Nevcef Az 200mg/500mg Tablet: Complete Information
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Blood in stool or vomit
- Severe abdominal pain
- Chest pain or difficulty breathing
- Severe headache with visual changes
- Sudden swelling of face, lips, or throat
- Yellowing of skin or eyes
- Decreased urine output
If experiencing severe symptoms, call emergency services immediately.
What is nevcef az 200mg/500mg tablet used for?
This medicine is a combination antibiotic containing cefixime and azithromycin, used to treat various bacterial infections. It works by killing bacteria through two different mechanisms. It should only be taken as prescribed by a doctor.
- Generic Name: Information coming soon
- Manufacturer: Multiple manufacturers
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 nevcef az 200mg/500mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा सेफिक्सिम और एज़िथ्रोमाइसिन का संयोजन है, जिसका उपयोग विभिन्न जीवाणु संक्रमणों के इलाज के लिए किया जाता है। यह श्वसन तंत्र के संक्रमण, मूत्र मार्ग के संक्रमण, टाइफाइड बुखार और कुछ यौन संचारित संक्रमणों के लिए निर्धारित की जाती है। यह दवा केवल डॉक्टर के पर्चे पर ही लेनी चाहिए और पूरा कोर्स पूरा करना चाहिए।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मतली, दस्त, पेट दर्द, और सिरदर्द शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन एलर्जी, गंभीर दस्त, या लीवर की समस्या हो सकती है। यदि आपको कोई भी असामान्य लक्षण महसूस हो, तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को लेने से पहले अपने डॉक्टर को अपनी सभी दवाओं और एलर्जी के बारे में बताएं। दवा को डॉक्टर के निर्देशानुसार ही लें और पूरा कोर्स पूरा करें। गर्भावस्था या स्तनपान के दौरान डॉक्टर से सलाह लें। शराब का सेवन न करें। दवा को सूखी और ठंडी जगह पर रखें।
💊 nevcef az 200mg/500mg tablet Uses & Benefits
[{"condition":"Community-acquired pneumonia","description":"Used to treat pneumonia acquired outside of hospitals, caused by susceptible bacteria such as Streptococcus pneumoniae and Haemophilus influenzae.","evidence":"Well-established"},{"condition":"Acute bacterial exacerbation of chronic bronchitis","description":"Helps manage flare-ups of chronic bronchitis triggered by bacterial infections.","evidence":"Well-established"},{"condition":"Urinary tract infections","description":"Effective against uncomplicated urinary tract infections caused by susceptible organisms like Escherichia coli and Klebsiella species.","evidence":"Well-established"},{"condition":"Typhoid fever","description":"Used in the treatment of enteric fever caused by Salmonella typhi.","evidence":"Well-established"},{"condition":"Sexually transmitted infections","description":"May be prescribed for urethritis and cervicitis caused by Chlamydia trachomatis or Neisseria gonorrhoeae.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Acne vulgaris","description":"Sometimes prescribed off-label for severe acne due to its anti-inflammatory and antibacterial effects.","evidence":"Limited"},{"condition":"Lyme disease","description":"May be used off-label for early Lyme disease in patients allergic to doxycycline.","evidence":"Limited"}]
Primary treatment for: Bacterial infections
Also treats: Respiratory tract infections, Urinary tract infections, Typhoid fever, Sexually transmitted infections
📋 Drug Information
| Generic Name(s) | Information coming soon |
| Brand Name | nevcef az 200mg/500mg tablet |
| Manufacturer | Multiple manufacturers |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | ANTI INFECTIVES |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) in a dry place, away from direct sunlight and moisture. Keep out of reach of children. |
| Shelf Life | 24 months from the date of manufacture. |
| 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
This medicine combines two antibiotics with distinct mechanisms. Cefixime, a third-generation cephalosporin, inhibits bacterial cell wall synthesis by binding to penicillin-binding proteins, leading to bacterial cell lysis and death. Azithromycin, a macrolide antibiotic, binds to the 50S ribosomal subunit of susceptible bacteria, inhibiting protein synthesis and thereby stopping bacterial growth. The combination provides broad-spectrum coverage against a range of gram-positive and gram-negative bacteria, as well as atypical pathogens.
Mechanism Steps
💡 How to Take nevcef az 200mg/500mg tablet
Strength: Each tablet contains cefixime 200 mg and azithromycin 500 mg.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is one tablet taken orally once daily. However, the exact dose and duration depend on the type and severity of the infection, your age, weight, kidney and liver function, and other medications you are taking. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not self-medicate. Always follow your doctor's prescription. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may require dose adjustment based on renal function. Use with caution and monitor for side effects. |
| Renal Impairment | In patients with renal impairment, dose adjustment may be necessary. Cefixime dose should be reduced if creatinine clearance is below 20 mL/min. Consult your doctor for specific dosing. |
| Hepatic Impairment | No specific dose adjustment is established for hepatic impairment, but use with caution and monitor liver function. |
| Maximum Daily Dose | The maximum recommended daily dose is one tablet (cefixime 200 mg and azithromycin 500 mg) per day. Do not exceed the prescribed dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of nevcef az 200mg/500mg 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 | |
| Ergotamine | Major | |
| Amiodarone | Major | |
| Antacids | Moderate | |
| Carbamazepine | Moderate | |
| Digoxin | Moderate | |
| Oral contraceptives | Minor | |
| Theophylline | Minor | |
| Cyclosporine | Moderate | |
| Pimozide | Major |
🚨 Major Interactions
- Warfarin
- Ergot alkaloids (e.g., ergotamine)
- Class IA and III antiarrhythmics (e.g., quinidine, amiodarone)
⚡ Moderate Interactions
- Antacids containing aluminum or magnesium
- Carbamazepine
- Digoxin
🍷 Alcohol Interaction
Alcohol may worsen gastrointestinal side effects such as nausea and diarrhea, and may reduce the effectiveness of the medicine. 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, azithromycin, other cephalosporins, penicillins, or macrolides","History of severe allergic reaction to any antibiotic","Concomitant use with ergot alkaloids","Severe hepatic impairment","History of cholestatic jaundice with prior azithromycin use"]
⚠️ Warnings & Precautions
["Use with caution in patients with renal impairment; dose adjustment may be required.","May cause dizziness; avoid driving or operating machinery until you know how it affects you.","Avoid alcohol during treatment.","Complete the full course as prescribed to prevent resistance.","Inform your doctor if you are pregnant, planning pregnancy, or breastfeeding.","May interact with many drugs; provide a complete medication list to your doctor.","Do not use for viral infections.","If severe diarrhea occurs, seek medical advice before taking anti-diarrheal medication."]
