Azicepta 250mg Tablet: Complete Guide to Uses, Dosage, and Safety
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 the face, lips, or throat
- Severe or bloody diarrhea
- Yellowing of the skin or eyes
- Fast, irregular, or pounding heartbeat
- Severe abdominal pain
- Signs of a severe skin reaction such as blistering or peeling
- Unusual bleeding or bruising
If experiencing severe symptoms, call emergency services immediately.
What is zumazi 250 tablet used for?
This medicine is a combination of azithromycin, an antibiotic, and lactic acid bacillus, a probiotic. It is used to treat bacterial infections such as respiratory, skin, and certain sexually transmitted infections. The antibiotic kills bacteria, while the probiotic helps protect gut health.
- Generic Name: Azithromycin (250mg) + Lactic acid bacillus (60Million spores)
- Manufacturer: Zumax Biocare
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 zumazi 250 tablet के बारे में (Hindi Summary)
उपयोग: यह दवा एज़िथ्रोमाइसिन और लैक्टिक एसिड बैसिलस का संयोजन है, जिसका उपयोग बैक्टीरियल संक्रमणों के इलाज के लिए किया जाता है। यह श्वसन तंत्र के संक्रमण, त्वचा के संक्रमण, और कुछ यौन संचारित संक्रमणों के इलाज में प्रभावी है। एज़िथ्रोमाइसिन बैक्टीरिया को मारता है, जबकि लैक्टिक एसिड बैसिलस आंतों में अच्छे बैक्टीरिया को बनाए रखने में मदद करता है। यह दवा डॉक्टर के पर्चे के बिना नहीं लेनी चाहिए।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में दस्त, जी मिचलाना, पेट दर्द, और सिरदर्द शामिल हैं। ये आमतौर पर हल्के होते हैं और कुछ दिनों में ठीक हो जाते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन अगर आपको सांस लेने में कठिनाई, चेहरे या गले में सूजन, तेज़ धड़कन, या पीलिया जैसे लक्षण दिखें तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। पूरा कोर्स पूरा करें, भले ही आप बेहतर महसूस करें। दवा को भोजन के साथ या बिना भोजन के ले सकते हैं, लेकिन अगर पेट खराब हो तो भोजन के साथ लें। एंटासिड के साथ लेने से बचें, कम से कम 2 घंटे का अंतर रखें। शराब न पिएं। गर्भावस्था या स्तनपान के दौरान डॉक्टर से सलाह लें।
💊 zumazi 250 tablet Uses & Benefits
[{"condition":"Community-acquired pneumonia","description":"Used to treat mild to moderate community-acquired pneumonia caused by susceptible bacteria such as Streptococcus pneumoniae, Haemophilus influenzae, and Mycoplasma pneumoniae.","evidence":"Well-established"},{"condition":"Acute bacterial exacerbation of chronic bronchitis","description":"Prescribed to treat flare-ups of chronic bronchitis caused by susceptible bacteria, helping to reduce symptoms and prevent complications.","evidence":"Well-established"},{"condition":"Acute bacterial sinusitis","description":"Used as an alternative treatment for bacterial sinusitis when first-line antibiotics are not suitable or have failed.","evidence":"Well-established"},{"condition":"Pharyngitis and tonsillitis","description":"Effective against streptococcal throat infections in patients who cannot take penicillin antibiotics.","evidence":"Well-established"},{"condition":"Skin and soft tissue infections","description":"Treats uncomplicated skin infections such as cellulitis, erysipelas, and impetigo caused by susceptible bacteria.","evidence":"Well-established"},{"condition":"Urethritis and cervicitis","description":"Used to treat sexually transmitted infections caused by Chlamydia trachomatis and Neisseria gonorrhoeae, often in combination with other antibiotics.","evidence":"Well-established"},{"condition":"Otitis media","description":"Prescribed for middle ear infections in children and adults when other antibiotics are not appropriate.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Bronchiolitis obliterans syndrome after lung transplant","description":"Sometimes used long-term to manage chronic lung rejection in transplant patients due to its immunomodulatory and anti-inflammatory effects.","evidence":"Limited"},{"condition":"Cystic fibrosis lung disease","description":"May be used to reduce inflammation and improve lung function in people with cystic fibrosis, though evidence is mixed.","evidence":"Limited"},{"condition":"Rosacea","description":"Occasionally prescribed for its anti-inflammatory properties in rosacea, but not a standard treatment.","evidence":"Limited"}]
Primary treatment for: Bacterial infections
Also treats: Respiratory tract infections, Skin infections, Sexually transmitted infections, Otitis media
📋 Drug Information
| Generic Name(s) | Azithromycin (250mg) + Lactic acid bacillus (60Million spores) |
| Brand Name | zumazi 250 tablet |
| Manufacturer | Zumax Biocare |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | ANTI INFECTIVES |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C (59°F to 86°F). Keep away from moisture, heat, and direct sunlight. Do not refrigerate unless specified. Keep in the original container. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | Azithromycin is included in the WHO Model List of Essential Medicines for the treatment of several bacterial infections, including sexually transmitted infections and respiratory tract infections. It is recommended as part of combination therapy for certain conditions. Always follow local guidelines. |
| ICMR Guideline | The Indian Council of Medical Research (ICMR) includes azithromycin in its treatment guidelines for community-acquired pneumonia, acute exacerbation of chronic bronchitis, and certain sexually transmitted infections. It is recommended as an alternative to other antibiotics based on resistance patterns and patient factors. |
👨⚕️ 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
Azithromycin, the antibiotic component of this medicine, works by binding to the 50S ribosomal subunit of susceptible bacteria. This binding blocks the translocation step of protein synthesis, preventing the bacteria from making essential proteins needed for growth and multiplication. As a result, the bacteria cannot survive and the infection is controlled. Azithromycin is classified as a macrolide antibiotic and is typically bacteriostatic, meaning it stops bacterial growth, but it can be bactericidal at higher concentrations against certain organisms. The lactic acid bacillus component is a probiotic that helps maintain a healthy balance of gut bacteria, which can be disrupted by antibiotic therapy. It does not directly treat the infection but supports digestive health during and after the antibiotic course.
