercise if you are not feeling well. Light activities like walking are generally fine, but listen to your body and rest when needed. If you experience dizziness, avoid driving or operating heavy machinery.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or fatigue in some people. If you experience these effects, avoid driving or operating heavy machinery until you know how the medicine affects you. Most people can continue their normal daily activities, but it is important to take the medicine regularly and complete the course. If your work involves shift duties, try to take the medicine at the same time each day.
🛑 When to Stop This Medicine
You should stop taking this medicine only after completing the full course prescribed by your doctor, even if you feel better. If you experience severe side effects such as allergic reactions, severe diarrhea, or signs of kidney problems, stop the medicine and seek medical advice immediately. Do not stop or change the dose on your own without consulting your doctor.
📅 Long-Term Use Effects
Long-term use of this medicine is not typically recommended unless prescribed for a specific chronic infection. Prolonged use of antibiotics like cefixime can lead to antibiotic resistance, overgrowth of non-susceptible organisms such as fungi, and disruption of gut flora. Regular monitoring of kidney and liver function may be advised if extended therapy is necessary. Always consult your doctor before using this medicine for more than the prescribed duration.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Can be taken alongside antibiotics to support gut health and reduce the risk of diarrhea.
Evidence: Well-establishedHelps flush out bacteria from the urinary tract and supports recovery.
Evidence: Well-establishedMay help prevent urinary tract infections, but evidence for treatment is limited.
Evidence: Limited💉 Vaccination Considerations
💉 If You're Getting Vaccinated
This medicine does not interact with vaccines. However, if you are scheduled to receive a live vaccine, inform your doctor, as antibiotics may affect the immune response to certain vaccines. In general, it is safe to receive vaccines while taking this medicine, but consult your doctor for personalized advice.
📦 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 along with a copy of your prescription. Keep it in your carry-on luggage to avoid loss or exposure to extreme temperatures in checked baggage. Store it at room temperature, away from direct sunlight and moisture. If you are crossing time zones, continue taking the medicine at the same intervals as prescribed; you may need to adjust the timing gradually. Check the customs regulations of your destination country regarding prescription medicines. Always carry enough supply for the entire trip and a few extra doses in case of delays.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: You may start feeling better within 24 to 48 hours after starting this medicine, but it is important to complete the full course as prescribed to ensure the infection is fully cleared.
A: Yes, you can take this medicine with or without food. If it causes stomach upset, taking it with a meal is recommended.
A: 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.
A: Cefixime is generally considered safe during pregnancy when prescribed by a doctor. However, you should inform your doctor if you are pregnant or planning to become pregnant.
A: It is advisable to avoid alcohol while taking this medicine, as it may worsen side effects such as dizziness and stomach upset, and can delay recovery.
🤔 Common Patient Concerns
🔄 Substitutes for Fimial-LB Tablet
View AllAlternative brands with exact same active ingredient:
-
lafix 200mg/60million cells syrupConcept Pharmaceuticals Ltd ₹70.78 45.7% CHEAPER
-
etrocef 200 lb tablet dtElantic Biotech ₹121.88 6.5% CHEAPER
-
zofixi-lb tabletZodak Healthcare ₹121.88 6.5% CHEAPER
-
upxime-lb tabletAbiba Pharmacia Pvt Ltd ₹125.00 4.1% CHEAPER
-
ritax lb tabletLifeCare Formulation Pvt Ltd ₹131.24 0.7% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: Antibiotics can cure the common cold.
Fact: This medicine is effective only against bacterial infections. Colds and flu are caused by viruses, so this medicine will not help and may cause unnecessary side effects. - Myth: You can stop taking the antibiotic once you feel better.
Fact: You must complete the full course as prescribed, even if symptoms improve, to ensure the infection is fully cleared and to prevent antibiotic resistance. - Myth: Probiotics in antibiotics are just a marketing gimmick.
Fact: Lactobacillus in this medicine helps maintain beneficial gut bacteria, which can reduce the risk of antibiotic-associated diarrhea.
🔄 Alternative Options
Generic Alternatives
- Cefixime 200 mg + Lactobacillus 60 million cells tablet (various manufacturers)
Brand Alternatives
- Deaxime-LB 200mg Tablet