Alevo CP 200 mg/250 mg Tablet: Complete Medicine Guide

[{"condition":"Community-acquired pneumonia","description":"Used when a doctor decides that a combination of cefpodoxime and levofloxacin is appropriate for bacterial lung infection.","evidence":"Well-established for the individual ingredients; combination use depends on clinical judgment."},{"condition":"Acute bacterial exacerbation of chronic bronchitis","description":"May be prescribed for flare-ups of chronic lung disease caused by susceptible bacteria.","evidence":"Well-established for the individual ingredients."},{"condition":"Urinary tract infections","description":"Used for complicated or recurrent urinary tract infections when a broader cover is needed.","evidence":"Well-established for the individual ingredients."},{"condition":"Skin and soft tissue infections","description":"May be used for bacterial skin infections such as cellulitis or abscesses when a doctor chooses this combination.","evidence":"Well-established for the individual ingredients."},{"condition":"Bacterial prostatitis","description":"Levofloxacin is often used for bacterial prostatitis, and cefpodoxime may be added in selected cases.","evidence":"Well-established for levofloxacin; combination use is based on clinical judgment."}]

Off-label uses: [{"condition":"Traveler's diarrhea","description":"Sometimes prescribed off-label for moderate to severe traveler's diarrhea caused by susceptible bacteria.","evidence":"Limited"},{"condition":"Diverticulitis","description":"May be used off-label in selected patients with uncomplicated diverticulitis when a doctor decides a combination is needed.","evidence":"Limited"}]

Primary treatment for: Bacterial infections

Also treats: Community-acquired pneumonia, Acute bacterial exacerbation of chronic bronchitis, Urinary tract infections, Skin and soft tissue infections, Bacterial prostatitis

Generic Name(s)	Cefpodoxime Proxetil (200mg) + Levofloxacin (250mg)
Brand Name	y doxime lv 200mg/250mg tablet
Manufacturer	Man Serve Pharma
Packaging / Form	Varies by brand (Allopathy)
Therapeutic Class	ANTI INFECTIVES
Action Class
Route of Administration	Oral
Storage	Store this medicine at room temperature between 15°C and 30°C. Keep it in the original container, tightly closed, and away from direct sunlight, heat, and moisture. Do not store it in the bathroom. Keep it out of the reach of children and pets.
Shelf Life	The shelf life is usually 24 months from the date of manufacture, but you should always check the expiry date printed on the pack. Do not use the medicine after the expiry date.
WHO Guideline	Not established from the available information for this specific combination product. The individual ingredients may be mentioned in various guidelines for specific infections, but the combination itself is not a standard WHO-recommended regimen.
ICMR Guideline	Not established from the available information for this specific combination product. The individual ingredients may be covered in ICMR treatment guidelines for specific infections, but the combination should be used only as prescribed by a qualified clinician.

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Drug	Severity	Effect
Antacids	Major
Warfarin	Major
Amiodarone	Major
NSAIDs	Major
Theophylline	Major
Corticosteroids	Moderate
Insulin	Moderate
Probenecid	Moderate
Oral typhoid vaccine	Moderate
Caffeine	Minor

🚫 Contraindications

["Known allergy or severe reaction to cefpodoxime, other cephalosporins, levofloxacin, other fluoroquinolones, or any ingredient in this medicine.","History of tendon problems such as tendonitis or tendon rupture linked to fluoroquinolone use.","Myasthenia gravis, because fluoroquinolones can worsen muscle weakness.","Children and adolescents under 18 years of age, except in special situations decided by a doctor.","Pregnancy and breastfeeding, unless clearly needed and advised by a doctor.","History of serious heart rhythm problems or long QT syndrome.","Severe kidney disease without dose adjustment."]

