Macromycin Tablet (Spiramycin 3 Million IU): 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
- Yellowing of the skin or eyes, dark urine, or severe tiredness.
- Swelling of the face, lips, tongue, or throat, or difficulty breathing.
- Severe or persistent diarrhea, especially with blood.
- Palpitations, dizziness, or fainting.
- Unusual bleeding or bruising.
- Severe abdominal pain or vomiting blood.
- Signs of a severe skin reaction such as blistering or peeling.
If experiencing severe symptoms, call emergency services immediately.
What is spiratox tablet used for?
This medicine contains Spiramycin 3 Million IU, a macrolide antibiotic used to treat certain bacterial infections, including respiratory, skin, dental, and toxoplasmosis infections. It works by stopping bacteria from making proteins they need to survive. It is available only with a prescription and should be taken exactly as directed by your doctor.
- Generic Name: Spiramycin (3Million IU)
- Manufacturer: Dahlia Pharmaceutical Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 spiratox tablet के बारे में (Hindi Summary)
उपयोग: यह दवा स्पाइरामाइसिन 3 मिलियन IU युक्त एक मैक्रोलाइड एंटीबायोटिक है, जिसका उपयोग कुछ जीवाणु संक्रमणों के इलाज के लिए किया जाता है। यह श्वसन तंत्र के संक्रमण, त्वचा और मुलायम ऊतकों के संक्रमण, दांतों और मुंह के संक्रमण, और गर्भावस्था के दौरान टोक्सोप्लाज्मोसिस के इलाज में मदद करती है। यह दवा बैक्टीरिया के प्रोटीन बनाने की प्रक्रिया को रोककर उन्हें बढ़ने से रोकती है। यह दवा केवल डॉक्टर के पर्चे पर ही मिलती है और डॉक्टर के बताए अनुसार ही लेनी चाहिए। वायरल संक्रमण जैसे सर्दी-जुकाम के लिए यह दवा प्रभावी नहीं है।
साइड इफेक्ट्स: इस दवा को लेने पर कुछ लोगों को पेट से जुड़ी समस्याएं जैसे मतली, उल्टी, दस्त, या पेट दर्द हो सकता है। कुछ लोगों को मुंह में धातु जैसा स्वाद या भूख में कमी महसूस हो सकती है। कभी-कभी त्वचा पर दाने, खुजली, या धूप के प्रति संवेदनशीलता हो सकती है। बहुत कम मामलों में यह दवा लिवर को प्रभावित कर सकती है, जिससे आंखों या त्वचा का पीलापन, गहरे रंग का पेशाब, या असामान्य थकान हो सकती है। अगर आपको कोई गंभीर या असामान्य लक्षण दिखे, तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें, और बिना सलाह के खुराक या अवधि न बदलें। गोली को पानी के साथ पूरा निगलें, और अगर पेट खराब हो तो इसे भोजन के साथ लें। अगर कुछ दिनों में आराम महसूस होने लगे तो भी पूरा कोर्स पूरा करें, क्योंकि बीच में दवा छोड़ने से संक्रमण फिर से हो सकता है। इस दवा के साथ शराब न लें। अपने डॉक्टर को अपनी सभी दवाओं, सप्लीमेंट्स और हर्बल उत्पादों के बारे में बताएं। अगर आप गर्भवती हैं, गर्भधारण की योजना बना रही हैं, या स्तनपान करा रही हैं, तो डॉक्टर को बताएं। इस दवा को बच्चों की पहुंच से दूर रखें और ठंडी, सूखी जगह पर स्टोर करें।
💊 spiratox tablet Uses & Benefits
[{"condition":"Toxoplasmosis in pregnancy","description":"Used to reduce the risk of vertical transmission of Toxoplasma gondii from mother to baby during pregnancy.","evidence":"Well-established"},{"condition":"Respiratory tract infections","description":"Used for certain upper and lower respiratory tract infections caused by susceptible bacteria.","evidence":"Established"},{"condition":"Skin and soft tissue infections","description":"Prescribed for bacterial infections of the skin and underlying soft tissues.","evidence":"Established"},{"condition":"Dental and oral infections","description":"Used to treat certain dental abscesses and infections of the mouth and gums.","evidence":"Established"},{"condition":"Genital tract infections","description":"May be used for certain bacterial infections of the genital tract when appropriate.","evidence":"Limited"}]
Off-label uses: [{"condition":"Cryptosporidiosis","description":"Sometimes considered in selected patients, but evidence is limited and it is not a standard first choice.","evidence":"Limited"},{"condition":"Other protozoal infections","description":"Occasionally used in specific situations under specialist guidance, but not routinely recommended.","evidence":"Limited"}]
Primary treatment for: Bacterial infections
Also treats: Toxoplasmosis, Respiratory tract infections, Skin and soft tissue infections, Dental infections
📋 Drug Information
| Generic Name(s) | Spiramycin (3Million IU) |
| Brand Name | spiratox tablet |
| Manufacturer | Dahlia Pharmaceutical Pvt Ltd |
| 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 cool, dry place. Protect from direct sunlight and moisture. Keep the tablets in their original container. |
| Shelf Life | Refer to the expiry date printed on the pack. Do not use after the expiry date. |
| 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 works by binding to the bacterial ribosome, specifically the 50S subunit, and blocking the assembly of proteins that bacteria need for growth and survival. Without these proteins, the bacteria cannot multiply and are eventually cleared by the body's immune system. This action is mainly bacteriostatic, meaning it stops bacterial growth rather than directly killing the bacteria, although it can be bactericidal at higher concentrations against some organisms. Because human cells do not have the same type of ribosome, this medicine selectively targets bacteria with less effect on human protein production.
