PRODUCT INTRODUCTION

Cefinox 200 Tab is a potent oral third-generation cephalosporin antibiotic containing Cefixime 200mg. It is widely prescribed in India for treating a variety of bacterial infections affecting the respiratory tract, urinary tract, and ears. By targeting the protective cell wall of bacteria, Cefinox 200 effectively eliminates the infection-causing pathogens while preventing their further growth and spread in the body. This medication is highly valued for its efficacy against gram-negative organisms and its stability in the presence of beta-lactamase enzymes, which often render other antibiotics ineffective. It is commonly utilized in clinical practice to manage uncomplicated urinary tract infections, bronchitis, and typhoid fever. Because it is an antibiotic, it is important to note that Cefinox 200 is not effective against viral infections like the common cold or flu. Patients are advised to complete the full course of Cefinox 200 as prescribed by their healthcare professional. Stopping the medication prematurely, even if symptoms improve, can lead to the survival of resistant bacteria, making future infections harder to treat. Always ensure this medicine is taken under medical supervision to maximize therapeutic outcomes and minimize risks.

Uses of Cefinox 200 Tab

Cefinox 200 Tab is primarily indicated for the treatment of various systemic bacterial infections where the causative organisms are susceptible to Cefixime.

  • Urinary Tract Infections (UTI)

    Cefinox 200 is highly effective in treating uncomplicated urinary tract infections caused by susceptible strains of Escherichia coli and Proteus mirabilis. It helps in relieving symptoms like painful urination, frequency, and lower abdominal discomfort by eliminating the bacterial load in the renal system.

  • Respiratory Tract Infections

    It is frequently prescribed for community-acquired pneumonia, acute bronchitis, and acute exacerbations of chronic bronchitis. The medication effectively targets bacteria such as Streptococcus pneumoniae and Haemophilus influenzae, reducing lung inflammation and improving respiratory function.

  • Typhoid Fever

    In the Indian clinical context, Cefixime 200mg is a gold-standard oral treatment for uncomplicated typhoid fever (Enteric fever) caused by multi-drug resistant Salmonella typhi. It provides a reliable oral alternative to injectable therapies, ensuring faster recovery and reduction in fever.

Side Effects of Cefinox 200 Tab

While Cefinox 200 is generally well-tolerated, some patients may experience mild to moderate side effects as the body adjusts to the medication.

Common side effects

  • Diarrhea
  • Nausea
  • Abdominal pain
  • Dyspepsia (Indigestion)
  • Dizziness

Though infrequent, the following rare side effects require immediate medical consultation:

  • Severe allergic reactions (Anaphylaxis)
  • Clostridium difficile-associated diarrhea
  • Seizures
  • Yellowing of skin or eyes (Jaundice)

Most side effects are temporary and resolve once the treatment is completed. However, seek emergency care if you experience a severe skin rash or difficulty breathing.

How to use Cefinox 200 Tab

  • Adults:

    The usual dose is 200mg to 400mg daily, either as a single dose or divided into two doses (one tablet every 12 hours) depending on the severity of the infection.

  • Children:

    Dosage for children weighing more than 50kg or older than 12 years is the same as the adult dose. For younger children, a suspension form is typically preferred based on body weight (8mg/kg daily).

  • Elderly:

    No specific dose adjustment is required unless there is significant renal impairment. Healthcare providers should monitor kidney function in geriatric patients.

  • Missed Dose:

    Take the missed dose as soon as you remember. If it is almost time for the next dose, skip the missed one. Do not double the dose to catch up.

How Cefinox 200 Tab works

Cefinox 200 Tab works through its active ingredient, Cefixime, which acts as a bactericidal agent. It functions by inhibiting the synthesis of the bacterial cell wall. Specifically, Cefixime binds to and inactivates penicillin-binding proteins (PBPs) located on the inner membrane of the bacterial cell wall. These proteins are essential for the final stages of assembling the bacterial cell wall and for reshaping the cell wall during growth and division. By interfering with the cross-linking of peptidoglycan chains—the structural backbone of the cell wall—Cefixime weakens the bacterial structure. This leads to cell lysis (bursting) and eventual death of the bacteria due to osmotic instability. Its resistance to degradation by many beta-lactamases ensures that it remains active against many organisms that are resistant to penicillins and some other cephalosporins.

Precautions

  • Inform your doctor if you have a history of allergy to Penicillins or other Cephalosporins.
  • Use with caution in patients with a history of gastrointestinal disease, particularly colitis.
  • Prolonged use may result in fungal or bacterial overgrowth (superinfection).
  • Kidney function should be monitored if used for extended periods.
  • Do not use this medication for viral infections like the common cold.
  • Maintain adequate hydration if diarrhea occurs during treatment.

