Roxithromycin – Generic Drug Info

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Roxithromycin

Macrolides

Generic drug information & available brands

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AI Summary Generated by AI for informational purposes only

This is an antibiotic used to treat bacterial infections in the throat, lungs, skin, and other parts of the body. It works by stopping the growth of bacteria causing the infection. It should be used with caution during pregnancy and breastfeeding.

Indications

Roxithromycin is indicated in the treatment of infections caused by susceptible microorganisms-

Respiratory infections like pneumonia, acute and chronic bronchitis, and bronchopneumonia
ENT infections like tonsillitis, pharyngitis, sinusitis and otitis media.
Skin infections like folliculitis, furuncles, cellulitis, carbuncles, pyoderma, impetigo and infected dermatitis.
Genital infections like urethritis, prostatitis, cervicitis and salpingitis especially if produced by Chlamydia trachomatis.

Description

Roxithromycin, is a macrolide with antibacterial properties similar to erythromycin. It is active against Gram-positive bacteria like staphylococci, streptococci, listeria, corynebacteria; Gram-negative bacteria such as gonococci, Haemophilus influenzae, Haemophilus ducreyi, Legionella, campylobacter, and atypical pathogens like Mycoplasma and Chlamydia. Roxithromycin has been found useful in the treatment of upper and lower respiratory tract infection, otorhinolaryngological, skin, dental and genital infections. It is well tolerated by adults and children.

Pharmacology

Roxithromycin inhibits protein synthesis by irreversibly binding to the 50s ribosomal subunits thus blocking the transpeptidation or translocation reactions of susceptible organisms resulting in stunted cell growth.

Dosage & Administration

Important:
Do not take any medication without a doctor's prescription. Self-medication can be dangerous.

Adult dose: The usual dose for adults is one 300 mg tablet once daily or one 150 mg tablet twice a day for at least two days after resolution of symptoms, a normal course of therapy is between 5 and 10 days. Roxithromycin is best administered on empty stomach. In severe hepatic impairment the dose is 150 mg once daily.

Pediatric dose: The dose for children is 2.5 to 5 mg/kg body weight twice a day. The following general guidelines can be followed

6 to 11 Kg: 25 mg Roxithromycin 12 hourly.
12 to 23 Kg: 50 mg Roxithromycin 12 hourly.
24 to 40 Kg: 100 mg Roxithromycin 12 hourly.

A normal course of therapy is between 5 and 10 days.

Interaction

Roxithromycin does not have any affinity for cytochrome P-450 binding sites and thus is unlikely to produce drug interaction mediated by this enzymatic system. Roxithromycin shows mild interaction with theophylline though this has not been found to produce clinically relevant effects. Alteration in the pharmacokinetics of carbamazepine or warfarin has not been found. Antacids, H2- receptor antagonists and food has no effect on the absorption of Roxithromycin.

Contraindications

Roxithromycin should not be administered simultaneously with ergotamine or its derivatives as it may provoke arterial spasm and severe ischaemia.

Side Effects

Roxithromycin is well tolerated by patients of all age groups. Less than 4% of treated patients complain of side effects mainly nausea, abdominal pain, diarrhoea and hypersensitivity rash. Other side effects reported include vomiting, dizziness, headache, pruritus, dyspepsia, flatulence, tinnitus, vertigo and constipation. These are in general minor and do not necessitate withdrawal of therapy.

Pregnancy & Lactation

The safety of Roxithromycin in pregnancy has not been established. It appears in breast milk in small amounts and dose not produce adverse effects in the breast fed infant.

Precautions & Warnings

Roxithromycin should not be used in patients with a history of hypersensitivity to the drug. In patients with hepatic diseases the dose of Roxithromycin should not exceed 150 mg twice a day.

The information provided on this page is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare professional before starting, stopping, or changing any medication. All brands listed might have copyright or trademark of their respective owners. Listed information may not be up-to-date or accurate. We do not guarantee the availability, quality, price or safety of any medication. Use at your own risk.

Available Brands

15 found

Brand	Strength	Type	৳
A-Rox Ambee Pharmaceuticals Ltd.	150 mg	Tablet	6.53
A-Rox Ambee Pharmaceuticals Ltd.	300 mg	Tablet	11.04
A-Rox Ambee Pharmaceuticals Ltd.	50 mg/5 ml	Powder for Suspension	-
Pedilid Incepta Pharmaceuticals Ltd.	150 mg	Tablet	7.00
Pedilid Incepta Pharmaceuticals Ltd.	300 mg	Tablet	14.00
Pedilid Incepta Pharmaceuticals Ltd.	50 mg/5 ml	Powder for Suspension	-
Rolid Globe Pharmaceuticals Ltd.	300 mg	Tablet	14.00
Rolid Globe Pharmaceuticals Ltd.	50 mg/5 ml	Powder for Suspension	-
Rotomycin Kemiko Pharmaceuticals Ltd.	300 mg	Tablet	14.00
Roxcin Alco Pharma Ltd.	150 mg	Tablet	7.02
Roxcin Alco Pharma Ltd.	300 mg	Tablet	14.04
Roxcin Alco Pharma Ltd.	50 mg/5 ml	Powder for Suspension	-
Ryth Navana Pharmaceuticals Ltd.	150 mg	Tablet	7.02
Ryth Navana Pharmaceuticals Ltd.	300 mg	Tablet	14.08
Ryth Navana Pharmaceuticals Ltd.	50 mg/5 ml	Powder for Suspension	-

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