kefclav 50mg/31.25mg tablet dt - Cefixime (50mg) + Clavulanic Acid (31.25mg) medicine

Axime CV Oral Suspension: Complete Medicine Guide

No reviews yet
🏭 Macleods Pharmaceuticals Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 25, 2026
⚠️ Hepatotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for approved indications.
Reviewed by
SaathiMed Expert Panel | Sep 25, 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 allergic reaction: swelling of face, lips, throat, difficulty breathing.
  • Bloody diarrhea or severe abdominal cramps.
  • Yellowing of skin or eyes, dark urine, severe abdominal pain.
  • Signs of superinfection: oral thrush, vaginal yeast infection.
  • Seizures or severe dizziness.
  • Decreased urine output or swelling in legs.

If experiencing severe symptoms, call emergency services immediately.

What is kefclav 50mg/31.25mg tablet dt used for?

This medicine is a combination antibiotic containing cefixime and clavulanic acid. It is used to treat bacterial infections of the respiratory tract, urinary tract, skin, and ears. It works by killing bacteria and preventing their growth. Take it exactly as prescribed, and complete the full course.

  • Generic Name: Cefixime (50mg) + Clavulanic Acid (31.25mg)
  • Manufacturer: Macleods Pharmaceuticals Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 kefclav 50mg/31.25mg tablet dt के बारे में (Hindi Summary)

उपयोग: यह दवा सेफिक्सिम और क्लैवुलैनिक एसिड का संयोजन है, जिसका उपयोग बैक्टीरियल संक्रमणों के इलाज के लिए किया जाता है। यह श्वसन तंत्र, मूत्र पथ, त्वचा और कान के संक्रमणों में प्रभावी है। यह बैक्टीरिया को मारकर और उनकी वृद्धि को रोककर काम करती है। इसे डॉक्टर के निर्देशानुसार पूरा कोर्स करें।

साइड इफेक्ट्स: आम दुष्प्रभावों में दस्त, जी मिचलाना, पेट दर्द और सिरदर्द शामिल हैं। ये आमतौर पर हल्के होते हैं और अपने आप ठीक हो जाते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन यदि आपको चेहरे या गले में सूजन, सांस लेने में कठिनाई, या गंभीर दाने हों तो तुरंत डॉक्टर से मिलें।

सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। उपयोग से पहले बोतल को अच्छी तरह हिलाएं। सही मात्रा मापने के लिए मापने वाला कप या सिरिंज का उपयोग करें। एंटासिड या आयरन सप्लीमेंट के साथ इस दवा को न लें, कम से कम 2 घंटे का अंतराल रखें। यदि आप गर्भवती हैं या स्तनपान करा रही हैं, तो डॉक्टर से सलाह लें।

💡 Did You Know? The Indian pharmaceutical market is expected to reach $130 billion by 2030.

💊 kefclav 50mg/31.25mg tablet dt Uses & Benefits

[{"condition":"Acute bacterial exacerbation of chronic bronchitis","description":"This medicine is used to treat flare-ups of chronic bronchitis caused by susceptible bacteria, helping to reduce cough and sputum production.","evidence":"Well-established"},{"condition":"Uncomplicated urinary tract infections","description":"It is effective against common bacteria like Escherichia coli that cause urinary tract infections, relieving symptoms such as burning during urination and frequent urination.","evidence":"Well-established"},{"condition":"Skin and soft tissue infections","description":"This medicine treats bacterial skin infections, including cellulitis and abscesses, by stopping the growth of causative organisms.","evidence":"Well-established"},{"condition":"Otitis media","description":"It is used to treat middle ear infections in children, reducing ear pain and preventing complications.","evidence":"Well-established"},{"condition":"Pharyngitis and tonsillitis","description":"This medicine can be used for bacterial throat infections, including those caused by Streptococcus pyogenes, when other antibiotics are not suitable.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Traveler's diarrhea","description":"Sometimes prescribed off-label for severe traveler's diarrhea caused by susceptible bacteria, but it is not a first-line treatment.","evidence":"Limited"},{"condition":"Prophylaxis in dental procedures","description":"Rarely used off-label to prevent infection in patients with certain heart conditions undergoing dental work, but not routinely recommended.","evidence":"Limited"}]

Primary treatment for: Bacterial infections

Also treats: Respiratory tract infections, Urinary tract infections, Skin infections, Otitis media

