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CEFIXIME CODAL 400 mg FILM-COATED TABLETS

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About the medicine

How to use CEFIXIME CODAL 400 mg FILM-COATED TABLETS

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This page provides general information and does not replace a doctor’s consultation. Always consult a doctor before taking any medication. Seek urgent medical care if symptoms are severe.

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Introduction

Package Leaflet: Information for the User

Cefixima Codal400 mg film-coated tablets EFG

cefixima

Read the entire package leaflet carefully before starting to take this medication, as it contains important information for you.

  • Keep this package leaflet, as you may need to read it again.
  • If you have any questions, consult your doctor, pharmacist, or nurse.
  • This medication has been prescribed to you only, and you should not give it to others, even if they have the same symptoms as you, as it may harm them.
  • If you experience side effects, consult your doctor, pharmacist, or nurse, even if they are side effects not listed in this package leaflet. See section 4.

Contents of the Package Leaflet

  1. What is Cefixima Codal and what is it used for
  2. What you need to know before taking Cefixima Codal
  3. How to take Cefixima Codal
  4. Possible side effects
  5. Storage of Cefixima Codal
  6. Package contents and additional information

1. What is Cefixima Codal and what is it used for

The active ingredient of Cefixima Codal is cefixime, a third-generation cephalosporin antibiotic. Cefixime works by eliminating the bacteria that cause the infection.

Antibiotics are used to treat bacterial infections and are not effective against viral infections such as the flu or common cold.

It is essential to follow the instructions regarding dosage, administration interval, and treatment duration as indicated by your doctor.

Do not store or reuse this medication. If you have any leftover antibiotic after completing the treatment, return it to the pharmacy for proper disposal. Do not throw medicines down the drain or in the trash.

It is indicated in the following infections, when it is believed that the causative bacteria are sensitive:

  • Acute otitis media (severe middle ear infection).
  • Upper respiratory tract infections (pharyngitis, tonsillitis, acute sinusitis).
  • Lower respiratory tract infections (acute exacerbations of chronic bronchitis, community-acquired pneumonia).
  • Urinary tract infections (acute cystitis, uncomplicated acute pyelonephritis).
  • Urethritis and cervicitis (inflammation of the urethra and cervix) due to gonorrhea, uncomplicated.
Doctor consultation

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2. What you need to know before taking Cefixima Codal

Do not take Cefixima Codal

  • If you are allergic to cefixime or to antibiotics of the penicillin class (beta-lactams). There is a rare possibility of a sudden and severe allergic reaction (anaphylactic reaction/anaphylactic shock) even with the first dose of antibiotics. Symptoms can include chest tightness, dizziness, discomfort (general feeling of discomfort, illness), fainting, or difficulty breathing, erythema (rash). If you experience any of these symptoms, seek medical help immediately and stop taking Cefixima Codal.
  • If you are allergic to any of the other components of this medication (listed in section 6).

Warnings and precautions

Consult your doctor, pharmacist, or nurse before starting to take Cefixima Codal.

Be particularly careful:

  • If you have renal insufficiency (it may be necessary to reduce the dose of Cefixima Codal).
  • If you are pregnant or breastfeeding.

Children

This medication is intended for children over 12 years old (or over 30 kg in weight).

Other medications and Cefixima Codal

Inform your doctor or pharmacist if you are taking, have recently taken, or may need to take any other medication.

If you are taking anticoagulants (medicines that prevent blood clotting) in tablet form, your doctor may consider it necessary to perform more frequent checks.

Pregnancy and breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or plan to become pregnant, consult your doctor or pharmacist before using this medication.

Driving and using machines

No cases of interference with cefixime and the ability to drive vehicles or use machines have been reported.

3. How to take Cefixima Codal

Follow the administration instructions for this medication exactly as indicated by your doctor or pharmacist. If you have any doubts, consult your doctor or pharmacist again.

Cefixima Codal is for oral use.

The tablets should be swallowed with a glass of water. It is recommended to take Cefixima Codal at approximately the same time each day.

This medication can be taken with or without food.

The tablet can be divided into equal doses.

The recommended dose is:

Adults or children over 12 years old (or over 30 kg in weight): 400 mg per day (1 tablet), taken once a day.

In elderly patients, the same dose as in adults can be used, unless there is severe renal insufficiency (in which case the doctor should be consulted).

The duration of treatment varies depending on the type of infection being treated, generally ranging from 3 to 7 days, and should be completed in its entirety.

