Roxithromycin Tablet: Complete Guide to Uses, Dosage, and Safety
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 face, lips, or throat
- Severe or bloody diarrhea
- Yellowing of skin or eyes
- Palpitations or fainting
- Severe abdominal pain
- Decreased urine output
- Rash with fever
If experiencing severe symptoms, call emergency services immediately.
What is Roxitas Kid Tablet used for?
Roxithromycin is a macrolide antibiotic used to treat bacterial infections such as pneumonia, bronchitis, skin infections, and certain sexually transmitted infections. It works by stopping bacterial protein synthesis. The usual adult dose is 150 mg twice daily or 300 mg once daily, taken orally for 5-10 days. It should not be used for viral infections like the common cold.
- Generic Name: Roxithromycin (NA)
- Manufacturer: Intas Pharmaceuticals Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 Roxitas Kid Tablet के बारे में (Hindi Summary)
उपयोग: यह दवा रोक्सिथ्रोमाइसिन नामक एंटीबायोटिक है, जिसका उपयोग बैक्टीरियल संक्रमणों के इलाज के लिए किया जाता है। यह श्वसन तंत्र के संक्रमण, त्वचा के संक्रमण, दांतों के संक्रमण और कुछ यौन संचारित संक्रमणों के लिए प्रभावी है। यह वायरल संक्रमण जैसे सर्दी-जुकाम के लिए काम नहीं करती।
साइड इफेक्ट्स: आम दुष्प्रभावों में मतली, दस्त, पेट दर्द और सिरदर्द शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन एलर्जी, लिवर की सूजन और अनियमित दिल की धड़कन हो सकती है। यदि आपको पीलिया, गहरे रंग का पेशाब, या सांस लेने में कठिनाई हो तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। पूरा कोर्स पूरा करें, भले ही आप बेहतर महसूस करें। इस दवा के साथ शराब न लें। यदि आपको लिवर या दिल की समस्या है तो डॉक्टर को बताएं। बच्चों की पहुंच से दूर रखें।
💊 Roxitas Kid Tablet Uses & Benefits
[{"condition":"Community-acquired pneumonia","description":"Used to treat bacterial pneumonia caused by susceptible organisms such as Streptococcus pneumoniae and Mycoplasma pneumoniae.","evidence":"Well-established"},{"condition":"Acute bronchitis","description":"Prescribed for bacterial bronchitis when antibiotics are indicated.","evidence":"Established"},{"condition":"Skin and soft tissue infections","description":"Effective against many skin infections caused by Staphylococcus aureus and Streptococcus pyogenes.","evidence":"Established"},{"condition":"Urethritis and cervicitis","description":"Used to treat infections caused by Chlamydia trachomatis and Ureaplasma urealyticum.","evidence":"Well-established"},{"condition":"Dental infections","description":"Prescribed for dental abscesses and periodontitis as an alternative to penicillin.","evidence":"Established"}]
Off-label uses: [{"condition":"Helicobacter pylori eradication","description":"Sometimes included in combination regimens for H. pylori, though not first-line.","evidence":"Limited"},{"condition":"Lyme disease","description":"May be used as an alternative in early localized Lyme disease, but evidence is limited.","evidence":"Limited"}]
Primary treatment for: Bacterial infections
Also treats: Respiratory tract infections, Skin infections, Sexual transmitted infections, Dental infections
📋 Drug Information
| Generic Name(s) | Roxithromycin (NA) |
| Brand Name | Roxitas Kid Tablet |
| Manufacturer | Intas Pharmaceuticals Ltd |
| Packaging / Form | strip of 10 tablets (Allopathy) |
| Therapeutic Class | |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) in a dry place, away from direct sunlight. Keep in the original container. |
| Shelf Life | 24 months from the date of manufacture. |
| 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
Roxithromycin is a semi-synthetic macrolide antibiotic. It binds reversibly to the 50S ribosomal subunit of susceptible bacteria, specifically to the 23S rRNA component of the 50S subunit. This binding inhibits the translocation step of protein synthesis, preventing the elongation of polypeptide chains. As a result, bacterial protein synthesis is halted, leading to inhibition of bacterial growth and replication. Roxithromycin is primarily bacteriostatic but can be bactericidal at high concentrations against certain organisms.
Mechanism Steps
💡 How to Take Roxitas Kid Tablet
Strength: Roxithromycin is available as 150 mg and 300 mg immediate-release tablets.
