Sapocef CV 250mg/125mg Tablet - Cefuroxime (250mg) + Clavulanic Acid (125mg) medicine

Binex-CV 250 Tablet: Comprehensive Medicine Guide

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🏭 Sapson Pharma 📦 strip of 10 tablets 💊 Allopathy 📅 Updated: Oct 22, 2026
⚠️ Hepatotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for approved indications.
Reviewed by
SaathiMed Expert Panel | Oct 22, 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

  • Difficulty breathing or swelling of face, lips, or throat
  • Severe or persistent diarrhea, or blood in stool
  • Yellowing of skin or eyes, dark urine, or severe abdominal pain
  • Seizures or confusion
  • Signs of severe skin reaction like blistering or peeling
  • Decreased urine output or swelling in legs
  • Unusual bleeding or bruising

If experiencing severe symptoms, call emergency services immediately.

What is Sapocef CV 250mg/125mg Tablet used for?

This medicine is a combination antibiotic containing cefuroxime and clavulanic acid. It is used to treat bacterial infections of the respiratory tract, urinary tract, skin, and soft tissues. It works by killing bacteria and blocking their defense enzymes. Take it with food and complete the full course as prescribed.

  • Generic Name: Cefuroxime (250mg) + Clavulanic Acid (125mg)
  • Manufacturer: Sapson Pharma
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 Sapocef CV 250mg/125mg Tablet के बारे में (Hindi Summary)

उपयोग: यह दवा सेफ्यूरोक्सिम और क्लैवुलैनिक एसिड का संयोजन है, जिसका उपयोग बैक्टीरियल संक्रमणों के इलाज के लिए किया जाता है। यह श्वसन तंत्र, मूत्र मार्ग, त्वचा और कोमल ऊतकों के संक्रमण में प्रभावी है। यह बैक्टीरिया को मारती है और उनके रक्षा एंजाइमों को रोकती है। इसे भोजन के साथ लें और पूरा कोर्स पूरा करें।

साइड इफेक्ट्स: आम दुष्प्रभावों में दस्त, जी मिचलाना, उल्टी, पेट दर्द, सिरदर्द और त्वचा पर चकत्ते शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन एलर्जी, गंभीर दस्त, यकृत समस्याएं और दौरे पड़ सकते हैं। यदि सांस लेने में कठिनाई, चेहरे पर सूजन, या गंभीर दस्त हो तो तुरंत डॉक्टर से मिलें।

सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। खुराक न छोड़ें और कोर्स पूरा करें। इसे भोजन के साथ लें। यदि आपको गुर्दे या यकृत की बीमारी है या पेनिसिलिन से एलर्जी है तो डॉक्टर को बताएं। शराब से बचें। एलर्जी के लक्षण दिखने पर तुरंत मदद लें।

💡 Did You Know? India has the highest number of USFDA-compliant plants outside the USA.

💊 Sapocef CV 250mg/125mg Tablet Uses & Benefits

[{"condition":"Respiratory tract infections","description":"Used for community-acquired pneumonia, acute bacterial exacerbations of chronic bronchitis, and sinusitis caused by susceptible bacteria.","evidence":"Well-established"},{"condition":"Urinary tract infections","description":"Effective against uncomplicated and complicated urinary tract infections caused by susceptible organisms.","evidence":"Well-established"},{"condition":"Skin and soft tissue infections","description":"Treats cellulitis, abscesses, and wound infections when caused by susceptible bacteria.","evidence":"Well-established"},{"condition":"Gonorrhea","description":"May be used as part of combination therapy for uncomplicated gonorrhea, though resistance patterns vary.","evidence":"Moderate"},{"condition":"Lyme disease","description":"Used in early disseminated Lyme disease in some guidelines, but not first-line in all regions.","evidence":"Moderate"}]

Off-label uses: [{"condition":"Prophylaxis in dental procedures","description":"Sometimes used off-label for prevention of endocarditis in high-risk patients undergoing dental work, but not standard.","evidence":"Limited"},{"condition":"Traveler's diarrhea","description":"Occasionally prescribed off-label for severe traveler's diarrhea, but fluoroquinolones or azithromycin are preferred.","evidence":"Limited"}]

Primary treatment for: Bacterial infections

Also treats: Respiratory tract infections, Urinary tract infections, Skin infections, Soft tissue infections