Safety Advice

Alcohol

Alcohol

CONSULT YOUR DOCTOR

While no direct interaction is established, alcohol can worsen side effects like dizziness and nausea. It is generally recommended to avoid alcohol to allow the body to recover faster from infection.

Pregnancy

Pregnancy

SAFE IF PRESCRIBED

Cefixime is generally considered safe during pregnancy (Category B). However, it should only be used if clearly needed and prescribed by a doctor after evaluating the benefits.

Breastfeeding

Breastfeeding

CONSULT YOUR DOCTOR

It is not known if Cefixime is excreted in human milk. Consult your doctor to decide whether to discontinue nursing or the drug, taking into account the importance of the drug to the mother.

Driving

Driving

SAFE

Cefinox 200 does not typically affect the ability to drive. However, if you experience dizziness or lightheadedness, avoid operating heavy machinery.

Kidney

Kidney

CAUTION

Dose adjustment is necessary for patients with significant renal impairment (Creatinine clearance < 20 mL/min). Always inform your doctor about your kidney health.

Liver

Liver

SAFE IF PRESCRIBED

Cefinox 200 is generally safe for patients with liver disease as it is primarily excreted through the kidneys. No specific dose adjustments are usually required.

Fact Box

Chemical Class
Cephalosporins (3rd Generation)
Habit Forming
No
Therapeutic Class
Antibacterial
Action Class
Cell Wall Synthesis Inhibitor

Frequently asked questions by patients

Q: Can I stop taking Cefinox 200 if I feel better?

A: No, you must complete the full course of therapy prescribed by your doctor. Stopping early can allow the bacteria to multiply again, potentially leading to antibiotic resistance.

Q: Is Cefinox 200 safe for children?

A: Yes, Cefixime is safe for children when prescribed in the correct dose based on their weight. However, for younger children, a syrup or drop formulation is usually more appropriate.

Q: Does Cefinox 200 cause diarrhea?

A: Diarrhea is a common side effect of many antibiotics, including Cefinox 200. If the diarrhea is severe, watery, or bloody, contact your doctor immediately as it could indicate a serious condition.

Q: Can I take Cefinox 200 for a common cold?

A: No, Cefinox 200 is an antibiotic and only works against bacteria. Common colds and flu are caused by viruses, for which this medication is not effective.

Frequently Asked Questions

Q: How long does it take for Cefinox 200 to work?

Cefinox 200 usually starts working shortly after ingestion, but you may not notice a significant improvement in symptoms for 2 to 3 days. It is vital to continue the medication as directed.

Q: Should Cefinox 200 be taken with food?

Cefinox 200 can be taken with or without food. However, taking it with a meal can help reduce potential stomach upset or nausea.

Q: Can I take Cefinox 200 if I am allergic to Penicillin?

You should exercise caution. There is a small chance of cross-reactivity between Penicillins and Cephalosporins. Always inform your doctor about your specific allergies before starting treatment.

Q: What is the best time to take Cefinox 200?

It is best to take Cefinox 200 at the same time every day to maintain a constant level of the medicine in your blood. If prescribed twice daily, take it 12 hours apart.

Q: Does this medicine affect birth control pills?

Some antibiotics can potentially reduce the effectiveness of oral contraceptives. It is advisable to use an additional barrier method of contraception while taking Cefinox 200.

Additional Information

Category
Antibiotics
FORM
TABLET
Tag
Broad-spectrum third-generation cephalosporin antibiotic
Packing
10x10
Composition
Cefixime 200mg
Disclaimer: This information is provided for educational purposes only and should not replace professional medical advice. Always consult your healthcare provider before starting, stopping, or changing any medication. Individual results may vary. Keep this and all medications out of reach of children.

Cefinox 200 Tab (Cefixime 200mg) is a reliable and effective antibiotic solution for a wide range of bacterial infections. Its ability to disrupt bacterial cell wall synthesis makes it a cornerstone in treating respiratory, urinary, and enteric infections like typhoid. Its broad-spectrum nature and stability against common bacterial resistance mechanisms ensure it remains a potent tool in the Indian pharmaceutical landscape. While highly effective, the success of Cefinox 200 depends heavily on patient compliance and appropriate medical guidance. It is essential to complete the prescribed duration to prevent the rise of antibiotic resistance, a significant public health concern. Patients should remain vigilant regarding potential side effects and maintain open communication with their healthcare providers during the course of treatment. Ultimately, Cefinox 200 provides a balanced profile of safety and efficacy. When used responsibly under a doctor's supervision, it facilitates rapid recovery from debilitating bacterial illnesses, helping patients return to their normal routines with minimal complications. Always prioritize professional medical advice over self-medication for any infectious symptoms.

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