Dosage Information
| Adult Dosage | The usual adult dose of roxithromycin is 150 mg twice daily or 300 mg once daily, depending on the type and severity of infection. For severe infections, the dose may be increased to 300 mg twice daily. The duration of treatment varies from 5 to 10 days. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may require dose adjustment based on renal function. No specific dose reduction is generally needed unless renal impairment is present. Dose must be individualized by a qualified clinician. |
| Renal Impairment | In patients with severe renal impairment (creatinine clearance <30 mL/min), the dose may need to be reduced. Consult your doctor for individualized dosing. |
| Hepatic Impairment | In patients with severe hepatic impairment, roxithromycin should be used with caution. Dose reduction may be necessary. Consult your doctor. |
| Maximum Daily Dose | The maximum recommended daily dose is 600 mg (300 mg twice daily). |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of Roxitas Kid 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 | |
| Terfenadine | Major | |
| Simvastatin | Major | |
| Carbamazepine | Moderate | |
| Cyclosporine | Moderate | |
| Digoxin | Moderate | |
| Theophylline | Moderate | |
| Antacids | Minor | |
| Oral contraceptives | Minor |
🚨 Major Interactions
- Ergot alkaloids (e.g., ergotamine, dihydroergotamine)
- Terfenadine, astemizole, cisapride
- Warfarin
- Statins (e.g., simvastatin, atorvastatin)
⚡ Moderate Interactions
- Carbamazepine
- Cyclosporine
- Digoxin
- Theophylline
🍷 Alcohol Interaction
Alcohol may increase the risk of stomach upset and dizziness. It is advisable to avoid alcohol while taking this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to roxithromycin or other macrolides","Severe liver disease","Concomitant use with ergot alkaloids","Concomitant use with terfenadine, astemizole, or cisapride","History of QT prolongation or ventricular arrhythmias"]
⚠️ Warnings & Precautions
["Use with caution in patients with liver impairment; monitor liver function.","May prolong QT interval; avoid in patients with known QT prolongation.","Caution in patients with myasthenia gravis as macrolides may worsen symptoms.","Superinfection with resistant organisms may occur; monitor.","Avoid concomitant use with other QT-prolonging drugs.","Adjust dose in severe renal impairment."]
🤱 Lactation Safety
Roxithromycin is excreted in breast milk in small amounts. It is generally considered compatible with breastfeeding, but consult your doctor to weigh benefits and risks.
💊 Overdose Management
Overdose may cause severe nausea, vomiting, diarrhea, and hearing loss. There is no specific antidote. Treatment is supportive and symptomatic. 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
Take this medicine exactly as prescribed by your doctor. Do not skip doses or stop treatment early, even if you feel better. Avoid alcohol while taking this medicine as it may increase stomach upset. Inform your doctor if you have liver or heart problems before starting this medicine. Do not share this medicine with others. Keep out of reach of children.
👴 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. Monitor closely.
🤰 Pregnancy Planning (TTC)
Consult your doctor before taking this medicine if you are pregnant or planning pregnancy. Roxithromycin is generally considered safe but use only if clearly needed.
🏥 Post-Surgery Considerations
Inform your surgeon if you are taking this medicine before surgery. It may interact with anesthetics or other medications.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine. It may be used for dental infections but can interact with other medications used during dental procedures.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Rest is recommended during acute infection. Gradually resume exercise as you recover. Avoid strenuous activity if you feel dizzy or weak.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
You may feel tired or dizzy; avoid driving or operating heavy machinery until you know how this medicine affects you. Take sick leave if needed.
🛑 When to Stop This Medicine
Stop only after completing the full prescribed course. Do not stop early even if you feel better. Consult your doctor if you experience severe side effects.
📅 Long-Term Use Effects
Long-term use of roxithromycin may lead to bacterial resistance and superinfection. It is not intended for prolonged use unless directed by a doctor. Monitor liver function if used for more than 2 weeks.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Another macrolide with similar uses but different dosing.
Evidence: Well-establishedA penicillin antibiotic for bacterial infections if not allergic.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
Antibiotics do not interact with vaccines. However, if you are acutely ill, vaccination may be postponed until you recover.
📦 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 extreme heat or moisture. If traveling across time zones, adjust dosing times gradually. Check customs regulations for carrying antibiotics.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: You may start feeling better within 1-2 days, but complete the full course as prescribed.
A: Yes, you can take it with or without food.
A: Take it as soon as you remember, but if it's almost time for the next dose, skip it. Do not double dose.
🤔 Common Patient Concerns
🔄 Substitutes for Roxitas Kid Tablet
View AllAlternative brands with exact same active ingredient:
-
dianort tabletRusi Remedies P Ltd ₹13.42 52.3% CHEAPER
-
Roxithro SyrupSun Pharmaceutical Industries Ltd ₹16.99 39.6% CHEAPER
-
ventrox pd tabletSatven And Mer ₹23.07 18% CHEAPER
-
xthrocin syrupRusi Remedies P Ltd ₹27.71 1.5% CHEAPER
-
ero kid tabletRhombus Pharma Pvt Ltd ₹33.52 19.2% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: Roxithromycin can cure the common cold.
Fact: Roxithromycin is an antibiotic and is ineffective against viruses, including those causing the common cold. - Myth: You can stop taking roxithromycin once you feel better.
Fact: You must complete the full prescribed course to prevent bacterial resistance and recurrence of infection. - Myth: Roxithromycin is safe for everyone.
Fact: It is not safe for people with known macrolide allergy, severe liver disease, or certain heart conditions.
🔄 Alternative Options
Generic Alternatives
- Roxithromycin 150 mg tablet
- Roxithromycin 300 mg tablet
Brand Alternatives
- Roxid
- Roxee
- Roxifree
- Roxomycin