Roxithromycin

Dosage Forms Available

• Roxithromycin can be taken orally (tablet and suspension).

Age And Dose Restrictions

• It is intended to be used by adults and children above 6 years of age. 

Contraindications 

• It is contraindicated in patients with a history of hypersensitivity to Roxithromycin. It is also contraindicated in patients who are allergic to macrolide type of antibiotics and in patients who have or have a family history of long QT syndrome. Medications used to treat acid reflux (cisapride), ergot alkaloid derivatives (ergotamine), medications to treat serious mental disorders (pimozide), and antihistamines (terfenadine) are contraindicated with Roxithromycin.

Other Medications To Avoid With This Medicine

• Avoid taking medications for heart problems (quinidine), antidepressants (citalopram), medications to treat drug addiction (methadone), antipsychotic medications (phenothiazines), protease inhibitors (telaprevir), antifungals (ketoconazole), and fluoroquinolone antibiotics (moxifloxacin) with Roxithromycin. These medications may alter the safety and effectiveness of Roxithromycin.

Overdose And Missed Dose

• Overdose can cause nausea, vomiting, diarrhoea, headache, and dizziness. If the symptoms become severe, they need to be managed as an emergency in a hospital setting. Therefore, strict adherence to the prescribed dose is essential.
• If you miss a dose of Roxithromycin, take it as soon as you remember. But, if the next dose is near, skip the missed dose and resume the regular dosing regime.

Management Of Side Effects

• Take Roxithromycin with food to reduce gastrointestinal side effects and continue taking it as prescribed. If side effects worsen or persist, consult your doctor for a possible treatment plan adjustment.

Use In Driving And Operating Machinery

• This medication may affect the mental or physical abilities required to operate machinery or drive.

Use In Pregnancy And Lactation

• Caution should be taken in pregnancy and breastfeeding.

Caution In Other Conditions

• Caution is advised in older adults, patients having coronary heart disease, ventricular arrhythmias, electrolyte imbalance (hypokalemia, hypomagnesemia), bradycardia, pseudomembranous colitis, Stevens-Johnson syndrome, arrhythmias, and myasthenia gravis.

Special Dietary And Lifestyle Recommendation

• Incorporate fibre-rich foods into your diet as they are easily digested by your gut bacteria, promoting their growth. This can aid in restoring a healthy balance of gut bacteria following a course of antibiotics.
• Maintain a balanced diet high in nutrients to support your overall health and immune system.
• Ensuring proper hygiene is crucial.