cadithro 50mg tablet - Roxithromycin (50mg) medicine

Roxithromycin 50mg Tablet: Complete Information

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🏭 Zydus Healthcare Limited 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 21, 2026
⚠️ Hepatotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for approved indications.
Reviewed by
SaathiMed Expert Panel | Oct 21, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Blood in stool or vomit
  • Severe abdominal pain
  • Chest pain or difficulty breathing
  • Severe headache with visual changes
  • Sudden swelling of face, lips, or throat
  • Yellowing of skin or eyes
  • Decreased urine output

If experiencing severe symptoms, call emergency services immediately.

What is cadithro 50mg tablet used for?

Roxithromycin is a macrolide antibiotic used to treat bacterial infections of the respiratory tract, skin, and genital tract. It works by inhibiting bacterial protein synthesis.

  • Generic Name: Roxithromycin
  • Manufacturer: Zydus Healthcare Limited
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 cadithro 50mg tablet के बारे में (Hindi Summary)

उपयोग: यह दवा रोक्सिथ्रोमाइसिन 50 मिलीग्राम युक्त एक मैक्रोलाइड एंटीबायोटिक है। इसका उपयोग श्वसन पथ, त्वचा और जननांग पथ के जीवाणु संक्रमणों के इलाज के लिए किया जाता है। यह बैक्टीरिया के प्रोटीन संश्लेषण को रोककर उनकी वृद्धि को रोकती है। यह वायरल संक्रमण जैसे सर्दी-जुकाम के लिए प्रभावी नहीं है। इसका सेवन डॉक्टर के निर्देशानुसार ही करें।

साइड इफेक्ट्स: आम दुष्प्रभावों में मतली, दस्त, पेट दर्द और सिरदर्द शामिल हैं। ये आमतौर पर हल्के और अस्थायी होते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन एलर्जी, यकृत समस्या और हृदय ताल गड़बड़ी हो सकती है। किसी भी गंभीर लक्षण पर तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। खुराक न छोड़ें और पूरा कोर्स पूरा करें। यकृत रोग, हृदय रोग या मायस्थेनिया ग्रेविस होने पर डॉक्टर को बताएं। शराब से बचें। अन्य दवाओं के बारे में डॉक्टर को जानकारी दें। खुराक भूल जाने पर याद आते ही लें, लेकिन अगली खुराक का समय नजदीक हो तो छोड़ दें। दोहरी खुराक न लें।

💡 Did You Know? India is the largest provider of generic medicines globally, supplying over 50% of global vaccine demand.

💊 cadithro 50mg tablet Uses & Benefits

[{"condition":"Respiratory tract infections","description":"Used to treat bacterial infections of the throat, sinuses, and lungs, such as pharyngitis, sinusitis, and bronchitis.","evidence":"Well-established"},{"condition":"Skin and soft tissue infections","description":"Effective against certain bacterial skin infections like cellulitis and impetigo.","evidence":"Well-established"},{"condition":"Genital tract infections","description":"Used in the treatment of non-gonococcal urethritis and cervicitis caused by susceptible organisms.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Helicobacter pylori eradication","description":"Sometimes included in combination regimens for H. pylori infection, though not a first-line agent.","evidence":"Limited"}]

Primary treatment for: Bacterial infections

Also treats: Respiratory tract infections, Skin infections, Genital tract infections

📋 Drug Information

Generic Name(s)Roxithromycin
Brand NameAtrox
ManufacturerZydus Healthcare Limited
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassANTI INFECTIVES
Action ClassMacrolides
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine with food to reduce stomach upset.
2
Complete the full course even if you feel better.
3
Avoid alcohol while taking this medicine.
4
Inform your doctor if you have liver or heart problems.
5
Do not share this medicine with others.
6
Report any unusual symptoms like palpitations or yellowing of eyes.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Sore throat with fever
This medicine is commonly prescribed for bacterial throat infections.
Likely Use
❌
Common cold
This medicine is not effective against viral infections.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionRoxithromycin is rapidly absorbed from the gastrointestinal tract after oral administration. Food may slightly delay absorption but does not significantly affect the extent of absorption.
DistributionRoxithromycin is widely distributed throughout the body, including the lungs, tonsils, and prostate. It achieves high concentrations in phagocytes and tissues.
Protein BindingApproximately 86-96% bound to plasma proteins, primarily to alpha-1-acid glycoprotein and albumin.
MetabolismRoxithromycin undergoes limited metabolism in the liver, primarily by cytochrome P450 enzymes, but to a lesser extent than erythromycin.
Half-LifeThe elimination half-life of Roxithromycin is approximately 10-14 hours in healthy adults.
ExcretionRoxithromycin is excreted mainly in the feces via bile, with a smaller portion excreted in the urine.
BioavailabilityThe oral bioavailability of Roxithromycin is approximately 50-55%.
Onset of ActionThe onset of action is typically within 1-2 hours after oral administration, but clinical improvement may take 24-48 hours.
Peak Plasma TimePeak plasma concentrations are reached approximately 1.5-2 hours after oral administration.
Duration of ActionThe duration of action is typically 12-24 hours, allowing for once or twice daily dosing.

