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Ceroxim

Ask a doctor about a prescription for Ceroxim

5.0(7)
Doctor

Tarek Agami

General medicine10 years of experience

Dr. Tarek Agami is a general practitioner registered in both Portugal and Israel, with broad experience in family and preventive medicine. He offers online consultations for adults and children, providing personalised support for primary care needs, chronic disease management, and everyday health concerns.

Dr. Agami received clinical training and worked in leading medical institutions in Israel (Kaplan Medical Center, Barzilai Medical Center, Wolfson Medical Center) and Portugal (European Healthcare City, Viscura Internacional, Hospital Dr. José Maria Grande, Hospital Vila Franca de Xira). His approach combines international medical standards with individualised attention to each patient.

Main areas of consultation:

  • Diagnosis and treatment of acute and chronic conditions (high blood pressure, diabetes, respiratory infections, cardiovascular symptoms)
  • Evaluation of symptoms and guidance on further diagnostic testing
  • Preventive check-ups and regular health monitoring
  • Medical support during travel or after relocation
  • Treatment adjustments and lifestyle recommendations based on your personal history
Dr. Agami provides medical support for patients using GLP-1 medications (such as Ozempic or Mounjaro) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Portugal and Israel.

Dr. Agami is committed to evidence-based, patient-centred care, ensuring that each person receives trusted medical support tailored to their health goals.

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This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use Ceroxim

Package Leaflet: Information for the User

Ceroxim, 250 mg, Film-Coated Tablets

Ceroxim, 500 mg, Film-Coated Tablets

Cefuroxime

Read all of this leaflet carefully before you start taking this medicine because it contains important information for you.

  • You should keep this leaflet. You may need to read it again.
  • If you have any further questions, ask your doctor or pharmacist.
  • This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.
  • If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.

Contents of the pack and other information

  • 1. What Ceroxim is and what it is used for
  • 2. What you need to know before you take Ceroxim
  • 3. How to take Ceroxim
  • 4. Possible side effects
  • 5. How to store Ceroxim
  • 6. Contents of the pack and other information

1. What Ceroxim is and what it is used for

Ceroxim is an antibiotic that is used in adults and children. The medicine works by killing the bacteria that cause infections. It belongs to a group of medicines called cephalosporins.

Ceroxim is used to treat infections of:

  • the throat
  • sinuses
  • middle ear
  • lungs or chest
  • urinary tract
  • skin and soft tissues.

This medicine may also be used to treat early stages of Lyme disease (borreliosis - an infection spread by ticks).

Your doctor may test the type of bacteria that is causing your infection and make sure that they are susceptible to Ceroxim during treatment.

2. What you need to know before you take Ceroxim

When not to take Ceroxim

  • -if you are allergic to cefuroxime axetil or other cephalosporin antibiotics or any of the other ingredients of this medicine (listed in section 6);
  • if you have ever had a severe allergic reaction (hypersensitivity) to any other type of beta-lactam antibiotic (penicillins, monobactams or carbapenems).
  • if you have ever had a severe skin rash or blistering of the skin, or peeling and (or) mouth sores after taking cefuroxime or other cephalosporin antibiotics.

If any of the above applies to you, do not take Ceroxim without consulting your doctor.

Warnings and precautions

Before you start taking Ceroxim, talk to your doctor or pharmacist.

Severe skin reactions, including Stevens-Johnson syndrome, toxic epidermal necrolysis and drug reaction with eosinophilia and systemic symptoms (DRESS) have been reported with cefuroxime treatment. If you get any of the symptoms listed in section 4, you should contact your doctor immediately.

Children

Ceroxim is not recommended for use in children under 3 months of age because the safety and efficacy of the medicine in this age group have not been established.

While taking Ceroxim, you should be aware of the following symptoms: allergic reactions, fungal infections (e.g. thrush) or severe diarrhea (pseudomembranous colitis). This will reduce the risk of complications. See “Special warnings and precautions for use” in section 4.

If you are going to have a blood test

Ceroxim may affect the results of a blood test to check your blood sugar levels and a test called Coombs test.

If you are going to have a blood test, tell the person taking the blood sample that you are taking Ceroxim.

Ceroxim and other medicines

Tell your doctor or pharmacist about all the medicines you are taking, or have recently taken, and those you plan to take.