If you take more Cefixima Codal than you should

If you have taken more Cefixima Codal than you should, consult your doctor as soon as possible. Bring the package and this package leaflet with you to show your doctor.

If you forget to take Cefixima Codal

If you forget to take a dose, take it as soon as you remember on the same day. If you forget to take it one day, take the normal dose the next day. Do not take a double dose to make up for the missed dose.

If you interrupt treatment with Cefixima Codal

Continue taking Cefixima Codal until the end of the treatment, even if you feel better. All prescribed doses are required to combat the infection. If some bacteria survive, the infection may return or worsen again.

If you have any further questions about the use of this medication, ask your doctor, pharmacist, or nurse.

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

4. Possible side effects

Like all medications, this medication can cause side effects, although not everyone will experience them.

The most common side effect of cefixime is diarrhea. You should stop taking Cefixima Codal and consult your doctor if the diarrhea is too frequent, persists, or worsens, or if the stools contain blood or mucus.

Common(may affect up to 1 in 10 people)

  • Diarrhea

Uncommon(may affect up to 1 in 100 people)

  • Headache
  • Abdominal pain, nausea (feeling of discomfort), and vomiting (being sick)
  • Red spots on the skin (rash)
  • Abnormal liver tests (increased transaminases and alkaline phosphatase)

Rare(may affect up to 1 in 1,000 people)

  • Eosinophilia (increased number of a type of blood cell, eosinophils)
  • Decreased platelet count or other blood cells
  • Increased bilirubin in the blood
  • Increased urea in the blood
  • Dizziness
  • Anorexia (potentially life-threatening eating disorder)
  • Heartburn
  • Jaundice (yellowing of the skin and sclera)
  • Itching of the skin
  • Rash (red spots on the skin) with eosinophilia and general symptoms (fever and swollen lymph nodes)
  • Erythema multiforme (red spots on the skin and mucous membranes with fever, discomfort, muscle pain, and weakness, and possibly vomiting)
  • Facial edema
  • Breathing difficulties

Very rare(may affect up to 1 in 10,000 people)

  • Antibiotic-associated colitis (swelling of the large intestine)
  • Severe allergic reaction
  • Urticaria
  • Stevens-Johnson syndrome (severe form of erythema multiforme)
  • Toxic epidermal necrolysis (most severe form of Stevens-Johnson syndrome, in which the top layer of the skin may peel off)
  • Renal failure
  • Increased serum creatinine

Reporting of side effects

If you experience any side effects, consult your doctor, pharmacist, or nurse, even if they are possible side effects not listed in this package leaflet. You can also report them directly through the Spanish Medicines Monitoring System for Human Use: www.notificaRAM.es. By reporting side effects, you can help provide more information on the safety of this medication.

5. Storage of Cefixima Codal

Keep this medication out of the sight and reach of children.

Do not use this medication after the expiration date stated on the carton, after "EXP". The expiration date is the last day of the month indicated.

Store below 25°C.

Medicines should not be disposed of via wastewater or household waste. Place the packaging and any unused medication in the SIGRE collection point at the pharmacy. If you have any doubts, ask your pharmacist how to dispose of the packaging and any unused medication. This will help protect the environment.

6. Package contents and additional information

Composition of Cefixima Codal

  • The active ingredient is cefixime. Each film-coated tablet contains 447.68 mg of cefixime as trihydrate, equivalent to 400 mg of cefixime.
  • The other ingredients are

Core: microcrystalline cellulose (E460), calcium hydrogen phosphate dihydrate (E341), pregelatinized starch, magnesium stearate (E470b);

Coating: polyvinyl alcohol (E1203), titanium dioxide (E171), macrogol 3350 (E1521), macrogol 4000 (E1521), talc (E553b), red iron oxide (E172), yellow iron oxide (E172).

Appearance of the product and package contents

Cefixima Codal 400 mg are film-coated tablets of light brown color, oval, biconvex, scored on both sides, and measuring 18.2 ± 0.3 mm x 9.2 ± 0.3 mm.

The tablets are supplied in PVC-aluminum blisters.

Packaging sizes: 5, 6, 7, 8, 10, 12, and 100 film-coated tablets.

Not all packaging sizes may be marketed.

