Rolid
Cheaper & Alternative Brands
Same generic (Roxithromycin), same form (Tablet)
Clinical Prescribing Information
Medical monograph and safety information for healthcare professionals & patients.Indications & Clinical Uses
A-Rox 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.
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A-Rox 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.
Dosage & Administration
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.
Contraindications
Roxithromycin should not be administered simultaneously with ergotamine or its derivatives as it may provoke arterial spasm and severe ischaemia.
Side Effects & Adverse Reactions
A-Rox 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.
Warnings & Precautions
A-Rox should not be used in patients with a history of hypersensitivity to the drug. In patients with hepatic diseases the dose of A-Rox should not exceed 150 mg twice a day.
Pharmacology & Mechanism of Action
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.