  • Medicines that reduce the amount of acid in your stomach (e.g. antacids used to treat heartburn) may affect the way Ceroxim works.
  • Probenecid (a medicine used to treat gout).
  • Oral anticoagulants (blood thinners).

If you are taking any of these medicines, tell your doctor.

Pregnancy, breastfeeding and fertility

If you are pregnant or breastfeeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.

Driving and using machines

Ceroxim may cause dizziness and other side effects that can affect your ability to concentrate.

Do not drive or operate machinery if you do not feel well.

Important information about some of the ingredients of Ceroxim

This medicine contains less than 1 mmol (23 mg) of sodium per tablet, which is essentially sodium-free.

3. How to take Ceroxim

Always take this medicine exactly as your doctor has told you. If you are not sure, check with your doctor or pharmacist.

Ceroxim should be taken after food. This will increase the effectiveness of the treatment.

Swallow the tablets whole with water. Do not chew, crush or break the tablets - this can reduce the effectiveness of the treatment.

Recommended dose

Adults

The recommended dose of Ceroxim is 250 mg to 500 mg twice daily, depending on the severity and type of infection.

Children

The recommended dose of Ceroxim is 10 mg/kg body weight (not more than 125 mg) to 15 mg/kg body weight (not more than 250 mg) twice daily, depending on the severity and type of infection.

Ceroxim is not recommended for use in children under 3 months of age because the safety and efficacy of the medicine in this age group have not been established.

Depending on the disease and how the child responds to treatment, the initial dose may be changed or more than one course of treatment may be necessary.

Patients with kidney disease

If you have kidney disease, tell your doctor. Your doctor may need to adjust the dose.

Take more Ceroxim than you should

If you take more Ceroxim than you should, you may experience nervous system problems, including an increased risk of seizures (convulsions).

Contact your doctor or the nearest hospital emergency department immediately. If possible, show them the pack of Ceroxim.

Miss a dose of Ceroxim

Do not take a double dose to make up for a forgotten dose. Take the next dose at the usual time.

Stop taking Ceroxim

Do not stop taking Ceroxim without consulting your doctor.

It is important that you take all the prescribed Ceroxim tablets. Do not stop treatment, even if you feel better, without your doctor’s advice. Stopping treatment early may lead to a recurrence of the infection.

If you have any further questions on the use of this product, ask your doctor or pharmacist.

4. Possible side effects

Like all medicines, Ceroxim can cause side effects, although not everybody gets them.

Special warnings and precautions for use

A small number of people taking Ceroxim have reported allergic reactions or potentially serious skin reactions. The symptoms may include:

  • Severe allergic reaction. Symptoms include: raised and itchy rash, swelling, sometimes of the face or mouth, which may make breathing difficult.
  • Rash on the skin, which may spread and look like small rings (a dark spot surrounded by a lighter ring with a dark ring around the edge).
  • Widespread skin reactions with blisters and peeling skin (this may be a sign of Stevens-Johnson syndrome or toxic epidermal necrolysis).
  • Widespread rash, high fever and enlarged lymph nodes (DRESS syndrome or drug hypersensitivity syndrome).
  • Chest pain associated with an allergic reaction, which may be a sign of a heart attack caused by an allergy (Kounis syndrome).

Other special warnings and precautions for use while taking Ceroxim include:

  • Fungal infections. Medicines like Ceroxim can cause an overgrowth of yeast (Candida) in the body, which can lead to a fungal infection (e.g. thrush). The risk of this side effect is greater if Ceroxim is taken for a long time.
  • Severe diarrhea (pseudomembranous colitis). Medicines like Ceroxim can cause inflammation of the colon (large intestine), which can lead to severe diarrhea, usually with blood and mucus, abdominal pain and fever.
  • Jarisch-Herxheimer reaction. High fever, chills, muscle and headache, and rash during treatment of Lyme disease (borreliosis). This is known as a Jarisch-Herxheimer reaction. These symptoms usually last from a few hours to a day.

If you experience any of these symptoms, contact your doctor or nurse immediately.

