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Extacef LB Syrup

Cefixime (50mg)+ Lactobacillus (60Million spores)

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Extacef LB Syrup contains two ingredients, one antibiotic and one probiotic. While the antibiotic helps kill a wide range of bacterial infections, the probiotic prevents the antibiotic from causing digestive problems as a side effect. It does so by restoring the balance of good bacteria in the intestine.

Written By Dr. Anuj Saini, MMST, MBBS,
Reviewed By Dr. Rajeev Sharma, MBA, MBBS,
Last updated on 13 Apr 2026 | 03:27 PM (IST)

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30 ml Syrup

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General Information

Contains

Cefixime (50mg)+ Lactobacillus (60Million spores)

Marketer

Blue Cross Laboratories Ltd

Storage

Store below 30°C

The content is shown in English

Your child’s medicine at a glance

Give Extacef LB Syrup to your child with or without meals. Though the risk of developing a stomach upset is less with this medicine, giving it with meals will further reduce the risk. The dose and duration depend upon the type and severity of the infection, so stick to the dose, time, and way prescribed by the doctor. If your child vomits within 30 minutes of the intake, give the same dose again but do not double dose if it is time for the next dose.

Extacef LB Syrup may cause some minor and temporary side effects in your child. These may include vomiting, diarrhea, nausea, abdominal pain, and allergy. Usually, these episodes subside once your child’s body adapts to the medicine. However, if these side effects persist or become bothersome for your child, report to the doctor without any delay.

Narrate your child’s complete medical history to your child’s doctor, including any previous episode of allergy, heart problem, blood disorder, birth defects, airway obstruction, lung anomaly, gastrointestinal problem, skin disorder, liver impairment, and kidney malfunction. This information is critical for dose alterations and for planning your child’s overall treatment.

Uses of Extacef LB Syrup in children

Treatment of Bacterial infections

Benefits of Extacef LB Syrup for your child

Treatment of Bacterial infections
Extacef LB Syrup is an antibiotic medicine. It is commonly given to children to treat a wide range of bacterial infections, including infections of the eyes, middle ear, nose, throat, lungs, skin, bone and joints, gastrointestinal tract, and urinary tract. This medicine inhibits the growth of infection-causing bacteria by stopping it from multiplying.

Children usually start showing improvement within 3 to 5 days of the regular dosing. You must continue giving the medicine even after seeing this improvement because stopping the medicine abruptly may worsen your child’s condition or cause infection recurrence.

Side effects of Extacef LB Syrup in children

Extacef LB Syrup does not pose serious side effects and is well-tolerated by children. In case the side effects do occur, they’re likely to subside once the body adapts to the medicine. Consult your child’s doctor if these side effects persist or bother your child. The most common side effects include-

Common side effects of Extacef LB

Nausea
Vomiting
Abdominal pain
Allergy

How can I give Extacef LB Syrup to my child?

Take this medicine in the dose and duration as advised by your doctor. Check the label for directions before use. Measure it with a measuring cup and take it by mouth. Shake well before use. Extacef LB Syrup may be taken with or without food.

How Extacef LB Syrup works

Extacef LB Syrup is a combination of two medicines: Cefixime and Lactobacillus. Cefixime is an antibiotic. It works by preventing the formation of the bacterial protective covering which is essential for the survival of bacteria in the human body. Lactobacillus is a live micro-organism that restores the balance of good bacteria in the intestine that may get upset with antibiotic use or due to intestinal infections.

All substitutes for Extacef LB Syrup

For information purposes only. Consult a doctor before taking any medicine.

Refixim Syrup

by Raphael Pharmaceuticals Pvt Ltd

₹33.75/syrup

52% cheaper

Phixim LB Syrup

by Pacific Meditech Pvt Ltd

₹51.56/syrup

27% cheaper

Quick tips

Your child must complete the entire course of antibiotics. Stopping too soon may cause the bacteria to multiply again, become resistant, or cause another infection.
Extacef LB Syrup may cause a bitter taste. Eating citrus fruit or sipping plenty of water or fruit juice may help.
Encourage your child to drink plenty of water in case diarrhea develops as a side effect.
Never give Extacef LB Syrup until and unless prescribed by the doctor. You must also never share your child’s medicine with anyone else even if they show similar symptoms.
Stop Extacef LB Syrup immediately if your child develops an itchy rash, facial swelling, or breathing difficulty. Report to the doctor without any delay.

Safety advice

Kidney

CAUTION

Extacef LB Syrup should be used with caution in patients with severe kidney disease. Dose adjustment may be needed.

Liver

SAFE IF PRESCRIBED

Extacef LB Syrup is probably safe to use in patients with liver disease. Limited data suggest dose adjustment may not be needed.
However, consult with your child’s doctor before giving Extacef LB Syrup to your child in case of a severe form of liver disease.

Frequently asked questions

My child is suffering from liver failure and his investigations showed high blood ammonia levels. Is it safe to give Extacef LB Syrup?

No. It is better to avoid giving Extacef LB Syrup as it contains lactobacillus which can further elevate the levels of blood ammonia and increase the risk of serious complications like coma.

What if I give too much of Extacef LB Syrup by mistake?

Avoid giving more than the recommended dose because overdose may cause unwanted side effects and may even worsen your child’s condition. Although an extra dose of Extacef LB Syrup is unlikely to harm, if you think you have given too much of Extacef LB Syrup to your child, immediately speak to a doctor.

Are there any possible serious side effects of Extacef LB Syrup?

In rare cases, Extacef LB Syrup may cause some serious side effects such as persistent vomiting, kidney damage, and allergy. Always consult your child’s doctor for help in such a situation.

Can other medicines be given at the same time as Extacef LB Syrup?

Extacef LB Syrup can sometimes interact with other medicines or substances. Tell your doctor about any other medicines your child is taking before starting Extacef LB Syrup. Also, check with your child’s doctor before giving any medicine to your child.

Can I get my child vaccinated while on treatment with Extacef LB Syrup?

Antibiotics usually do not interfere with the ingredients in vaccines or cause a bad reaction in a child who has just been vaccinated. However, children taking antibiotics should not get vaccinated until they recover from the illness. As soon as your child feels better, the vaccine can be given.

The mucus coming out of my child’s nose is yellow-green. Is it a sign of a bacterial infection?

No, yellow or green mucus in the nose does not mean that antibiotics are needed. It is normal for mucus to thicken up and change from clear to yellow or green. With symptoms often lasting for 7-10 days, this is exactly how a common cold generally progresses.

Fact Box

Habit Forming

Therapeutic Class

ANTI INFECTIVES

Related lab tests

Complete Blood Count

Peripheral Smear Examination

References

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Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

Marketer details

Name: Blue Cross Laboratories Ltd
Address: Peninsula Chambers, Peninsula Corporate Park, G.K Marg, Lower Parel (West), Mumbai - 400013, Maharashtra, INDIA.

Vendor Details

Country of origin: India
A licensed vendor partner from your nearest location will deliver Extacef LB Syrup. Once the pharmacy accepts your order, the details of the pharmacy will be shared with you. Acceptance of your order is based on the validity of your doctor's ℞ and the availability of this medicine.

In case of any issues, contact us

Email ID: [email protected]
Phone Number: 0124-4166666
Address: 5th Floor Tower - B of the Presidency Building, 46/4 Mehrauli Gurgaon Road, Sector 14, Gurugram, Haryana-122001, India

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