Marketing authorization holder

Codal-Synto Limited

Konstantinoupoleos 21

Limassol

3011

Cyprus

Manufacturer

Medochemie Ltd

1-10 Constantinoupoleos Street

Limassol

3011

Cyprus

Date of the last revision of this package leaflet:

July 2025

Online doctors for CEFIXIME CODAL 400 mg FILM-COATED TABLETS

Discuss questions about CEFIXIME CODAL 400 mg FILM-COATED TABLETS, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

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Doctor

Daniel Cichi

Family medicine 24 years exp.

Dr Daniel Cichi is a family medicine doctor with over 20 years of clinical experience. He provides online consultations for adults, supporting patients with acute symptoms, chronic conditions, and everyday health concerns that require timely medical guidance.

His background includes work in emergency care, ambulance services, and family medicine, which allows him to assess symptoms quickly, identify warning signs, and help patients choose the safest next steps – whether that means home care, treatment adjustment, or in-person evaluation.

Patients commonly consult Dr Daniel Cichi for:

  • acute symptoms: fever, infections, flu-like illness, cough, sore throat, shortness of breath;
  • chest discomfort, palpitations, dizziness, fatigue, and blood pressure concerns;
  • digestive problems: abdominal pain, nausea, diarrhoea, constipation, reflux;
  • muscle, joint, and back pain, minor injuries, post-traumatic symptoms;
  • chronic conditions: hypertension, diabetes, high cholesterol, thyroid disorders;
  • review and interpretation of lab tests, imaging reports, and medical documents;
  • medication review and treatment adjustment;
  • medical advice while travelling or living abroad;
  • second opinions and guidance on whether in-person care is needed.
Dr Cichi’s consultations are structured and practical. He focuses on clear explanations, risk assessment, and actionable recommendations, helping patients understand their symptoms and make informed decisions about their health.
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€55
0.0 (0)
Doctor

Hocine Lokchiri

General medicine 21 years exp.

Dr. Hocine Lokchiri is a French consultant with over 20 years of experience in General and Emergency Medicine. He works with adults and children, helping patients with urgent symptoms, infections, sudden health changes and everyday medical concerns that require timely evaluation. His background includes clinical practice in France, Switzerland and the United Arab Emirates, which allows him to navigate different healthcare systems and manage a wide range of conditions with confidence. Patients value his calm, structured approach, clear explanations and evidence-based decision-making.

Online consultations with Dr. Lokchiri are suitable for many situations when someone needs quick medical guidance, reassurance or a clear next step. Common reasons for booking include:

  • fever, chills, fatigue and viral symptoms
  • cough, sore throat, nasal congestion, breathing discomfort
  • bronchitis and mild asthma flare-ups
  • nausea, diarrhoea, abdominal pain, digestive infections
  • rashes, allergic reactions, redness, insect bites
  • muscle or joint pain, mild injuries, sprains
  • headache, dizziness, migraine symptoms
  • stress-related symptoms, sleep disturbances
  • questions about test results and treatment plans
  • management of chronic conditions in stable phases
Many patients reach out when symptoms appear suddenly and cause concern, when a child becomes unwell unexpectedly, when a rash changes or spreads, or when it’s unclear whether an in-person examination is necessary. His emergency medicine background is particularly valuable online, helping patients understand risk levels, identify warning signs and choose safe next steps.

Some situations are not suitable for online care. If a patient has loss of consciousness, severe chest pain, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack, he will advise seeking immediate local emergency services. This improves safety and ensures patients receive the right level of care.

Dr. Lokchiri’s professional training includes:

  • Advanced Trauma Life Support (ATLS)
  • Basic and Advanced Cardiac Life Support (BLS/ACLS)
  • Pediatric Advanced Life Support (PALS)
  • Prehospital Trauma Life Support (PHTLS)
  • eFAST and critical care transthoracic echocardiography
  • aviation medicine
He is an active member of several professional organisations, including the French Society of Emergency Medicine (SFMU), the French Association for Emergency Physicians (AMUF) and the Swiss Society of Emergency and Rescue Medicine (SGNOR). In consultations, he works with clarity and precision, helping patients understand their symptoms, possible risks and the safest treatment options.
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€58
5.0 (25)
Doctor

Lina Travkina

Family medicine 13 years exp.

Dr. Lina Travkina is a licensed family and preventive medicine doctor based in Italy. She provides online consultations for adults and children, supporting patients across all stages of care – from acute symptom management to long-term health monitoring and prevention.