Common side effects(may affect up to 1 in 10 people):

  • Fungal infections (e.g. thrush)
  • Headache
  • Dizziness
  • Diarrhea
  • Nausea
  • Stomach pain

Common side effects seen in blood tests:

  • Increased number of white blood cells (eosinophilia)
  • Increased liver enzyme activity

Uncommon side effects(may affect up to 1 in 100 people):

  • Vomiting
  • Rash

Uncommon side effects seen in blood tests:

  • Decreased number of platelets (blood cells involved in blood clotting);
  • Decreased number of white blood cells (leukopenia);
  • Positive Coombs test result.

Other side effects

Other side effects have been reported in a small number of people, but the frequency of these side effects is not known:

  • Severe diarrhea (pseudomembranous colitis)
  • Allergic reactions
  • Skin reactions (including severe reactions)
  • High fever
  • Yellowing of the whites of the eyes or skin
  • Liver inflammation

Side effects seen in blood tests:

  • Breakdown of red blood cells (hemolytic anemia)

Reporting of side effects

If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet.

You can also report side effects directly via the national reporting system listed in the “Further information” section.

By reporting side effects, you can help provide more information on the safety of this medicine.

5. How to store Ceroxim

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

Do not use this medicine after the expiry date which is stated on the blister and carton. The expiry date refers to the last day of that month.

There are no special storage requirements.

Do not use Ceroxim if you notice that the tablets are broken or damaged.

Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help protect the environment.

6. Contents of the pack and other information

What Ceroxim contains

The active substance is cefuroxime (as cefuroxime axetil). Each film-coated tablet contains 250 mg or 500 mg of cefuroxime.

The other ingredients are:

Tablet core:

Microcrystalline cellulose (PH101), microcrystalline cellulose (PH112), sodium croscarmellose, sodium lauryl sulfate, hydrogenated vegetable oil, colloidal anhydrous silica

Coating:

Opadry White OY-S-58910: hypromellose (5 cp), titanium dioxide (E 171), macrogol 400, talc

What Ceroxim looks like and contents of the pack

250 mg film-coated tabletsare white to off-white, capsule-shaped, with the numbers “250” engraved on one side and smooth on the other. The tablets are 15.0 mm long, 6.5 mm wide and 5.05 mm thick. They are packaged in PVC/Aclar/Aluminum blisters in a carton. The carton contains 10, 12, 14, 20 or 24 film-coated tablets.

500 mg film-coated tabletsare white to off-white, capsule-shaped, with the numbers “500” engraved on one side and smooth on the other. The tablets are 18.0 mm long, 9.0 mm wide and 6.95 mm thick. They are packaged in PVC/Aclar/Aluminum blisters in a carton. The carton contains 10, 12, 14, 20 or 24 film-coated tablets.

Not all pack sizes may be marketed.

Marketing Authorisation Holder and Manufacturer

Marketing Authorisation Holder

Ranbaxy (Poland) Sp. z o. o.

ul. Idzikowskiego 16

00-710 Warsaw

Manufacturer/Importer

Sun Pharmaceutical Industries Europe B.V.

Polarisavenue 87

2132 JH- Hoofddorp

Netherlands

Alkaloida Chemical Company Zrt.

4400 Tiszavasvári

Kabay János u. 29

Hungary

Terapia SA

Str. Fabricii nr 124

400 632 Cluj Napoca

Romania

This medicinal product is authorised in the Member States of the European Economic Area under the following names:

Netherlands: Cefuroxim SUN 250 mg filmomhulde tabletten

Cefuroxim SUN 500 mg filmomhulde tabletten

Czech Republic: Znobact 500 mg potahované tablety

Hungary: Ceroxim 500 mg filmtabletta

Germany: CEFUROX BASICS 250mg (500mg) Filmtabletten

Slovakia: Znobact 500 mg filmom obalené tablety

Spain: Cefuroxima SUN 500 mg comprimidos recubiertos con película EFG

Date of last revision of the leaflet:26.05.2023

Alternatives to Ceroxim in other countries

The best alternatives with the same active ingredient and therapeutic effect.