Mechanism Steps
💡 How to Take spiratox tablet
Strength: Spiramycin 3 Million IU immediate-release tablet
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is determined by your doctor based on the type and severity of the infection, your age, weight, kidney function, and liver function. A common adult dose is 3 Million IU taken two to three times daily, but this may vary. Always follow the dose and duration prescribed by your doctor. Do not self-adjust the dose. 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 for appropriate dosing in children. |
| Elderly Dosage | Elderly patients may be more sensitive to the effects of this medicine, especially if they have reduced kidney or liver function. Your doctor will adjust the dose based on your overall health and kidney and liver function. |
| Renal Impairment | Dose adjustment may be needed in patients with severe kidney impairment. Your doctor will determine the appropriate dose based on your kidney function tests. |
| Hepatic Impairment | Dose adjustment may be needed in patients with liver impairment. Your doctor will determine the appropriate dose based on your liver function tests. |
| Maximum Daily Dose | The maximum daily dose should be determined by your doctor based on the indication and your individual factors. Do not exceed the prescribed dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of spiratox 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 | |
| Ergot alkaloids | Major | |
| Carbamazepine | Moderate | |
| Valproic acid | Moderate | |
| Antacids | Minor | |
| Oral contraceptives | Minor | |
| Antiarrhythmics | Major | |
| Other macrolides | Moderate | |
| Digoxin | Moderate | |
| Theophylline | Moderate |
🚨 Major Interactions
- Ergot alkaloids
- Warfarin and other anticoagulants
- Certain antiarrhythmic medicines
⚡ Moderate Interactions
- Carbamazepine
- Valproic acid
- Other macrolide antibiotics
🍷 Alcohol Interaction
It is advisable to avoid alcohol while taking this medicine. Alcohol can increase the risk of stomach upset, nausea, and liver-related side effects. If you drink alcohol regularly, discuss this with your doctor before starting treatment.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known allergy to Spiramycin or other macrolide antibiotics.","Previous severe allergic reaction to any macrolide antibiotic.","Use with ergot alkaloids due to risk of ergot toxicity.","Severe liver disease unless specifically directed by a specialist.","Not recommended for treating viral infections such as the common cold or flu."]
⚠️ Warnings & Precautions
["Inform your doctor if you have liver disease, heart rhythm problems, or kidney disease.","Tell your doctor about all other medicines you are taking, including over-the-counter products and herbal supplements.","Avoid alcohol while taking this medicine.","Do not stop the medicine early even if you feel better, as this can lead to treatment failure.","If you develop a rash, swelling, or difficulty breathing, seek medical help immediately.","If you are pregnant or breastfeeding, consult your doctor before taking this medicine.","Keep this medicine out of reach of children.","Do not share this medicine with others."]
🤱 Lactation Safety
Spiramycin passes into breast milk in small amounts. It is generally considered compatible with breastfeeding when prescribed by a doctor, but you should consult your doctor to weigh the benefits and risks for you and your baby.
💊 Overdose Management
If you suspect an overdose, seek immediate medical attention. Symptoms of overdose may include severe nausea, vomiting, diarrhea, and abdominal pain. Treatment is supportive and symptomatic, and there is no specific antidote. Contact your doctor or a poison control center right away.
