Atrox 150mg Tablet (Roxithromycin): Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Difficulty breathing or swelling of the face, lips, tongue, or throat.
- Yellowing of the eyes or skin, dark urine, or pale stools.
- Severe or bloody diarrhea that does not improve.
- Palpitations, fainting, or unexplained dizziness.
- Severe upper abdominal pain radiating to the back.
- Unusual bruising or bleeding.
- High fever that does not improve after 3 days of treatment.
If experiencing severe symptoms, call emergency services immediately.
What is candica 150mg tablet used for?
This medicine is a macrolide antibiotic containing Roxithromycin 150 mg. It is used to treat certain bacterial infections of the respiratory tract, skin, and genital tract. It works by blocking protein production in bacteria. Take it exactly as prescribed and complete the full course.
- Generic Name: Roxithromycin
- Manufacturer: Medihands Pharmaceuticals
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 candica 150mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा रोक्सिथ्रोमाइसिन 150 मिलीग्राम युक्त एक मैक्रोलाइड एंटीबायोटिक है। इसका उपयोग श्वसन तंत्र, त्वचा और कुछ जननांग संक्रमणों के इलाज के लिए किया जाता है, जो संवेदनशील बैक्टीरिया के कारण होते हैं। यह बैक्टीरिया में प्रोटीन बनने की प्रक्रिया को रोककर उनकी वृद्धि को रोकती है। यह दवा वायरल संक्रमण जैसे सर्दी-जुकाम या फ्लू के लिए काम नहीं करती। इसे डॉक्टर के निर्देशानुसार पूरा कोर्स करना बहुत जरूरी है, भले ही आप जल्दी ठीक महसूस करने लगें।
साइड इफेक्ट्स: इस दवा से आमतौर पर हल्के दुष्प्रभाव हो सकते हैं जैसे जी मिचलाना, पेट में असहजता, दस्त, या सिरदर्द। ये आमतौर पर हल्के होते हैं और कुछ दिनों में ठीक हो जाते हैं। कभी-कभी धातु जैसा स्वाद, उल्टी, या त्वचा पर दाने हो सकते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन इनमें तेज एलर्जी, लिवर की सूजन, या दिल की धड़कन में गड़बड़ी शामिल हो सकती है। अगर सांस लेने में तकलीफ, चेहरे या गले में सूजन, आंखों या त्वचा का पीलापन, गहरे रंग का पेशाब, या बेहोशी जैसी समस्या हो, तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें और पूरा कोर्स पूरा करें, चाहे आप पहले ही ठीक महसूस करने लगें। गोली को पानी के साथ पूरा निगलें, चबाएं या तोड़ें नहीं। इसे भोजन के साथ या बिना भोजन के लिया जा सकता है, लेकिन भोजन के साथ लेने से पेट की तकलीफ कम हो सकती है। इस दवा के साथ शराब न लें। अपने डॉक्टर को अपनी सभी दवाओं, खासकर खून पतला करने वाली दवाओं, दिल की दवाओं और अन्य एंटीबायोटिक्स के बारे में बताएं। अगर आपको लिवर की बीमारी, दिल की धड़कन की समस्या, या पोटैशियम और मैग्नीशियम की कमी है, तो डॉक्टर को जरूर बताएं। गंभीर दस्त, पीलिया, धड़कन तेज होना, या बेहोशी होने पर तुरंत इलाज लें।
💊 candica 150mg tablet Uses & Benefits
[{"condition":"Community-acquired respiratory tract infections","description":"Used for certain upper and lower respiratory tract infections caused by susceptible bacteria, including some throat, sinus, and bronchial infections.","evidence":"Established for susceptible organisms"},{"condition":"Skin and soft tissue infections","description":"Prescribed for selected bacterial skin infections and soft tissue infections when the organism is likely to be susceptible.","evidence":"Established for susceptible organisms"},{"condition":"Genital tract infections","description":"Used in some non-gonococcal urethritis and cervicitis caused by susceptible organisms, often as part of a broader management plan.","evidence":"Established for susceptible organisms"},{"condition":"Dental infections","description":"Sometimes used for dental abscesses or gum infections when a macrolide is considered appropriate.","evidence":"Limited to selected cases"}]
Off-label uses: [{"condition":"Mycobacterial infections","description":"Occasionally considered in combination regimens for certain atypical mycobacterial infections under specialist supervision.","evidence":"Limited"},{"condition":"Helicobacter pylori eradication","description":"Sometimes included in combination regimens in areas where macrolide resistance is low, but this is not a standard first choice.","evidence":"Limited"}]
Primary treatment for: Bacterial infections of the respiratory tract, skin, and genital tract caused by susceptible organisms.