📋 Drug Information

Generic Name(s)Cefuroxime (250mg) + Clavulanic Acid (125mg)
Brand NameSapocef CV 250mg/125mg Tablet
ManufacturerSapson Pharma
Packaging / Formstrip of 10 tablets (Allopathy)
Therapeutic Class
Action Class
Route of AdministrationOral
StorageStore at room temperature between 15°C and 30°C (59°F to 86°F). Protect from moisture and light. Keep in the original container.
Shelf LifeTypically 24 months from the date of manufacture. Check the expiry date on the pack.
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 with food to enhance absorption and reduce stomach upset.
2
Complete the full prescribed course even if you feel better after a few days.
3
Do not share this medicine with others, as it may not be appropriate for their condition.
4
Inform your doctor if you are taking blood thinners, methotrexate, or oral contraceptives.
5
Stay well hydrated throughout the day to help your kidneys flush out the medicine.
6
Report any signs of allergic reaction, such as rash, itching, or swelling, immediately.
7
Avoid alcohol while taking this medicine to prevent worsening of side effects.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Fever with productive cough
This medicine is commonly prescribed for respiratory tract infections.
Likely Use
✅
Burning urination
This medicine is used for urinary tract infections.
Likely Use
❌
Runny nose without fever
This medicine is not effective for viral colds.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionCefuroxime axetil is absorbed from the gastrointestinal tract after oral administration. Food enhances absorption. Clavulanic acid is also absorbed orally. Specific bioavailability data for this combination product are not established from the available information.
DistributionCefuroxime distributes widely into body tissues and fluids, including pleural fluid, synovial fluid, and bone. It crosses the placenta and is excreted in breast milk. Clavulanic acid also distributes into tissues. Protein binding details are not established from the available information.
Protein BindingCefuroxime is approximately 33-50% protein bound. Clavulanic acid is about 25% protein bound. These values are for the individual components.
MetabolismCefuroxime is not significantly metabolized. Clavulanic acid undergoes metabolism, primarily in the liver.
Half-LifeThe elimination half-life of cefuroxime is approximately 1-2 hours in adults with normal renal function. Clavulanic acid has a half-life of about 1 hour. These values may be prolonged in renal impairment.
ExcretionCefuroxime is excreted primarily unchanged in the urine by glomerular filtration and tubular secretion. Clavulanic acid is excreted in urine, feces, and as carbon dioxide in expired air.
BioavailabilityThe bioavailability of cefuroxime axetil is approximately 37% when taken with food and lower when taken on an empty stomach. Bioavailability of clavulanic acid is not established from the available information.
Onset of ActionOnset of action is typically within 1-2 hours after oral administration, but clinical improvement may take 24-48 hours.
Peak Plasma TimePeak plasma concentrations of cefuroxime are reached about 2-3 hours after oral administration. Peak for clavulanic acid is about 1-2 hours.
Duration of ActionThe duration of action is approximately 8-12 hours, depending on the dose and renal function.

How It Works

Cefuroxime inhibits bacterial cell wall synthesis by binding to penicillin-binding proteins, disrupting peptidoglycan cross-linking and causing bacterial lysis. Clavulanic acid is a beta-lactamase inhibitor that protects cefuroxime from degradation by certain beta-lactamase enzymes produced by bacteria, thereby extending its spectrum of activity.

Mechanism Steps

1
Cefuroxime binds to PBPs: Cefuroxime attaches to penicillin-binding proteins on the bacterial cell membrane, blocking the final step of peptidoglycan synthesis.
2
Inhibition of cell wall cross-linking: This prevents the formation of a stable bacterial cell wall, leading to osmotic instability.
3
Clavulanic acid inhibits beta-lactamases: Clavulanic acid binds irreversibly to beta-lactamase enzymes, preventing them from destroying cefuroxime.
4
Bacterial lysis and death: Without a functional cell wall, bacteria lyse and die, resolving the infection.

💡 How to Take Sapocef CV 250mg/125mg Tablet

Strength: Immediate-release tablet containing 250 mg cefuroxime and 125 mg clavulanic acid.

1Take this medicine with a meal or snack to improve absorption and reduce stomach upset.
2Swallow the tablet whole with a glass of water. Do not crush or chew.
3Take at evenly spaced intervals as prescribed by your doctor.
4Complete the full course of therapy even if you feel better after a few days.
5Do not share this medicine with anyone else.

