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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

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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.

5.0 (37)
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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Doctor

Anna Biriukova

General medicine 6 years exp.

Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
  • Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
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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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Doctor

Andrei Popov

General medicine 7 years exp.

Dr. Andrei Popov is a family physician with specialized training in the management of chronic pain. He provides video consultations for adults in Spain and across Europe: whether you have been living with pain for months that no one has been able to properly explain, or you need to resolve a health issue without waiting weeks for an appointment.

His approach is clear: to listen, organize your case, and provide you with a practical roadmap based on evidence-based medicine and adapted to your medical history and personal needs.

Pain: how he can help

  • Chronic pain (more than 3 months
  • Migraine and recurrent or high-intensity headaches
  •  Neck, lower back, back and joint pain
  •  Post-traumatic pain after injuries or surgeries
  •  Pain of neurological origin: neuralgia, neuropathic pain, fibromyalgia

General medicine

  • Frequent respiratory infections (cold, flu, persistent cough)
  • Hypertension, diabetes and metabolic disorders
  • Review of laboratory tests and MRI/CT reports (explained in clear language)
  • Preventive medicine and health monitoring
  • Second opinions and treatment adjustments (when clinically appropriate)

What the consultation is like
 Each session lasts up to 30 minutes. We review symptoms, medical history, medications and any tests you provide, and you finish the consultation with a clear treatment plan, defined next steps, and criteria to understand when follow-up may be needed. If warning signs are detected, he will clearly advise whether you need in-person care or urgent medical attention.

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5.0 (2)
Doctor

Alexander Nazarchuk

Allergology 7 years exp.

Dr. Alexander Nazarchuk is a physician specialising in allergology and internal medicine. He provides online consultations for adults, following the principles of evidence-based medicine — no outdated treatments or unnecessary tests, with clear explanations and a personalised approach. He helps patients with a wide range of allergic and therapeutic conditions, from common day-to-day complaints to complex cases involving allergies, gastrointestinal issues, cardiovascular concerns, respiratory symptoms, and more.

You can consult Dr. Nazarchuk for:

  • Test interpretation and guidance on diagnostic plans.
  • Allergic rhinitis, hay fever, bronchial asthma (including severe cases).
  • Food and drug allergies, skin rashes, angioedema.
  • Atopic dermatitis, urticaria, contact allergies.
  • Allergen-specific immunotherapy (AIT) – initiation and ongoing management.
  • Abdominal pain, bloating, changes in bowel habits, nausea, heartburn.
  • High blood pressure and adjustment of baseline antihypertensive therapy.
  • Hyperlipidaemia and elevated cholesterol.
  • Cough, nasal congestion, fever, sore throat.
  • Anaemia, including iron deficiency and related conditions.
  • Other issues related to allergology and internal medicine.

During consultations, Dr. Nazarchuk takes a thorough, structured approach — analysing symptoms, identifying potential causes, and helping patients make informed decisions. Whether treatment, further investigation, or monitoring is needed, he explains each step clearly so you understand your health and how best to manage it.

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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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