Also treats: Dental infections, Some atypical mycobacterial infections under specialist care
📋 Drug Information
| Generic Name(s) | Roxithromycin |
| Brand Name | Atrox |
| Manufacturer | Medihands Pharmaceuticals |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | ANTI INFECTIVES |
| Action Class | Macrolides |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C in a dry place, away from direct sunlight and moisture. Keep the tablets in their original container with the lid tightly closed. |
| Shelf Life | The shelf life is typically 24 months from the date of manufacture, but always check the expiry date printed on the pack. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine is a macrolide antibiotic that binds to the 50S ribosomal subunit of susceptible bacteria. By binding near the peptidyl transferase center and the nascent peptide exit tunnel, it blocks the elongation of the growing protein chain. As a result, bacteria cannot assemble essential proteins and their growth is halted. This effect is generally bacteriostatic at usual concentrations, meaning it stops bacterial multiplication and allows the body's immune system to clear the infection. The exact strength of the effect depends on the organism, the site of infection, and the concentration achieved in tissues.
Mechanism Steps
💡 How to Take candica 150mg tablet
Strength: Immediate-release tablet containing Roxithromycin 150 mg.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is 150 mg twice daily or 300 mg once daily, depending on the type and severity of the infection. Some infections may require a different schedule. The exact dose and duration must be individualized by a qualified clinician based on the indication, age, weight, kidney and liver function, and other medicines you take. Do not change the dose or stop early without medical advice. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician for appropriate dosing in children. |
| Elderly Dosage | Older adults may be more sensitive to the side effects of this medicine, especially heart rhythm changes and liver effects. The dose is usually the same as for younger adults, but your clinician may adjust it based on kidney and liver function and other medicines you take. |
| Renal Impairment | Dose adjustment may be needed in severe kidney impairment because this medicine is partly eliminated by the kidneys. Your clinician will decide if any change is required based on your kidney function tests. |
| Hepatic Impairment | This medicine should be used with caution in patients with liver disease. In severe liver impairment, it is usually avoided unless a specialist decides it is necessary. Your clinician may monitor liver function tests during treatment. |
| Maximum Daily Dose | The maximum recommended daily dose is 300 mg, but this must be confirmed by your clinician based on your specific condition. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of candica 150mg tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Warfarin | Major | |
| Ergotamine | Major | |
| Amiodarone | Major | |
| Simvastatin | Moderate | |
| Carbamazepine | Moderate | |
| Theophylline | Moderate | |
| Digoxin | Moderate | |
| Antacids | Minor | |
| Oral contraceptives | Minor | |
| Alcohol | Moderate |
🚨 Major Interactions
- Ergot alkaloids such as ergotamine or dihydroergotamine
- QT-prolonging medicines such as certain antiarrhythmics, antipsychotics, and some antidepressants
- Warfarin and other vitamin K antagonists
⚡ Moderate Interactions
- Statins such as simvastatin or atorvastatin
- Carbamazepine
- Theophylline
- Digoxin
🍷 Alcohol Interaction
Alcohol is best avoided while taking this medicine. Alcohol can increase stomach irritation, worsen nausea, and add stress to the liver, which is already involved in processing this medicine. If you drink regularly, discuss this with your clinician before starting treatment.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known allergy to Roxithromycin or any other macrolide antibiotic.","Severe liver disease or active liver failure.","Use with ergot alkaloids such as ergotamine or dihydroergotamine.","Known history of QT prolongation or certain dangerous heart rhythms.","Concurrent use with medicines that strongly prolong the QT interval, unless specifically approved by a specialist."]