Mechanism Steps
💡 How to Take zumazi 250 tablet
Strength: Azithromycin 250 mg + Lactic acid bacillus 60 million spores immediate-release tablet.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine for most respiratory tract infections is 500 mg on the first day, followed by 250 mg once daily on days 2 to 5. For skin infections, a common regimen is 500 mg once daily for 3 days. For sexually transmitted infections like chlamydia, a single 1 g dose is often used, but this tablet contains 250 mg, so multiple tablets may be required. The exact dose and duration depend on the type and severity of the infection, your age, weight, kidney and liver function, and other medical conditions. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not self-medicate or adjust the dose without medical advice. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more sensitive to the side effects of azithromycin, especially QT prolongation and hearing loss. No specific dose adjustment is usually required, but caution is advised. Monitor renal and hepatic function. Dose must be individualized by a qualified clinician. |
| Renal Impairment | No dose adjustment is needed for mild to moderate renal impairment. In severe renal impairment (eGFR <10 mL/min), azithromycin should be used with caution; dose adjustment may be considered. Consult your doctor for personalized advice. |
| Hepatic Impairment | No specific dose adjustment is provided for hepatic impairment. Azithromycin is contraindicated in patients with a history of cholestatic jaundice or hepatic dysfunction associated with prior azithromycin use. Use with caution in patients with mild to moderate liver disease. Consult your doctor. |
| Maximum Daily Dose | The maximum recommended daily dose of azithromycin is 500 mg for most indications, but a single 1 g dose may be used for certain infections. Do not exceed the prescribed dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of zumazi 250 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 (Al/Mg) | Moderate | |
| Digoxin | Moderate | |
| Cyclosporine | Moderate | |
| Nelfinavir | Moderate | |
| Carbamazepine | Minor | |
| Phenytoin | Minor | |
| Theophylline | Minor |
🚨 Major Interactions
- Warfarin
- Ergotamine or dihydroergotamine
- Class IA and III antiarrhythmics (e.g., quinidine, procainamide, amiodarone, sotalol)
⚡ Moderate Interactions
- Antacids containing aluminum or magnesium
- Digoxin
- Cyclosporine
- Nelfinavir
🍷 Alcohol Interaction
Alcohol does not directly interact with azithromycin, but it can worsen stomach upset, dizziness, and drowsiness that may occur with this medicine. It is best to avoid alcohol while taking this medicine and for a few days after finishing the course to support recovery and reduce strain on the liver.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to azithromycin, erythromycin, or any macrolide antibiotic","History of cholestatic jaundice or hepatic dysfunction associated with prior azithromycin use","Concurrent use with ergotamine or dihydroergotamine","Severe hepatic impairment"]
⚠️ Warnings & Precautions
["Use with caution in patients with QT prolongation, bradycardia, or electrolyte imbalances.","Avoid in patients with a history of macrolide-associated hepatotoxicity.","May cause severe allergic reactions; discontinue immediately if suspected.","Clostridioides difficile-associated diarrhea can occur; monitor for severe diarrhea.","Not effective against viral infections; do not use for colds or flu.","May exacerbate myasthenia gravis symptoms.","Use with caution in patients with renal impairment (eGFR
🤱 Lactation Safety
Azithromycin is excreted in breast milk in small amounts and is generally considered compatible with breastfeeding. The lactic acid bacillus is not systemically absorbed and is safe. Monitor the infant for diarrhea or thrush. Consult your doctor for guidance.