📋 Drug Information

Generic Name(s)Cefixime (50mg) + Clavulanic Acid (31.25mg)
Brand Namekefclav 50mg/31.25mg tablet dt
ManufacturerMacleods Pharmaceuticals Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassANTI INFECTIVES
Action Class
Route of AdministrationOral
StorageStore at room temperature between 15°C and 30°C (59°F to 86°F). Protect from light and moisture. Do not freeze. Keep the bottle tightly closed. After reconstitution, store as directed on the label, usually for 7 to 14 days at room temperature or in the refrigerator. Discard any unused portion after the specified period.
Shelf LifeThe shelf life of the unreconstituted powder is typically 2 years from the date of manufacture. After reconstitution, use within the time specified by the manufacturer, usually 7 to 14 days when stored properly.
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
Always complete the full course of this antibiotic, even if symptoms improve, to prevent recurrence and resistance.
2
Shake the suspension well before each dose to ensure proper mixing.
3
Use a calibrated measuring device, not a kitchen spoon, for accurate dosing.
4
Take with food if stomach upset occurs.
5
Avoid taking antacids or iron supplements within 2 hours of this medicine.
6
Inform your doctor if you have kidney or liver problems before starting this medicine.
7
Report any signs of allergic reaction, such as rash or swelling, immediately.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Ear pain
This medicine is commonly prescribed for ear infections.
Likely Use
✅
Burning during urination
This medicine is used for urinary tract infections.
Likely Use
❌
Fever
This medicine is not a primary fever reducer; it treats the underlying infection.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionCefixime is absorbed from the gastrointestinal tract after oral administration. The suspension formulation is designed to be well absorbed, with food having minimal effect on overall absorption. Clavulanic acid is also absorbed orally. Peak plasma concentrations are typically reached within 2 to 4 hours for cefixime and within 1 to 2 hours for clavulanic acid.
DistributionCefixime distributes widely into body tissues and fluids, including the respiratory tract, urinary tract, and skin. It crosses the placenta and is excreted in breast milk in small amounts. Clavulanic acid also distributes into various tissues, but its penetration into the cerebrospinal fluid is limited.
Protein BindingCefixime is approximately 65% bound to plasma proteins. Clavulanic acid is about 25% bound to plasma proteins.
MetabolismCefixime is not significantly metabolized in the body and is excreted largely unchanged. Clavulanic acid undergoes extensive metabolism, primarily in the liver, to inactive metabolites.
Half-LifeThe elimination half-life of cefixime is approximately 3 to 4 hours in healthy adults. The half-life of clavulanic acid is about 1 to 1.5 hours.
ExcretionCefixime is primarily excreted unchanged in the urine, with about 50% of an oral dose recovered in urine within 24 hours. Clavulanic acid is excreted in urine as metabolites and unchanged drug.
BioavailabilityThe oral bioavailability of cefixime is approximately 40% to 50%. The bioavailability of clavulanic acid is about 60% to 70%.
Onset of ActionThe onset of action is typically within 1 to 2 hours after oral administration, as the drug reaches peak concentrations and begins to exert its antibacterial effect.
Peak Plasma TimePeak plasma concentrations of cefixime are reached in about 2 to 4 hours. For clavulanic acid, peak levels occur in about 1 to 2 hours.
Duration of ActionThe antibacterial effect lasts for approximately 12 to 24 hours, depending on the susceptibility of the bacteria and the dose administered. This allows for once or twice daily dosing.

How It Works

This medicine combines two active ingredients. Cefixime is a third-generation cephalosporin antibiotic that works by binding to penicillin-binding proteins inside bacteria, which inhibits the synthesis of the bacterial cell wall. This leads to bacterial cell death. Clavulanic acid is a beta-lactamase inhibitor that protects cefixime from being destroyed by beta-lactamase enzymes produced by certain bacteria. By blocking these enzymes, clavulanic acid extends the spectrum of cefixime to include bacteria that would otherwise be resistant.

Mechanism Steps

1
Cefixime binds to penicillin-binding proteins: Cefixime attaches to specific proteins in the bacterial cell wall, blocking the cross-linking of peptidoglycan chains.
2
Inhibition of cell wall synthesis: Without proper cross-linking, the bacterial cell wall becomes weak and cannot withstand osmotic pressure.
3
Clavulanic acid inhibits beta-lactamase: Clavulanic acid binds irreversibly to beta-lactamase enzymes, preventing them from breaking down cefixime.
4
Bacterial cell lysis and death: The weakened cell wall leads to cell lysis and death of the bacteria, resolving the infection.

💡 How to Take kefclav 50mg/31.25mg tablet dt

Strength: Oral suspension containing cefixime 50 mg and clavulanic acid 31.25 mg per 5 mL (or as specified by the manufacturer).

1Shake the bottle well before each use to ensure the medicine is mixed evenly.
2Use the measuring cup or syringe provided to measure the correct dose.
3Take the medicine orally, with or without food.
4If stomach upset occurs, take with a meal or snack.
5Complete the full course as prescribed, even if you feel better.
6Do not skip doses or double up on missed doses.

