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cefixime + lactic acid bacillus is a fixed-dose combination therapy consisting of the third-generation cephalosporin antibiotic cefixime and the probiotic lactic acid bacillus (typically *Bacillus coagulans*). Cefixime exerts its bactericidal effect by binding to and inhibiting penicillin-binding proteins (PBPs), which are essential for bacterial cell wall synthesis. This makes it effective against a broad spectrum of Gram-positive and Gram-negative pathogens. The inclusion of lactic acid bacillus is intended to prevent or treat antibiotic-associated dysbiosis and diarrhea by replenishing the beneficial gut microbiota that may be depleted during antibiotic treatment. This combination is commonly administered orally in tablet or dry syrup forms for various bacterial infections, including respiratory, urinary tract, and biliary tract infections.
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