Dosage Information

Adult DosageThe usual adult dose for most infections is 250 mg to 500 mg of cefuroxime (with corresponding clavulanic acid) taken orally twice daily, depending on the type and severity of infection. For uncomplicated urinary tract infections, a lower dose may be used. For more severe infections, higher doses may be prescribed. The duration of therapy varies from 5 to 10 days. 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 and may require dose adjustment. Use with caution and monitor renal function. Dose must be individualized by a qualified clinician.
Renal ImpairmentIn patients with renal impairment (creatinine clearance <30 mL/min), the dose may need to be reduced or the dosing interval extended. For creatinine clearance 10-30 mL/min, the usual dose may be given every 24 hours. For creatinine clearance <10 mL/min, the usual dose may be given every 48 hours. Dose must be individualized by a qualified clinician.
Hepatic ImpairmentNo specific dose adjustment is established for hepatic impairment, but use with caution and monitor liver function.
Maximum Daily DoseThe maximum recommended daily dose is 1000 mg of cefuroxime (with corresponding clavulanic acid) in divided doses. Doses above this are not recommended.

Dosage Timeline

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

🍽️ Food Timing Guide

With food
Take with meals
Enhances absorption and reduces stomach upset.
Grapefruit
No specific restriction
No significant interaction expected.

⏰ 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 Sapocef CV 250mg/125mg Tablet

✅ 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. If nausea persists, consult your doctor.
Vomiting (Common (1-5%))
Take with food and fluids. Seek medical advice if vomiting is severe or prevents keeping the medicine down.
Abdominal pain (Common (1-5%))
Take with food. If pain is severe or persistent, contact your doctor.
Headache (Common (1-5%))
Usually resolves. Rest and hydrate. Consult if severe.
Skin rash (Uncommon (0.1-1%))
Stop the medicine and consult your doctor immediately if rash develops.

🚨 Serious Side Effects

Anaphylaxis (Rare (<0.1%))
Seek emergency medical help immediately if you experience swelling of face, lips, throat, difficulty breathing, or severe rash.
Clostridioides difficile-associated diarrhea (Rare (<0.1%))
Contact your doctor if you develop severe, persistent diarrhea, abdominal cramps, or blood in stool.
Severe skin reactions (e.g., Stevens-Johnson syndrome) (Very rare (<0.01%))
Seek immediate medical attention if you notice blistering, peeling skin, or sores in mouth or eyes.
Seizures (Rare (<0.1%))
Seek emergency care if seizures occur, especially in patients with kidney disease.
Liver enzyme elevation (Uncommon (0.1-1%))
Report yellowing of skin or eyes, dark urine, or right upper abdominal pain to your doctor.

⚠️ Rare Side Effects

Interstitial nephritis
Seek medical attention if you experience decreased urine output, swelling, or fatigue.
Hemolytic anemia
Report unusual tiredness, pale skin, or shortness of breath to your doctor.
Thrombocytopenia
Report easy bruising or bleeding to your doctor.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Major
Methotrexate Major
Probenecid Moderate
Oral contraceptives Moderate
Loop diuretics Moderate
Aminoglycosides Moderate
Antacids Minor
H2 blockers Minor

🚨 Major Interactions

  • Warfarin
  • Methotrexate
  • Probenecid

⚡ Moderate Interactions

  • Oral contraceptives
  • Loop diuretics (e.g., furosemide)
  • Aminoglycosides

🍷 Alcohol Interaction

Alcohol may worsen gastrointestinal side effects such as nausea and diarrhea. 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 cephalosporin antibiotics","Severe immediate hypersensitivity (anaphylaxis) to penicillin","Previous history of Clostridioides difficile-associated diarrhea with cephalosporins"]

⚠️ 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 overgrowth of non-susceptible organisms; monitor for superinfection.","Serious allergic reactions, including anaphylaxis, can occur. Discontinue immediately if allergic reaction suspected.","May interfere with certain laboratory tests (e.g., urine glucose tests, Coombs test).","Not effective against viral infections. Do not use for colds or flu."]

🤱 Lactation Safety

Cefuroxime and clavulanic acid are excreted in breast milk in small amounts. They are generally considered compatible with breastfeeding, but monitor the infant for diarrhea or thrush. Consult your doctor.

💊 Overdose Management

Overdose may cause nausea, vomiting, abdominal pain, and seizures. Treatment is symptomatic and supportive. In case of overdose, seek immediate medical attention. Hemodialysis may be considered in severe cases with renal failure.

