How It Works:

Roxithromycin is an antibiotic that works by interfering with the synthesis of proteins essential for bacteria to survive, thereby killing or stopping the growth of the bacteria that are causing the infection.

Side Effects:

indigestion, hallucination, Nausea, narrowing of the airways, ringing in the ear, rapid or irregular heart beat, changes in blood cell count, additional fungal infections in the mouth and vagina on long-term use, allergic skin reactions, severe and persistent diarrhea during or in the first weeks after treatment., vomiting, itching, confusion, visual disturbance, stomach pain, tingling and numbness in the hands and feet, constipation, loss of appetite, impaired sense of taste and/or smell, diarrhea, dizziness, mental disorders, gas, muscle weakness, severe stomach and back pain due to inflammation of pancreas during or after treatment, liver toxicity, headache, severe allergic reaction

Used For:

Roxithromycin is used to treat ear, nose and throat infections, pneumonia (lung infection), skin infections and infections of the genitalia.


Do not start or continue roxithromycin and consult your doctor: 
  • if you are allergic to roxithromycin, or to any of the other ingredients in roxithromycin tablets, or other similar drugs like erythromycin, azithromycin, or clarithromycin.
  • if you develop diarrhea with blood in stools.
Roxithromycin may cause dizziness when treatment is just begun. Avoid driving or using heavy machinery if you feel dizzy. Consult your doctor before taking this drug if you are pregnant or breast feeding.

Frequently Ask Questions:

Q. Is roxithromycin/Rulide safe during pregnancy?Rulide is a brand name of roxithromycin. Studies in animals have shown no risk to the fetus with roxithromycin, however there are no sufficient studies in humans. Patients should follow the advice of the doctor regarding its use.
Q. Is roxithromycin same as penicillin or erythromycin?Roxithromycin, penicillin and erythromycin are antibiotics. Roxithromycin and erythromycin belong to the macrolide group of antibiotics. Macrolides and penicillins act differently, but they are used to treat similar type of infections.
Q. Is roxithromycin a strong antibiotic?Roxithromycin is effective for treating ear, nose and throat infections, pneumonia (lung infection), skin infections and infections of the genitalia. It does not treat infections other than these. Also, roxithromycin has a good safety profile if used at prescribed doses for the prescribed duration as advised by your doctor.
Q. Is roxithromycin stronger than amoxicillin?Amoxicillin belongs to penicillin group of antibiotics and is used to treat many infections which roxithromycin cannot treat (e.g. cases where infection has spread throughout the body [septicaemia], typhoid and related diseases etc.).
Q. Can I take roxithromycin with alcohol?There are no known serious interactions of roxithromycin with alcohol. However, it is advisable to abstain from alcohol when on treatment with roxithromycin.
Q. Can I take roxithromycin with Panadol (paracetamol) or ibuprofen or Nurofen (codeine and ibuprofen)?No results found for any interaction of roxithromycin with all these drugs, but always consult with your doctor before taking this medication.
Q. Does roxithromycin affect the contraceptive pill?In some cases and especially if vomiting and diarrhea occur while using roxithromycin, the contraceptive effects can be unreliable. Using an additional form of contraception, such as condoms, during roxithromycin treatment is therefore advisable.
Q. Does roxithromycin make you drowsy?Roxithromycin is not known to cause drowsiness. However, dizziness may occur when roxithromycin is just begun. Hence, driving, operating machinery or other skilfull activities should be avoided if symptoms are experienced.
Q. Does roxithromycin treat chlamydia?Roxithromycin can be used to treat chlamydia infection which affects the genitalia.
Q. Does roxithromycin treat UTI?Roxithromycin can treat lower urinary tract infections i.e. infections of the urinary bladder and urethra.
Q. Does roxithromycin contain sulphur?No, roxithromycin does not contain sulphur.
Q. Does roxithromycin treat strep throat?Yes. Roxithromycin can treat strep throat. However, penicillin group of antibiotics are the drugs of choice for treatment of these infections. If you are allergic to penicillins, macrolides like erythromycin, azithromycin or roxithromycin can be used.
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