Alternative to Ceroxim in Spain

Dosage form: TABLET, 500 mg
Active substance: cefuroxime
Manufacturer: Krka D.D. Novo Mesto
Prescription required
Dosage form: TABLET, 250 mg
Active substance: cefuroxime
Manufacturer: Krka D.D. Novo Mesto
Prescription required
Dosage form: TABLET, 250 mg cefuroxime
Active substance: cefuroxime
Manufacturer: Farmalider S.A.
Prescription required
Dosage form: TABLET, 500 mg
Active substance: cefuroxime
Manufacturer: Aristo Pharma Gmbh
Prescription required
Dosage form: TABLET, 250 mg
Active substance: cefuroxime
Manufacturer: Aristo Pharma Gmbh
Prescription required
Dosage form: TABLET, 500 mg
Active substance: cefuroxime
Prescription required

Alternative to Ceroxim in Ukraine

Dosage form: powder, 750 mg
Active substance: cefuroxime
Prescription required
Dosage form: powder, 1500 mg
Active substance: cefuroxime
Prescription required
Dosage form: powder, 1.5 g
Active substance: cefuroxime
Dosage form: tablets, 500mg
Active substance: cefuroxime
Prescription required
Dosage form: tablets, 250 mg
Active substance: cefuroxime
Prescription required
Dosage form: tablets, 125 mg
Active substance: cefuroxime
Prescription required

Online doctors for Ceroxim

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for Ceroxim – subject to medical assessment and local rules.

5.0(7)
Doctor

Tarek Agami

General medicine10 years of experience

Dr. Tarek Agami is a general practitioner registered in both Portugal and Israel, with broad experience in family and preventive medicine. He offers online consultations for adults and children, providing personalised support for primary care needs, chronic disease management, and everyday health concerns.

Dr. Agami received clinical training and worked in leading medical institutions in Israel (Kaplan Medical Center, Barzilai Medical Center, Wolfson Medical Center) and Portugal (European Healthcare City, Viscura Internacional, Hospital Dr. José Maria Grande, Hospital Vila Franca de Xira). His approach combines international medical standards with individualised attention to each patient.

Main areas of consultation:

  • Diagnosis and treatment of acute and chronic conditions (high blood pressure, diabetes, respiratory infections, cardiovascular symptoms)
  • Evaluation of symptoms and guidance on further diagnostic testing
  • Preventive check-ups and regular health monitoring
  • Medical support during travel or after relocation
  • Treatment adjustments and lifestyle recommendations based on your personal history
Dr. Agami provides medical support for patients using GLP-1 medications (such as Ozempic or Mounjaro) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Portugal and Israel.

Dr. Agami is committed to evidence-based, patient-centred care, ensuring that each person receives trusted medical support tailored to their health goals.

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Dr. Alhasan’s approach is based on thorough assessment, clear communication, and personalised care – helping patients understand their health and make informed decisions about their treatment.
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Dr. Meneses graduated from the University of Beira Interior and has years of experience working with diverse patient populations. He is fluent in Portuguese, English, Spanish, and French.

His approach is friendly, clear, and focused on delivering practical medical advice tailored to each patient’s needs.

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Her work focuses on urgent, short-term medical concerns – situations where patients need quick guidance, symptom assessment and clear next steps. She helps people understand whether their symptoms require in-person evaluation, home management or a change in treatment. Common reasons for booking an online consultation include:

  • acute respiratory symptoms (cough, sore throat, runny nose, fever)
  • viral illnesses such as colds and seasonal infections
  • gastrointestinal complaints (nausea, diarrhoea, abdominal pain, gastroenteritis)
  • sudden changes in how a child or adult feels
  • questions about existing treatment and whether adjustments are needed
  • renewal of prescriptions when clinically appropriate
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  • support during the postpartum and lactation period
Dr Reznychenko offers a clear, attentive and professional approach. Her consultations help prevent minor discomforts from developing into more serious concerns – all in a convenient online format.
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  • Respiratory infections (cold, flu, bronchitis, pneumonia).
  • ENT conditions such as sinusitis, ear infections, and tonsillitis.
  • Digestive issues including gastritis, acid reflux, and irritable bowel syndrome (IBS).
  • Urinary tract infections and other common infections.
  • Management of chronic diseases: high blood pressure, diabetes, thyroid disorders.
  • Acute conditions requiring urgent medical attention.
  • Headaches, migraines, and minor injuries.
  • Wound care, health check-ups, and ongoing prescriptions.

With a patient-focused and evidence-based approach, Dr. Ben Ami supports individuals at all stages of life — offering clear medical guidance, timely interventions, and continuity of care.

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Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
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  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

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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.

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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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