🤱 Lactation Safety
Both cefixime and azithromycin are excreted in breast milk in small amounts. They are generally considered compatible with breastfeeding, but consult your doctor to weigh benefits and risks.
💊 Overdose Management
Overdose may cause severe nausea, vomiting, diarrhea, and abdominal pain. In case of overdose, seek immediate medical attention. Treatment is symptomatic and supportive. Gastric lavage may be considered if ingestion is recent. There is no specific antidote.
⏰ 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
Before taking this medicine, inform your doctor if you are allergic to cefixime, azithromycin, other cephalosporins, penicillins, or macrolide antibiotics. Provide a complete list of all medications you are taking, including prescription, over-the-counter, and herbal products, as this medicine can interact with many drugs. Do not start or stop any medication without your doctor's approval. Take this medicine exactly as prescribed, at evenly spaced intervals, and complete the full course even if you feel better after a few days. Do not share this medicine with others, even if they have similar symptoms. If you are pregnant, planning to become pregnant, or breastfeeding, consult your doctor before using this medicine. This medicine may cause dizziness; avoid driving or operating heavy machinery until you know how it affects you. Avoid alcohol while taking this medicine, as it may worsen side effects and reduce effectiveness. Store this medicine at room temperature, away from moisture and heat. Keep out of reach of children. If you miss a dose, take it as soon as you remember, but if it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose. If you experience any signs of a severe allergic reaction, seek emergency medical help immediately.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more susceptible to side effects, especially renal and cardiac effects. Dose adjustment may be needed based on kidney function. Monitor closely for signs of toxicity.
🤰 Pregnancy Planning (TTC)
If you are planning pregnancy, consult your doctor before taking this medicine. Both ingredients are generally considered safe, but the need for the antibiotic should be evaluated.
🏥 Post-Surgery Considerations
This medicine may be prescribed to prevent or treat surgical site infections. Follow your surgeon's instructions regarding dosing and duration. Inform your surgeon about all medications you are taking.
🦷 Dental Procedures
This medicine may be used prophylactically before dental procedures in patients at risk of infective endocarditis. Inform your dentist about all medications and allergies.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
This medicine may cause dizziness; avoid strenuous exercise or activities requiring alertness until you know how it affects you. Stay hydrated during exercise.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or fatigue, which can affect your ability to drive or operate machinery. Avoid these activities until you know how the medicine affects you. It is advisable to rest and allow your body to recover from the infection.
🛑 When to Stop This Medicine
Do not stop taking this medicine without consulting your doctor. Complete the full course as prescribed. If you experience severe side effects, contact your doctor immediately; they may advise you to stop or change the medication.
📅 Long-Term Use Effects
Long-term use of this medicine may lead to antibiotic resistance, superinfections, and rare organ toxicities. It is not intended for prolonged use unless specifically directed by a doctor. Regular monitoring of liver and kidney function may be required if used for extended periods.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
May help prevent antibiotic-associated diarrhea.
Evidence: LimitedFor viral infections, rest, fluids, and over-the-counter remedies may be appropriate.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
Antibiotics do not interfere with vaccines. However, if you are acutely ill with fever, it is best to postpone vaccination until you recover. 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 temperature extremes. Store at room temperature and protect from moisture. If crossing time zones, consult your doctor about adjusting the dosing schedule. Check local customs regulations regarding prescription medications.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: You may start feeling better within 24-48 hours, but it is important to complete the full course as prescribed.
A: Yes, you can take it with or without food. Taking it with food may help reduce stomach upset.
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: Both ingredients are generally considered safe in pregnancy, but you should consult your doctor before use.
A: No, you must complete the full course as prescribed to prevent the infection from returning and to avoid antibiotic resistance.
🤔 Common Patient Concerns
🛑 Myths vs. Facts
- Myth: Antibiotics can cure viral infections like the common cold.
Fact: Antibiotics only work against bacteria, not viruses. This medicine is not effective for viral infections. - Myth: You can stop taking antibiotics once you feel better.
Fact: You must complete the full course as prescribed to prevent the infection from returning and to avoid antibiotic resistance. - Myth: Antibiotics weaken your immune system.
Fact: Antibiotics do not weaken the immune system; they target bacteria. However, they can disrupt healthy gut bacteria, which may have temporary effects.
🔄 Alternative Options
Generic Alternatives
- Cefixime 200 mg + Azithromycin 500 mg tablet (generic)
Brand Alternatives
- Nevcef AZ 200mg/500mg Tablet