Dosage Information

Adult DosageThe usual adult dose of this medicine is 200 mg to 400 mg per day, divided into one or two doses, depending on the type and severity of the infection. For uncomplicated urinary tract infections, a common dose is 200 mg once daily or 100 mg twice daily. For respiratory tract infections, 200 mg twice daily may be used. The dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Always follow your doctor's prescription.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician. The dose is typically based on weight and the specific infection, and must be determined by a qualified clinician.
Elderly DosageElderly patients may have reduced renal function, which can affect drug clearance. Dose adjustment may be necessary based on renal function. Consult a doctor for individualized dosing.
Renal ImpairmentIn patients with renal impairment, dose adjustment is required. For creatinine clearance (CrCl) between 20 and 40 mL/min, a reduced dose or increased dosing interval may be needed. For CrCl less than 20 mL/min, further reduction is necessary. Consult a doctor for specific guidance.
Hepatic ImpairmentNo specific dose adjustment is established for hepatic impairment. Use with caution and monitor liver function. Consult a doctor.
Maximum Daily DoseThe maximum recommended daily dose of cefixime is 400 mg. The maximum daily dose of clavulanic acid in this combination is not well established; follow prescribed dosing.

Dosage Timeline

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

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
Grapefruit
Avoid
May increase drug levels.

⏰ 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.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of kefclav 50mg/31.25mg tablet dt

✅ Common Side Effects

Diarrhea (Common (5-10%))
Usually resolves on its own. Stay hydrated. Consult doctor if persistent or severe.
Nausea (Common (5-10%))
Take with food to reduce nausea. Consult doctor if it continues.
Stomach pain (Common (5-10%))
Take with meals. If pain is severe or persistent, contact your doctor.
Headache (Common (5-10%))
Rest and stay hydrated. Consult doctor if headache is severe or unusual.
Rash (Uncommon (1-5%))
Stop the medicine and consult your doctor if rash appears.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Seek emergency medical help immediately if you experience swelling of face, lips, throat, difficulty breathing, or severe rash.
Clostridium difficile-associated diarrhea (Rare (<0.1%))
Contact your doctor if you develop severe, persistent diarrhea, abdominal cramps, or blood in stool.
Liver toxicity (Rare (<0.1%))
Report yellowing of skin or eyes, dark urine, or severe abdominal pain to your doctor immediately.
Stevens-Johnson syndrome (Very rare (<0.01%))
Seek immediate medical attention if you develop a painful rash, blisters, or peeling skin.

⚠️ Rare Side Effects

Blood dyscrasias (e.g., thrombocytopenia, leukopenia)
Report unusual bruising or bleeding to your doctor.
Interstitial nephritis
Seek medical attention if you experience decreased urine output or swelling.
Seizures
Seek emergency care if seizures occur.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Major
Carbamazepine Major
Methotrexate Major
Probenecid Moderate
Oral contraceptives Moderate
Allopurinol Moderate
Antacids Minor
Iron supplements Minor

🚨 Major Interactions

  • Warfarin
  • Carbamazepine
  • Methotrexate

⚡ Moderate Interactions

  • Probenecid
  • Oral contraceptives
  • Allopurinol

🍷 Alcohol Interaction

Alcohol may increase the risk of stomach upset and dizziness. 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 cefixime, clavulanic acid, or other cephalosporin antibiotics","History of severe allergic reaction to penicillin","Use in patients with a history of Clostridium difficile-associated diarrhea","Concurrent use with live typhoid vaccine"]

⚠️ Warnings & Precautions

["Use with caution in patients with renal impairment; dose adjustment may be needed.","Use with caution in patients with a history of gastrointestinal disease, especially colitis.","May cause dizziness; avoid driving or operating machinery until you know how it affects you.","Prolonged use may lead to overgrowth of non-susceptible organisms, including fungi.","Do not use for viral infections; it is ineffective and may promote resistance.","Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding.","Keep out of reach of children; store properly."]

🤱 Lactation Safety

Cefixime is excreted in breast milk in small amounts. Clavulanic acid is also excreted. Consult your doctor before breastfeeding while taking this medicine. Monitor the infant for diarrhea or thrush.

💊 Overdose Management

Overdose may cause nausea, vomiting, stomach pain, and diarrhea. In severe cases, seizures may occur. Treatment is symptomatic and supportive. Contact a poison control center or emergency room immediately if overdose is suspected. Hemodialysis may be considered in severe cases.

