• Bacterial infections of the upper airways, including nasal passages and sinuses (respiratory tract).
• Bacterial infections of the lungs, eg bronchitis.
• Bacterial infections of the middle ear (otitis media).
• Bacterial infections of the urinary tract.
• Bacterial infections of the kidney (pyelonephritis).
• Gonorrhoea (unlicensed use).

• The dose of this medicine and how long it needs to be taken for depends on the type of infection you have, your age and your kidney function. Follow the instructions given by your doctor. These will be printed on the dispensing label that your pharmacist has put on the packet of medicine.
• Cefixime is usually taken once or twice a day. It can be taken either with or without food. You should try to space your doses evenly.
• Cefixime tablets should be swallowed with liquid.
• Bottles of suspension should be shaken before measuring out a dose. Only use the measuring spoon provided with the medicine. You should not use a regular teaspoon or tablespoon to give the medicine, as this will not give an accurate dose.
• Unless your doctor tells you otherwise, it is important that you finish the prescribed course of this antibiotic medicine, even if you feel better or it seems the infection has cleared up. Stopping the course early increases the chance that the infection will come back and that the bacteria will grow resistant to the antibiotic.

• Broad-spectrum antibiotics can sometimes cause inflammation of the bowel (colitis). For this reason, if you get diarrhoea that becomes severe or persistent or contains blood or mucus, either during or after treatment with this medicine, you should consult your doctor immediately.
• Cefixime suspension should be stored at room temperature (below 25°C). Any medicine remaining after 14 days should be disposed of, preferably by returning it to your pharmacist.

• Allergy to penicillin-type antibiotics.
• Decreased kidney function.

• Allergy to other cephalosporin-type antibiotics.
• This medicine is not recommended for children under six months of age, as the manufacturer has not studied its safety and effectiveness in this age group. This medicine should not be used if you are allergic to one or any of its ingredients. Please inform your doctor or pharmacist if you have previously experienced such an allergy. If you feel you have experienced an allergic reaction, stop using this medicine and inform your doctor or pharmacist immediately.

•Certain medicines should not be used during pregnancy or breastfeeding. However, other medicines may be safely used in pregnancy or breastfeeding providing the benefits to the mother outweigh the risks to the unborn baby. Always inform your doctor if you are pregnant or planning a pregnancy, before using any medicine.
• This medicine is not known to be harmful when used by pregnant women. However, as with all medicines, it should be used with caution during pregnancy and only when considered essential by your doctor, particularly during the first trimester. Seek medical advice from your doctor.
• It is not known if this medicine passes into breast milk. The manufacturer states it should be avoided in breastfeeding mothers unless considered essential by your doctor. However, cephalosporin antibiotics are generally considered safe to use during breastfeeding. Seek further medical advice from your doctor.

•Medicines and their possible side effects can affect individual people in different ways. The following are some of the side effects that are known to be associated with this medicine. Just because a side effect is stated here, it does not mean that all people using this medicine will experience that or any side effect.
• Diarrhoea.
• Nausea.
• Vomiting.
• Indigestion.
• Abdominal pain.
• Flatulence (wind).
• Headache.
• Dizziness.
• Fever.
• Pain in the joints (arthralgia).
• Skin reactions such as rash or itching.
• Severe allergic skin reactions.
• Bowel infection resulting in inflammation of the bowel lining (pseudomembranous colitis - see warning section above).
• Disturbance in the levels of blood cells in the blood.
• Yellowing of the skin and whites of the eyes (jaundice).
• Prolonged treatment with antibiotics can sometimes cause overgrowth of other organisms that are not susceptible to the antibiotic, for example fungi or yeasts such as Candida. This may sometimes cause infections such as thrush. Tell your doctor if you think you have developed a new infection during or after taking this antibiotic. The side effects listed above may not include all of the side effects reported by the medicine's manufacturer. For more information about any other possible risks associated with this medicine, please read the information provided with the medicine or consult your doctor or pharmacist.

•It is important to tell your doctor or pharmacist what medicines you are already taking, including those bought without a prescription and herbal medicines, before you start treatment with this medicine. Similarly, check with your doctor or pharmacist before taking any new medicines while taking this one, to make sure that the combination is safe. In the past, women using hormonal contraception such as the pill or patch would be advised to use an extra method of contraception (eg condoms) while taking an antibiotic like this one and for seven days after finishing the course. However, this advice has now changed. You no longer need to use an extra method of contraception with the pill, patch or vaginal ring while you take a course of antibiotics. This change in advice comes because to date there is no evidence to prove that antibiotics (other than rifampicin or rifabutin) affect these contraceptives. This is the latest guidance from the Faculty of Sexual & Reproductive Healthcare. However, if you are taking the contraceptive pill and experience vomiting or diarrhoea as a result of taking this antibiotic, you should follow the instructions for vomiting and diarrhoea described in the leaflet provided with your pills. Broad spectrum antibiotics such as cefixime may enhance the effect of anticoagulant medicines to prevent blood clots, such as warfarin. If you are taking warfarin your doctor may want you to have your blood clotting time (INR) checked more frequently while taking this antibiotic. Oral typhoid vaccine (Vivotif) should not be taken until at least three days after you have finished a course of this antibiotic, because the antibiotic could make this vaccine less effective. Probenecid may increase the blood level of cefixime.

•Read the package insert and/or patient product information sheet that comes with your prescription.
• Most medications should be stored in a dry place away from heat and humidity.
• Some medications also have special instructions for storage. Check for special instructions on your prescription label.
• If your medication needs to be protected from light, it should be stored in a container that filters out light, such as a clean film canister.
• If your medication needs to be refrigerated, and you do not have a fridge available (for example, if you are working outside or on the road all day), try using a cooler with an ice pack. An ordinary cooler found at hardware or sporting goods stores will do.

•Consult your doctor for further instructions and also read the package insert and/or patient product information sheet that comes with your prescription.