⚠️ Warnings & Precautions

["This medicine can cause serious allergic reactions. Stop the medicine and seek emergency help if you have swelling of the face, lips, or throat, difficulty breathing, or a widespread rash.","Fluoroquinolones, including levofloxacin, can cause tendon inflammation or rupture. The risk is higher in older adults, in people taking corticosteroids, and in those with kidney, heart, or lung transplants. Stop the medicine and contact your doctor if you feel tendon pain or swelling.","Levofloxacin can cause peripheral neuropathy, which may be permanent. Contact your doctor if you notice numbness, tingling, burning, or weakness in your hands or feet.","This medicine can cause dizziness and confusion. Avoid driving or operating heavy machinery until you know how it affects you.","Levofloxacin can cause seizures, especially in people with a history of seizures or kidney problems. Tell your doctor if you have ever had a seizure.","This medicine can cause changes in blood sugar levels. Monitor your blood sugar closely if you have diabetes.","Antibiotics can cause a serious bowel infection called Clostridioides difficile-associated diarrhea. Contact your doctor if you develop watery diarrhea, fever, or stomach cramps.","Do not use this medicine for viral infections such as the common cold or flu. It will not help and may cause harm.","Finish the full course prescribed by your doctor, even if you feel better, to prevent the infection from returning and to reduce antibiotic resistance.","Tell your doctor about all other medicines you take, including over-the-counter products and supplements, because many can interact with this medicine."]

🤱 Lactation Safety

This medicine is not recommended during breastfeeding because both cefpodoxime and levofloxacin can pass into breast milk. Levofloxacin may affect the development of joints and cartilage in a nursing infant. If you need this medicine, your doctor may advise you to stop breastfeeding temporarily or to use a different antibiotic. Always consult your doctor before breastfeeding while taking this medicine.

Additional Safety Advice

If you are planning pregnancy, talk to your doctor before taking this medicine. This medicine is not recommended during pregnancy unless clearly needed, because levofloxacin may affect the development of joints and cartilage in the unborn baby. Your doctor may recommend a safer alternative antibiotic. Use effective contraception while taking this medicine if you are sexually active and not planning pregnancy.

If you have recently had surgery, tell your surgeon and anesthesiologist that you are taking this medicine. Antibiotics can interact with other medicines used during and after surgery, and can affect wound healing and infection risk. Your doctor will decide whether to continue, adjust, or temporarily stop this medicine before your procedure. Do not stop the medicine on your own without consulting your doctor.

Tell your dentist that you are taking this medicine before any dental procedure. Antibiotics can interact with other medicines used during dental work, and can affect the risk of infection. Your dentist may coordinate with your doctor to decide whether to continue the medicine or adjust the timing. Do not stop the medicine on your own without consulting your doctor.

Avoid strenuous exercise or heavy lifting while taking this medicine, especially if you feel dizzy or weak. Levofloxacin can rarely cause tendon problems, so stop exercising and contact your doctor if you feel pain, swelling, or weakness in any tendon, especially the Achilles tendon. Light activity such as walking is usually fine if you feel well.

This medicine can cause dizziness, drowsiness, and confusion in some people. Avoid driving, operating heavy machinery, or doing activities that require alertness until you know how the medicine affects you. Most people can continue their usual desk work, but take breaks and stay hydrated. If your job involves physical labor or working at heights, talk to your doctor about temporary adjustments.

Do not stop this medicine on your own. Finish the full course prescribed by your doctor, even if you feel better. However, stop the medicine and seek medical help immediately if you develop signs of a severe allergic reaction, tendon pain or swelling, numbness or tingling in the hands or feet, severe diarrhea, yellowing of the eyes or skin, or an irregular heartbeat. Always inform your doctor if you stop the medicine for any reason.

Long-term use of this medicine is not recommended unless specifically advised by a doctor. Prolonged use can increase the risk of antibiotic resistance, fungal infections, and serious side effects such as tendon damage, nerve damage, and liver or kidney problems. If you need antibiotics for a long time, your doctor will monitor your kidney and liver function, blood counts, and any signs of new infections. Always discuss the risks and benefits with your doctor before starting or continuing long-term treatment.

🔄 Substitutes for y doxime lv 200mg/250mg tablet

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[{"medicine":"This medicine (cefpodoxime + levofloxacin)","class":"Cephalosporin + fluoroquinolone","coverage":"Broad","common_use":"Respiratory, urinary, skin infections","notes":"Combination increases risk of side effects and resistance."},{"medicine":"Cefpodoxime proxetil 200 mg alone","class":"Cephalosporin","coverage":"Moderate","common_use":"Respiratory, urinary, skin infections","notes":"Narrower coverage, fewer side effects."},{"medicine":"Levofloxacin 250 mg alone","class":"Fluoroquinolone","coverage":"Broad","common_use":"Respiratory, urinary, prostate infections","notes":"Boxed warnings for tendon, nerve, and muscle effects."},{"medicine":"Amoxicillin + clavulanic acid","class":"Penicillin + beta-lactamase inhibitor","coverage":"Moderate to broad","common_use":"Respiratory, skin, dental infections","notes":"Common first-line option for many infections."}]