Areas of medical care include:

  • Respiratory conditions: colds, flu, acute and chronic bronchitis, mild to moderate pneumonia, bronchial asthma.
  • ENT and eye conditions: sinusitis, tonsillitis, pharyngitis, otitis, infectious and allergic conjunctivitis.
  • Digestive issues: gastritis, acid reflux (GERD), IBS, dyspepsia, bloating, constipation, diarrhoea, functional bowel symptoms, intestinal infections.
  • Urological and infectious diseases: acute and recurrent cystitis, bladder and kidney infections, prevention of recurrent UTIs, asymptomatic bacteriuria.
  • Chronic conditions: hypertension, diabetes, hypercholesterolemia, metabolic syndrome, thyroid disorders, excess weight.
  • Neurological and general symptoms: headache, migraine, dizziness, fatigue, sleep disturbances, reduced concentration, anxiety, asthenia.
  • Chronic pain support: back, neck, joint, and muscle pain, tension syndromes, pain associated with osteochondrosis and chronic conditions.

Additional care areas:

  • Preventive consultations and check-up planning.
  • Medical advice and follow-up consultations.
  • Test interpretation and diagnostic guidance.
  • Structured support for undiagnosed complaints.
  • Second opinion on diagnoses and treatment plans.
  • Nutritional and lifestyle support for vitamin deficiencies, anaemia, metabolic issues.
  • Post-operative recovery support and pain management.
  • Preconception counselling and postpartum support.
  • Immunity support and strategies to reduce frequency of infections.

Dr. Travkina combines evidence-based medicine with an attentive, personalised approach. Her consultations focus not only on treatment, but also on prevention, recovery, and long-term wellbeing.

If during the consultation it becomes clear that your case requires in-person assessment or specialised care outside of her scope, the session will be terminated and the payment fully refunded.

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€70
5.0 (760)
Doctor

Alina Tsurkan

Family medicine 13 years exp.

Dr. Alina Tsurkan is a licensed family medicine physician based in Portugal, offering online consultations for adults and children. She provides professional primary care, with a focus on prevention, accurate diagnosis, and long-term management of acute and chronic conditions.

Dr. Tsurkan supports patients with a wide range of health issues, including:

  • Respiratory infections: cold, flu, bronchitis, pneumonia, and lingering coughs.
  • ENT conditions: sinusitis, tonsillitis, otitis (ear infections), sore throat, allergic rhinitis.
  • Eye conditions: allergic or infectious conjunctivitis, red eyes, irritation.
  • Digestive issues: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), constipation, bloating, nausea.
  • Urinary and reproductive health: urinary tract infections (UTIs), cystitis, prevention of recurrent infections.
  • Chronic diseases: hypertension, elevated cholesterol, weight management.
  • Neurological complaints: headaches, migraines, sleep disturbances, fatigue, general weakness.
  • Children’s health: fever, infections, digestive issues, follow-ups, vaccination guidance.

She also provides:

  • IMT medical certificates for driving licence exchange in Portugal.
  • Personalised preventive care and wellness consultations.
  • Interpretation of test results and medical reports.
  • Follow-up care and medication review.
  • Support in managing multiple coexisting conditions.
  • Remote prescription management and medical documentation.

Dr. Tsurkan’s approach is evidence-based and holistic. She works closely with each patient to develop an individualised care plan that addresses both symptoms and root causes. Her goal is to empower patients to take control of their health and maintain well-being through lifestyle adjustments, routine check-ups, and early intervention.

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€55

Frequently Asked Questions

Is a prescription required for CEFIXIME CODAL 400 mg FILM-COATED TABLETS?
CEFIXIME CODAL 400 mg FILM-COATED TABLETS requires a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.
What is the active substance in CEFIXIME CODAL 400 mg FILM-COATED TABLETS?
The active ingredient in CEFIXIME CODAL 400 mg FILM-COATED TABLETS is cefixime. This information helps identify medicines with the same composition but different brand names.
Who manufactures CEFIXIME CODAL 400 mg FILM-COATED TABLETS?
CEFIXIME CODAL 400 mg FILM-COATED TABLETS is manufactured by Codal-Synto Limited. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of CEFIXIME CODAL 400 mg FILM-COATED TABLETS online?
Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether CEFIXIME CODAL 400 mg FILM-COATED TABLETS is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.
What are the alternatives to CEFIXIME CODAL 400 mg FILM-COATED TABLETS?
Other medicines with the same active substance (cefixime) include CEFIXIME MABO 200 mg FILM-COATED TABLETS, CEFIXIME MABO 400 mg FILM-COATED TABLETS, CEFIXIME NECLIFE 100 mg/5 ml ORAL SUSPENSION POWDER. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.
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