⚠️ Warnings & Precautions
["This medicine should be used only for bacterial infections and not for viral illnesses such as the common cold or flu.","Complete the full course as prescribed, even if you feel better earlier, to reduce the risk of resistance.","Tell your clinician if you have liver disease, heart rhythm problems, or low potassium or magnesium levels.","Avoid alcohol while taking this medicine.","Do not share this medicine with others.","If you develop severe or bloody diarrhea, do not self-treat with anti-diarrheal medicines; contact your clinician.","If you are pregnant, planning pregnancy, or breastfeeding, discuss with your clinician before use."]
🤱 Lactation Safety
This medicine passes into breast milk in small amounts. It is generally considered acceptable during breastfeeding when prescribed by a clinician, but monitor the infant for diarrhea, thrush, or rash. If you notice any of these, contact your clinician.
💊 Overdose Management
Overdose with this medicine may cause severe nausea, vomiting, diarrhea, and possibly heart rhythm changes. There is no specific antidote. Treatment is supportive and may include monitoring of vital signs, electrolytes, and ECG. If you suspect an overdose, contact emergency services or a poison control center immediately and do not try to induce vomiting unless instructed by a medical professional.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember if less than half the dosing interval has passed. If more than half the interval has passed, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one.
Additional Safety Advice
Take this medicine exactly as prescribed by your clinician, at the same time each day, and complete the full course even if you feel better earlier. Swallow the tablet whole with water; do not crush or chew it unless your clinician or pharmacist advises otherwise. This medicine can be taken with or without food, but taking it with a meal may reduce stomach upset. Avoid alcohol while taking this medicine because it can worsen stomach irritation and liver stress. Inform your clinician about all other medicines you take, especially blood thinners, heart rhythm medicines, ergot medicines, and other antibiotics. Tell your clinician if you have liver disease, heart rhythm problems, or low potassium or magnesium levels. Do not share this medicine with anyone else, and do not save leftover tablets for future use. If you develop severe diarrhea, yellowing of the eyes or skin, palpitations, or fainting, seek medical care immediately.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Older adults may be more prone to side effects such as heart rhythm changes, liver problems, and interactions with other medicines. Your clinician may check your kidney and liver function and review all your medicines before prescribing this antibiotic.
🤰 Pregnancy Planning (TTC)
If you are trying to conceive or are pregnant, tell your clinician before taking this medicine. The safety of this medicine in pregnancy is not fully established, and your clinician will weigh the benefits and risks. Do not start or stop any medicine without medical advice.
🏥 Post-Surgery Considerations
If you are recovering from surgery and develop a bacterial infection, this medicine may be prescribed if the organism is susceptible. Inform your surgeon and anesthesiologist about all medicines you are taking, including this one, before any procedure.
🦷 Dental Procedures
This medicine may be used for certain dental infections. If you are having a dental procedure, tell your dentist about all medicines you take, including this one. Your dentist may coordinate with your clinician if antibiotics are needed.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
You can continue light exercise if you feel well, but avoid strenuous activity if you have fever, fatigue, or dizziness. Listen to your body and rest when needed. If you experience palpitations or shortness of breath, stop exercising and seek medical advice.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
Most people can continue their usual daily activities while taking this medicine. If you feel dizzy, unusually tired, or have palpitations, avoid driving or operating heavy machinery until you feel better. Inform your employer if you need to take time off to recover from the infection.
🛑 When to Stop This Medicine
Do not stop this medicine early unless your clinician tells you to. If you develop a serious side effect such as a severe allergic reaction, liver problems, or heart rhythm changes, stop the medicine and seek medical care immediately. If you have completed the prescribed course, you can stop as directed.