How It Works

Roxithromycin inhibits bacterial protein synthesis by binding to the 50S ribosomal subunit, thereby blocking the translocation step of peptide chain elongation. This action is primarily bacteriostatic, but it can be bactericidal at higher concentrations against certain organisms.

Mechanism Steps

1
Binding to 50S subunit: Roxithromycin binds reversibly to the 50S ribosomal subunit of susceptible bacteria.
2
Inhibition of protein synthesis: This binding blocks the translocation of tRNA and prevents the elongation of the peptide chain.
3
Bacterial growth arrest: As a result, bacterial protein synthesis is halted, leading to inhibition of growth or death of the bacteria.

💡 How to Take cadithro 50mg tablet

Strength: Roxithromycin 50mg immediate-release tablet

1Take this medicine by mouth with a glass of water.
2You may take it with or without food.
3Swallow the tablet whole; do not crush or chew.
4Take at the same time each day to maintain consistent levels.
5Complete the full course as prescribed.

Dosage Information

Adult DosageThe usual adult dose of Roxithromycin is 150 mg twice daily or 300 mg once daily, depending on the infection being treated. For severe infections, the dose may be increased to 300 mg twice daily. The duration of treatment varies by indication. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may require dose adjustment based on renal function. No specific dose adjustment is generally needed unless there is significant renal impairment.
Renal ImpairmentIn patients with severe renal impairment (creatinine clearance <30 mL/min), dose reduction may be necessary. Consult your doctor.
Hepatic ImpairmentIn patients with severe hepatic impairment, dose reduction or avoidance may be necessary. Consult your doctor.
Maximum Daily DoseThe maximum recommended daily dose is 600 mg (300 mg twice daily).

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of cadithro 50mg tablet

✅ Common Side Effects

Nausea (Common (1-10%))
Take with food to reduce nausea. If it persists, consult your doctor.
Diarrhea (Common (1-10%))
Stay hydrated. If diarrhea is severe or contains blood, seek medical advice.
Abdominal pain (Common (1-10%))
Usually resolves on its own. If severe, contact your doctor.
Headache (Common (1-10%))
Rest and stay hydrated. If headache is severe or persistent, consult your doctor.

🚨 Serious Side Effects

Severe allergic reactions (anaphylaxis) (Rare (<0.1%))
Seek immediate medical attention if you experience rash, itching, swelling of the face, lips, or throat, or difficulty breathing.
Liver toxicity (hepatitis, cholestatic jaundice) (Rare (<0.1%))
Report yellowing of skin or eyes, dark urine, or severe abdominal pain to your doctor immediately.
QT prolongation and ventricular arrhythmias (Rare (<0.1%))
Seek medical attention if you experience palpitations, dizziness, or fainting.

⚠️ Rare Side Effects

Pseudomembranous colitis
Report severe or persistent diarrhea to your doctor.
Pancreatitis
Seek immediate medical attention if you experience severe upper abdominal pain radiating to the back.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Ergotamine Major
Warfarin Major
Simvastatin Moderate
Digoxin Moderate
Carbamazepine Moderate
Antacids Minor
Theophylline Minor

🚨 Major Interactions

  • Ergot alkaloids (e.g., ergotamine, dihydroergotamine)
  • Terfenadine, astemizole, cisapride
  • Warfarin

⚡ Moderate Interactions

  • Statins (e.g., simvastatin, atorvastatin)
  • Digoxin
  • Carbamazepine

🍷 Alcohol Interaction

Alcohol may increase the risk of liver side effects and should be avoided while taking this medicine.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypersensitivity to Roxithromycin or other macrolide antibiotics","Concurrent use with ergot alkaloids","Concurrent use with terfenadine, astemizole, or cisapride","Severe hepatic impairment"]

⚠️ Warnings & Precautions

["Use with caution in patients with liver disease.","Use with caution in patients with QT prolongation or risk factors.","May exacerbate myasthenia gravis.","Avoid alcohol during treatment.","Complete the full course as prescribed."]