⏰ 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. Do not skip doses or stop early, even if you feel better. Take with food to reduce stomach upset. Inform your doctor if you have kidney or liver disease, or if you are allergic to penicillin or cephalosporin antibiotics. Avoid alcohol while taking this medicine as it may worsen side effects. If you develop a rash, hives, or difficulty breathing, seek emergency medical help. Do not share this medicine with others. Keep out of reach of children. Store at room temperature away from moisture and heat.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are more likely to have reduced kidney function and may require dose adjustment. They may also be more susceptible to side effects like diarrhea and electrolyte imbalance. Monitor renal function and hydration status.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy, consult your doctor before taking this medicine. It is generally considered safe in pregnancy, but the benefits should outweigh the risks. Use effective contraception if taking this medicine and discuss with your doctor.

🏥 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 if you have any allergies or kidney problems.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine. It may interact with certain dental procedures or medications. Your dentist may recommend postponing elective procedures until you complete the course.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy diet rich in fruits and vegetables to support your immune system.
🥗
Stay well hydrated to help flush out bacteria and reduce side effects.
😴
Get adequate rest to aid recovery from infection.
💧
Practice good hygiene to prevent reinfection.
🧘
Avoid close contact with people who have infections while you are recovering.

🏋️ Exercise Considerations

Moderate exercise is generally safe, but if you experience dizziness or fatigue, avoid strenuous activities. Listen to your body and rest when needed.

🥗 Diet Recommendations

Include probiotic-rich foods like yogurt to help maintain gut flora.
Stay hydrated with water and clear fluids.
Avoid spicy and fatty foods if you have stomach upset.
Eat small, frequent meals if you have nausea.

💼 Impact on Daily Work & Life

This medicine may cause dizziness or fatigue in some people. If affected, 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 without consulting your doctor, even if you feel better. Stopping early can lead to recurrence of infection and antibiotic resistance. If you experience severe side effects, contact your doctor immediately for guidance.

📅 Long-Term Use Effects

Long-term use of this medicine is not recommended unless prescribed for a specific chronic infection. Prolonged use may lead to bacterial resistance, superinfection, and rare blood or liver abnormalities. Regular monitoring may be required if used for extended periods.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Amoxicillin and clavulanic acid

Another antibiotic combination that may be used for similar infections.

Evidence: Well-established
Cefuroxime alone

May be used if beta-lactamase producing bacteria are not suspected.

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, inform your doctor as antibiotics may affect the vaccine's efficacy in some cases.

📦 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

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. Keep a list of your medications with you.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old woman with a urinary tract infection
She was prescribed this medicine for a UTI. She took it with food twice daily as directed. Her symptoms improved within 3 days, but she completed the 7-day course to prevent recurrence. She experienced mild nausea initially, which subsided after taking it with meals.
💡 Lesson: Taking the medicine with food reduces gastrointestinal side effects and completing the course prevents relapse.
👤 A 60-year-old man with chronic bronchitis
He was given this medicine for an acute exacerbation of chronic bronchitis. He had a history of kidney disease, so his doctor adjusted the dose. He was monitored for renal function and completed a 10-day course. His breathing improved significantly.
💡 Lesson: Dose adjustment is crucial in patients with kidney disease, and monitoring prevents complications.

💬 Questions Patients Often Ask

Q: How long does it take to work?

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

Q: Can I take it with food?

A: Yes, take it with food to improve absorption and reduce stomach upset.

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 the missed dose. Do not double dose.

Q: Is it safe during pregnancy?

A: It is generally considered safe (FDA category B), but consult your doctor before use.

Q: Can I drink alcohol?

A: It is best to avoid alcohol as it may worsen side effects like nausea and diarrhea.

🤔 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 Sapocef CV 250mg/125mg Tablet

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: This medicine is only effective against bacterial infections. It does not treat viral illnesses.
  • Myth: You can stop taking antibiotics once you feel better.
    Fact: You must complete the full prescribed course to prevent recurrence and resistance.
  • Myth: Antibiotics weaken your immune system.
    Fact: Antibiotics do not weaken the immune system; they target bacteria. However, they can disrupt normal flora.

🔄 Alternative Options

Generic Alternatives

  • Cefuroxime and clavulanic acid combination tablets from other manufacturers

Brand Alternatives

  • Binex-CV 250 Tablet

📊 Comparison with Similar Medicines

[{"medicine":"Amoxicillin and clavulanic acid","difference":"Different penicillin-based antibiotic with broader spectrum but similar uses."},{"medicine":"Cefuroxime axetil","difference":"Lacks clavulanic acid, so may be less effective against beta-lactamase producing bacteria."},{"medicine":"Cefixime and clavulanic acid","difference":"Third-generation cephalosporin combination, often used for different infections."}]

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