📅 Long-Term Use Effects
This medicine is usually prescribed for short courses, so long-term effects are not common. Prolonged or repeated use can increase the risk of antibiotic resistance, liver problems, and heart rhythm changes. If long-term treatment is needed, your clinician may monitor liver function, heart rhythm, and blood counts. Always discuss the need for continued treatment with your clinician.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Depending on the infection and susceptibility, your clinician may choose a different antibiotic class.
Evidence: Well-establishedRest, fluids, and fever control can help while the antibiotic works.
Evidence: Well-establishedMay help reduce antibiotic-associated diarrhea, but discuss with your clinician first.
Evidence: Limited💉 Vaccination Considerations
💉 If You're Getting Vaccinated
This medicine does not interact with most vaccines. However, if you are due for a live vaccine, inform your clinician that you are taking an antibiotic. There is no need to delay routine vaccinations unless your clinician advises otherwise.
📦 Storage Guide
✅ DO
Store at room temperature between 15°C and 30°C.
❌ DON'T
Do not refrigerate unless specified.
✅ DO
Keep in the original container with the lid tightly closed.
❌ DON'T
Do not transfer to unmarked containers.
✅ DO
Keep away from direct sunlight and moisture.
❌ DON'T
Do not store in the bathroom cabinet.
✅ DO
Keep out of reach of children.
❌ DON'T
Do not use after the expiry date.
✈️ Traveling with This Medicine
When travelling, carry this medicine in its original packaging with the prescription label clearly visible. Keep a copy of your prescription with you in case customs or security asks for it. Store it in a cool, dry place away from direct sunlight, and avoid leaving it in a hot car or checked luggage. If you are crossing time zones, ask your clinician how to adjust the timing of your doses so that you maintain the correct interval between doses. Carry enough supply for your entire trip and a little extra in case of delays.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Most people begin to feel better within 1 to 3 days, but it is important to complete the full course as prescribed.
A: Yes, you can take it with or without food. Taking it with a meal may reduce stomach upset.
A: If less than half the dosing interval has passed, take the missed dose as soon as you remember. If more than half has passed, skip it and continue with your regular schedule. Do not double dose.
A: It is best to avoid alcohol because it can worsen stomach irritation and add stress to your liver.
A: Use in pregnancy only if your clinician decides it is clearly needed. Discuss the risks and benefits with your doctor.
A: No, this medicine is an antibiotic and does not work against viruses. It should not be used for viral infections.
🤔 Common Patient Concerns
🔄 Substitutes for candica 150mg tablet
View AllAlternative brands with exact same active ingredient:
-
hycin 150mg tabletAlembic Pharmaceuticals Ltd ₹6.85 89.4% CHEAPER
-
Roxalgo 150mg TabletTerrace Pharmaceuticals ₹12.00 81.4% CHEAPER
-
Starox SuspensionBhavishya Pharmaceuticals Pvt Ltd ₹15.00 76.8% CHEAPER
-
Roxip 150mg TabletPCI Pharmaceuticals ₹16.41 74.6% CHEAPER
-
Roxico 150mg TabletShreya Life Sciences Pvt Ltd ₹17.40 73.1% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can cure the common cold or flu.
Fact: This medicine is an antibiotic and does not work against viruses. It should not be used for viral infections. - Myth: You can stop taking this medicine as soon as you feel better.
Fact: Stopping early can allow the infection to return and can promote antibiotic resistance. Complete the full course as prescribed. - Myth: This medicine is safe for everyone.
Fact: It is not safe for people with known macrolide allergy or severe liver disease, and it can interact with other medicines. - Myth: Antibiotics can be shared with family members.
Fact: Never share antibiotics. The dose and choice depend on the individual's condition and medical history.
🔄 Alternative Options
Generic Alternatives
- Roxithromycin 150 mg tablet
Brand Alternatives
- Atrox 150mg tablet