Rolid 50 mg/5 ml (Powder for Suspension)
Medicine Details
| Category | Details |
|---|---|
| Generic | Roxithromycin |
| Company | Globe pharmaceuticals ltd |
| Also available as |
Indications
- Respiratory infections like pneumonia
- Acute and chronic bronchitis
- Bronchopneumonia
- ENT infections like tonsillitis
- Pharyngitis
- Sinusitis
- Otitis media
- Skin infections like folliculitis
- Furuncles
- Cellulitis
- Carbuncles
- Pyoderma
- Impetigo
- Infected dermatitis
- Genital infections like urethritis
- Prostatitis
- Cervicitis
- Salpingitis especially if produced by Chlamydia trachomatis
Description
Rolid is a macrolide with antibacterial properties similar to erythromycin. It is active against Gram-positive bacteria like staphylococci, streptococci, listeria, corynebacteria; Gram-negative bacteria such as gonococci, Haemophilus influenzae, Haemophilus ducreyi, Legionella, campylobacter, and atypical pathogens like Mycoplasma and Chlamydia. Rolid has been found useful in the treatment of upper and lower respiratory tract infection, otorhinolaryngological, skin, dental, and genital infections. It is well tolerated by adults and children.
Pharmacology
Roxithromycin inhibits protein synthesis by irreversibly binding to the 50s ribosomal subunits thus blocking the transpeptidation or translocation reactions of susceptible organisms resulting in stunted cell growth.
Dosage & Administration
- Adult dose: The usual dose for adults is one 300 mg tablet once daily or one 150 mg tablet twice a day for at least two days after resolution of symptoms, a normal course of therapy is between 5 and 10 days. Roxithromycin is best administered on an empty stomach. In severe hepatic impairment the dose is 150 mg once daily.
- Pediatric dose: The dose for children is 2.5 to 5 mg/kg body weight twice a day. The following general guidelines can be followed: 6 to 11 Kg- 25 mg Roxithromycin 12 hourly, 12 to 23 Kg- 50 mg Roxithromycin 12 hourly, 24 to 40 Kg- 100 mg Roxithromycin 12 hourly. A normal course of therapy is between 5 and 10 days.
Interaction
Rolid does not have any affinity for cytochrome P-450 binding sites and thus is unlikely to produce drug interaction mediated by this enzymatic system. Rolid shows mild interaction with theophylline though this has not been found to produce clinically relevant effects. Alteration in the pharmacokinetics of carbamazepine or warfarin has not been found. Antacids, H2- receptor antagonists, and food have no effect on the absorption of Rolid.
Contraindications
Roxithromycin should not be administered simultaneously with ergotamine or its derivatives as it may provoke arterial spasm and severe ischemia.
Side Effects
- Nausea
- Abdominal pain
- Diarrhea
- Hypersensitivity rash
- Vomiting
- Dizziness
- Headache
- Pruritus
- Dyspepsia
- Flatulence
- Tinnitus
- Vertigo
- Constipation
Pregnancy & Lactation
The safety of Roxithromycin in pregnancy has not been established. It appears in breast milk in small amounts and does not produce adverse effects in the breastfed infant.
Precautions & Warnings
Rolid should not be used in patients with a history of hypersensitivity to the drug. In patients with hepatic diseases, the dose of Rolid should not exceed 150 mg twice a day.
Therapeutic Class
Macrolides