🤱 Lactation Safety

Roxithromycin is excreted in human milk in small amounts. Caution is advised when used during breastfeeding. Consult your doctor.

💊 Overdose Management

There is no specific antidote for Roxithromycin overdose. Treatment should be symptomatic and supportive. Gastric lavage may be considered if ingestion is recent. Contact a poison control center or emergency department immediately.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor. Do not skip doses or stop early, even if you feel better. Inform your doctor if you have liver disease, heart problems, or myasthenia gravis. Avoid alcohol while taking this medicine. Tell your doctor about all other medicines you are taking, especially blood thinners, ergot alkaloids, and statins. If you miss a dose, take it as soon as you remember, but if it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more susceptible to side effects and drug interactions. Dose adjustment may be needed based on renal function.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy, consult your doctor before taking this medicine. Roxithromycin is generally considered acceptable when clearly needed, but always follow medical advice.

🏥 Post-Surgery Considerations

Inform your surgeon if you are taking this medicine before surgery. It may interact with other medications used during surgery.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine, as it may interact with other medications or affect healing.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy diet to support your immune system.
🥗
Stay hydrated by drinking plenty of fluids.
😴
Get adequate rest to help your body fight infection.
💧
Practice good hygiene to prevent the spread of infection.
🧘
Avoid close contact with others while infectious.

🏋️ Exercise Considerations

If you feel weak or dizzy, avoid strenuous exercise until you recover. Light activity is generally safe.

🥗 Diet Recommendations

Include probiotics like yogurt to maintain gut health.
Eat a balanced diet rich in fruits and vegetables.
Stay well hydrated.

💼 Impact on Daily Work & Life

This medicine may cause dizziness in some people. If affected, avoid driving or operating heavy machinery until you know how it affects you.

🛑 When to Stop This Medicine

Do not stop taking this medicine without consulting your doctor, even if you feel better. Stopping early may cause the infection to return and lead to antibiotic resistance.

📅 Long-Term Use Effects

Long-term use of Roxithromycin is not recommended unless prescribed for a specific chronic infection. Prolonged use may lead to antibiotic resistance and alter gut flora. Regular monitoring may be needed if used for extended periods.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Other antibiotics

Depending on the infection, other antibiotics like azithromycin or clarithromycin may be used.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific interactions with vaccines are known. However, consult your doctor about timing of vaccinations while on antibiotics.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

Carry this medicine in its original packaging with a copy of your prescription. Store at room temperature and protect from direct sunlight. If traveling across time zones, adjust dosing schedule as advised by your doctor. Check customs regulations for carrying prescription medicines.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old man with a persistent cough and fever
He was prescribed this medicine for a respiratory tract infection. After 3 days, his fever subsided and cough improved. He completed the 7-day course as advised and felt completely better.
💡 Lesson: Completing the full course of antibiotics is essential to fully clear the infection and prevent resistance.
👤 A 28-year-old woman with a skin infection
She started this medicine for cellulitis. She experienced mild nausea initially but it went away after taking it with food. The infection cleared within a week.
💡 Lesson: Taking the medicine with food can reduce side effects and improve tolerability.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: You may start feeling better within 1-2 days, but it is important to complete the full course as prescribed.

Q: Can I take it with food?

A: Yes, you can take it with or without food. Taking it with food may reduce stomach upset.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for cadithro 50mg tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: Antibiotics can cure viral infections like the flu.
    Fact: Antibiotics only work against bacteria, not viruses.
  • Myth: You can stop taking antibiotics once you feel better.
    Fact: You must complete the full course to prevent recurrence and resistance.

🔄 Alternative Options

Generic Alternatives

  • Roxithromycin 50mg tablet

Brand Alternatives

  • Adrox 50mg tablet

📊 Comparison with Similar Medicines

[{"medicine":"Roxithromycin","class":"Macrolide","half_life":"10-14 hours","frequency":"Once or twice daily"},{"medicine":"Azithromycin","class":"Macrolide","half_life":"68 hours","frequency":"Once daily"},{"medicine":"Clarithromycin","class":"Macrolide","half_life":"3-4 hours","frequency":"Twice daily"}]

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