⏰ 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 take a double dose to make up for a missed one.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor, and do not change the dose or duration without medical advice. Swallow the tablet whole with a glass of water, and take it with food if it upsets your stomach. Complete the full course even if you start feeling better after a few days, because stopping early can allow the infection to come back. Avoid alcohol while taking this medicine, as it may worsen stomach upset and liver stress. Tell your doctor about all other medicines, supplements, and herbal products you are taking, especially blood thinners, heart medicines, and other antibiotics. If you are pregnant, planning pregnancy, or breastfeeding, inform your doctor before taking this medicine. Keep this medicine out of reach of children and store it in a cool, dry place away from direct sunlight. Do not share this medicine with others, even if they have similar symptoms.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more sensitive to the side effects of this medicine, especially if they have reduced kidney or liver function. Your doctor may adjust the dose and monitor you more closely.
🤰 Pregnancy Planning (TTC)
If you are planning pregnancy or are pregnant, consult your doctor before taking this medicine. It is sometimes used during pregnancy for specific infections, but only under medical supervision.
🏥 Post-Surgery Considerations
If you are scheduled for surgery, inform your surgeon and anesthesiologist that you are taking this medicine. They will assess whether any adjustments are needed.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine before any dental procedure. This medicine may be used to treat dental infections, but your dentist will determine the best course of action.
💚 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 other symptoms of infection. Listen to your body and rest when needed.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine is generally unlikely to affect your ability to work or drive. However, if you experience dizziness, fatigue, or stomach upset, avoid driving or operating heavy machinery until you feel better.
🛑 When to Stop This Medicine
Do not stop this medicine without consulting your doctor. Complete the full course as prescribed, even if you feel better. If you experience severe side effects, contact your doctor immediately for advice.
📅 Long-Term Use Effects
Long-term use of this medicine is not usually recommended unless specifically directed by your doctor. Prolonged use may increase the risk of liver problems, antibiotic resistance, and changes in gut bacteria. Your doctor may monitor your liver function and other parameters if long-term treatment is necessary. Always follow your doctor's advice regarding the duration of treatment.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Depending on the infection, your doctor may prescribe a different antibiotic if this medicine is not suitable for you.
Evidence: Well-establishedRest, hydration, and symptomatic treatment can help while the infection resolves.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no specific vaccine interactions reported with this medicine. However, if you are due for any vaccinations, inform your doctor that you are taking this medicine.
📦 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
When traveling, carry this medicine in its original packaging along with a copy of your prescription. Keep it in your hand luggage to avoid loss or temperature extremes. Store it at room temperature and away from direct sunlight. If you are crossing time zones, continue taking your doses at the same intervals as prescribed, but consult your doctor if you are unsure. Check the customs regulations of your destination regarding prescription medicines.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: You may start feeling better within a few days, but you must complete the full course as prescribed. The exact time depends on the type and severity of the infection.
A: Yes, taking this medicine with food is recommended to reduce stomach upset and improve absorption.
A: This medicine is commonly used during pregnancy for specific indications such as toxoplasmosis, but it should only be taken under medical supervision.
A: 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 dose.
🤔 Common Patient Concerns
🔄 Substitutes for spiratox tablet
View AllAlternative brands with exact same active ingredient:
-
curetox tabletCureill Pharma Pvt. Ltd. ₹407.81 3.3% CHEAPER
-
spye 3million iu tabletBayer Zydus Pharma Pvt Ltd ₹480.00 13.8% COSTLIER
-
toxoplas 3 miu tabletMerganzer Pharma Private Limited ₹521.00 23.5% COSTLIER
-
spiracin 3miu tabletSimpex Pharma Pvt Ltd ₹530.63 25.8% COSTLIER
-
spiro best 3miu tabletBest Biotech ₹615.00 45.8% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can cure viral infections like the common cold.
Fact: This medicine is an antibiotic and is not effective against viral infections. It should only be used for bacterial infections as prescribed. - Myth: You can stop taking this medicine as soon as you feel better.
Fact: You must complete the full course as prescribed, even if you feel better, to prevent the infection from returning and to reduce the risk of antibiotic resistance. - Myth: This medicine is safe to take without a prescription.
Fact: This medicine is a prescription antibiotic and should only be taken under the guidance of a qualified doctor.
🔄 Alternative Options
Generic Alternatives
- Spiramycin 3 Million IU tablet
Brand Alternatives
- Macromycin tablet