⏰ 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 to catch up.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor. Shake the bottle well before each use to ensure the medicine is evenly mixed. Use a proper measuring device to get the correct dose. Do not skip doses or stop early, even if you feel better. Inform your doctor if you have kidney problems, liver problems, or a history of allergies to antibiotics. Avoid taking antacids or iron supplements within two hours of this medicine, as they can reduce its absorption. If you are pregnant or breastfeeding, consult your doctor before using this medicine. Keep this medicine out of reach of children.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may have reduced kidney function, which can affect drug clearance. Dose adjustment may be necessary. Monitor for signs of toxicity.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, consult your doctor before taking this medicine. It is generally considered safe in pregnancy (Category B), but use only if clearly needed.

🏥 Post-Surgery Considerations

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

🦷 Dental Procedures

Inform your dentist if you are taking this medicine. It may interact with other medications used during dental procedures.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy diet to support your immune system.
🥗
Stay well hydrated to help flush out bacteria.
😴
Get plenty of rest to aid recovery.
💧
Practice good hygiene to prevent reinfection.
🧘
Avoid close contact with others if you have a contagious infection.

🏋️ Exercise Considerations

If you experience dizziness or fatigue, avoid strenuous exercise until you feel better. Listen to your body and rest as needed.

🥗 Diet Recommendations

Include probiotic-rich foods like yogurt to maintain gut health.
Stay hydrated with water and clear fluids.
Avoid spicy and oily foods if you have stomach upset.

💼 Impact on Daily Work & Life

This medicine may cause dizziness or fatigue in some people. Avoid driving or operating heavy machinery until you know how it affects you. Most people can continue their daily activities with minimal disruption.

🛑 When to Stop This Medicine

Do not stop taking this medicine early unless your doctor advises. Complete the full course as prescribed. If you experience severe side effects, contact your doctor immediately.

📅 Long-Term Use Effects

Long-term use of this medicine may lead to antibiotic resistance and superinfections. It is not intended for prolonged use unless directed by a doctor. Regular monitoring of kidney and liver function may be needed if used for extended periods.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Probiotics

Can help prevent antibiotic-associated diarrhea.

Evidence: Well-established
Pain relievers

For symptom relief while the antibiotic takes effect.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

This medicine may reduce the effectiveness of live bacterial vaccines, such as the typhoid vaccine. Avoid receiving live vaccines during treatment and for a few days after.

📦 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 with the prescription label. Bring a copy of your prescription in case you need to show it at customs. Keep the suspension in a cool, dry place, and follow storage instructions. If traveling across time zones, adjust dosing times gradually, but consult your doctor for specific advice. Do not expose to extreme temperatures.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 5-year-old child with recurrent ear infections
The child was prescribed this medicine for acute otitis media. The parents administered it with food twice daily. Within 3 days, the child's ear pain and fever subsided. The parents completed the full 10-day course as advised, and the infection resolved without complications.
💡 Lesson: Completing the full course and administering with food improves tolerability and ensures the infection is fully treated.
👤 A 35-year-old woman with a urinary tract infection
She was prescribed this medicine for a UTI. She experienced mild nausea initially but found that taking it with a snack helped. Her symptoms improved within 2 days, but she continued the medicine for the full 7 days as prescribed. A follow-up urine test confirmed the infection was cleared.
💡 Lesson: Taking the medicine with food can reduce side effects, and completing the course is essential to prevent relapse.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: You may start feeling better within 2 to 3 days, but it is important to complete the full course as prescribed.

Q: Can I take this with food?

A: Yes, you can take it with or without food. If it upsets your stomach, take it with a meal or snack.

Q: What if I miss a dose?

A: 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.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for kefclav 50mg/31.25mg tablet dt

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: Antibiotics can cure viral infections like the common cold.
    Fact: Antibiotics only work against bacteria. They are ineffective against viruses.
  • Myth: You can stop taking antibiotics once you feel better.
    Fact: You must complete the full course to prevent the infection from returning and to avoid antibiotic resistance.
  • Myth: Antibiotics weaken the immune system.
    Fact: Antibiotics do not weaken the immune system; they target bacteria. However, they can disrupt healthy gut bacteria.

🔄 Alternative Options

Generic Alternatives

  • Cefixime + Clavulanic Acid oral suspension

Brand Alternatives

  • Axime CV Oral Suspension

📊 Comparison with Similar Medicines

[{"medicine":"Cefixime + Clavulanic Acid","class":"Third-generation cephalosporin + beta-lactamase inhibitor","spectrum":"Broad","dosing":"Once or twice daily"},{"medicine":"Amoxicillin + Clavulanic Acid","class":"Penicillin + beta-lactamase inhibitor","spectrum":"Broad","dosing":"Two to three times daily"},{"medicine":"Cefpodoxime + Clavulanic Acid","class":"Third-generation cephalosporin + beta-lactamase inhibitor","spectrum":"Broad","dosing":"Twice daily"}]

😊 Was this information helpful?

Browse Medicines A-Z

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Back to Medicines Directory