💊 Overdose Management
Overdose with azithromycin may cause nausea, vomiting, diarrhea, and hearing loss. There is no specific antidote. Treatment is supportive and symptomatic. If overdose is suspected, contact a poison control center or emergency room immediately. Gastric lavage may be considered if within 1-2 hours of ingestion. Monitor vital signs and electrolytes.
⏰ 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 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. Do not share it with others, even if they have similar symptoms. Complete the full course, even if you start feeling better after a few days. Skipping doses or stopping early can allow the infection to return and may lead to antibiotic resistance. Take this tablet with or without food, but if you get stomach upset, taking it with a meal may help. Avoid taking antacids that contain aluminum or magnesium within two hours of this medicine, as they can reduce its absorption. Inform your doctor about all other medicines you are taking, especially blood thinners, heart rhythm medicines, and other antibiotics. If you have a history of heart problems, liver disease, or kidney disease, your doctor may need to adjust your dose or monitor you more closely. Do not drink alcohol while taking this medicine, as it can worsen stomach upset and dizziness. If you are pregnant, planning to become pregnant, or breastfeeding, talk to your doctor before taking this medicine. Keep this medicine out of reach of children and store it at room temperature away from moisture and heat.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more susceptible to side effects such as QT prolongation, hearing loss, and gastrointestinal upset. Use with caution and monitor renal and hepatic function. No specific dose adjustment is usually required, but individualized dosing is advised.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before taking this medicine. Azithromycin is generally considered safe, but the decision should be based on your specific condition and medical history.
🏥 Post-Surgery Considerations
If you are scheduled for surgery, inform your surgeon and anesthesiologist that you are taking this medicine. Azithromycin may interact with certain anesthetic agents, and your doctor may advise stopping it before surgery.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine before any dental procedure. Azithromycin may interact with other medications used during dental work, and your dentist may need to adjust your treatment plan.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
You can continue light exercise if you feel up to it, but avoid strenuous activities if you have fever, fatigue, or dizziness. Listen to your body and rest when needed.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or drowsiness in some people. Avoid driving or operating heavy machinery if you are affected. Most people can continue their daily activities, but take it easy if you feel unwell.
🛑 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 treatment failure and antibiotic resistance. If you experience serious side effects, contact your doctor immediately; they will advise whether to stop.
📅 Long-Term Use Effects
Long-term use of azithromycin is not usually recommended unless for specific conditions like cystic fibrosis or post-transplant care. Prolonged use can increase the risk of antibiotic resistance, gut flora imbalance, and rare side effects like hearing loss or liver problems. Regular monitoring may be needed.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Depending on the infection and resistance patterns, other antibiotics like amoxicillin or clarithromycin may be used.
Evidence: Well-establishedCan be taken separately to support gut health during antibiotic therapy.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
Antibiotics like azithromycin do not interact 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 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, continue your regular dosing schedule; consult your doctor if adjustments are needed. Check local customs regulations for carrying prescription medicines.
💰 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, but it is important to complete the full course as prescribed.
A: Yes, you can take it with or without food. If it upsets your stomach, take it with a meal.
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 dose.
A: Azithromycin is generally considered safe during pregnancy when clearly needed. Consult your doctor before taking any medicine.
A: It is best to avoid alcohol as it can worsen stomach upset and dizziness.
🤔 Common Patient Concerns
🔄 Substitutes for zumazi 250 tablet
View AllAlternative brands with exact same active ingredient:
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zomy lb 250mg tabletTNT Lifesciences ₹55.31 16.9% CHEAPER
-
azicepta 250mg tabletIncepta Pharma ₹67.00 0.7% COSTLIER
-
azirop-lb tabletFarlex Pharmaceuticals Pvt Ltd ₹70.31 5.6% COSTLIER
-
jacin 250 lb tabletJaiwik Biotech ₹72.19 8.5% COSTLIER
-
azipark lb 250mg tabletPark Pharmaceuticals ₹73.00 9.7% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: Azithromycin can cure viral infections like the common cold.
Fact: Azithromycin is an antibiotic and only works against bacterial infections. It is not effective against viruses. - Myth: You can stop taking azithromycin as soon as you feel better.
Fact: You must complete the full course as prescribed to prevent the infection from returning and to reduce antibiotic resistance. - Myth: Azithromycin is safe to take with any other medicine.
Fact: Azithromycin can interact with several medicines, including blood thinners and heart rhythm drugs. Always inform your doctor about all medicines you take. - Myth: The probiotic in this medicine is not important.
Fact: The lactic acid bacillus helps maintain healthy gut bacteria, which can reduce the risk of antibiotic-associated diarrhea.
🔄 Alternative Options
Generic Alternatives
- Azithromycin 250 mg tablet
- Azithromycin 250 mg + Lactic acid bacillus 60 million spores tablet
Brand Alternatives
- Azee 250mg Tablet
- Azithral 250mg Tablet
- Zithromax 250mg Tablet
- Azi 250mg Tablet