AntiInfectiveMeds
Since 2010
| Quantity | Price per tablet | You save | Total price | |
|---|---|---|---|---|
| 60 | C$1.40 | - | C$84.14 | |
| 90 | C$1.26 | C$12.39 | C$113.82 | |
| 120 | C$1.22 | C$21.84 | C$146.44 | |
| 180 | C$1.16 | C$43.96 | C$208.46 | |
| 270 | C$1.11 | C$78.33 | C$300.30 | |
| 360 | C$1.09 | C$113.12 | C$391.72 |
Your order is carefully packed and ships within 24 hours. Here is what a typical package looks like.
Sized like a regular personal letter (approximately 24x11x0.7 cm), with no indication of what is inside.
| Shipping Method | Estimated delivery |
|---|---|
| Express Free for orders over C$420.00 | Estimated delivery to Canada: 4-7 days |
| Standard Free for orders over C$280.00 | Estimated delivery to Canada: 14-21 days |
Roxithromycin is a macrolide antibiotic used in some countries to treat bacterial infections caused by susceptible bacteria, most often respiratory tract infections and some skin or soft tissue infections. It is an oral, prescription-only medication; in Canadian clinical practice, antibiotic choice should be guided by a licensed prescriber based on local availability and the specific infection being treated.
Canadian note: Roxithromycin is not approved by Health Canada for use in Canada. Any use in Canada should be guided by a licensed clinician.
Roxithromycin may be prescribed for bacterial infections caused by susceptible organisms, including some upper and lower respiratory tract infections and some skin or soft tissue infections. It does not work against viral illnesses such as colds or the flu.
In markets where it is approved, roxithromycin is typically taken by mouth once or twice daily, often at least 15 minutes before meals, since food can reduce absorption. Follow your prescriber's directions and finish the full course unless you are told otherwise.
| Comparison | Roxithromycin | Amoxicillin | Azithromycin | Erythromycin |
|---|---|---|---|---|
| Drug class | Macrolide | Penicillin (beta-lactam) | Macrolide (azalide) | Macrolide |
| Typical role | An alternative option in some countries for susceptible respiratory or skin infections | A common first-line option for many ENT or respiratory infections, when appropriate | Often used for certain respiratory infections and some atypical pathogens, when appropriate | An older macrolide; still used, but often limited by GI side effects and interactions |
| Penicillin allergy | May be an alternative for some people with penicillin allergy, depending on clinical judgment | Not suitable in true immediate-type penicillin allergy | May be an alternative for some people with penicillin allergy, depending on clinical judgment | May be an alternative for some people with penicillin allergy, depending on clinical judgment |
| Food effect | Absorption can be reduced by food; often taken before meals | Usually can be taken with or without food, depending on the product | Depends on the formulation; many can be taken with or without food | Depends on the salt or formulation; some are affected by food |
| Common side effects | GI upset (nausea, abdominal pain, diarrhea), headache, rash | GI upset, rash; diarrhea can occur | GI upset, diarrhea; often less nausea than erythromycin | GI upset is common; nausea and abdominal cramps are frequent |
| QT/arrhythmia risk | Macrolide class warning: QT prolongation can occur in rare cases | Not a typical QT-prolonging antibiotic | Macrolide class warning: QT prolongation can occur in rare cases | Macrolide class warning: QT prolongation can occur in rare cases |
| Drug interaction potential | Can interact with some medications (see below); use caution with anticoagulants | Fewer CYP-related interactions than macrolides | Generally fewer CYP3A interactions than erythromycin or clarithromycin | More CYP-related interactions than many alternatives |
| Scenario (simplified) | Often considered | Notes |
|---|---|---|
| A typical bacterial ENT or respiratory infection where a beta-lactam is appropriate | Amoxicillin | A common first-line choice in many guidelines and markets; this depends on the diagnosis and local resistance patterns. |
| Suspected atypical respiratory pathogens, or when a macrolide-type option is needed | Azithromycin | Often preferred within the macrolide class because of convenient dosing and generally fewer CYP3A interactions than erythromycin. |
| Need for a macrolide alternative where it is available locally | Roxithromycin | Used in some countries; take local product information into account. In the U.S., it is not approved by the FDA. |
| A macrolide is needed but newer alternatives are not suitable or available | Erythromycin | It can be effective in some settings, but GI side effects and interactions can limit its use. |
| When to be extra cautious with macrolides | Roxithromycin / Azithromycin / Erythromycin | Use caution with known QT prolongation, electrolyte abnormalities, or other QT-prolonging medications. |
Roxithromycin is a macrolide antibiotic. It binds to the 50S ribosomal subunit and blocks bacterial protein synthesis.
Common side effects include nausea, abdominal pain, diarrhea, headache, and skin rash.
Stop taking the medication and get urgent medical care if you develop signs of a serious allergic reaction, such as swelling of the face, lips, or tongue, trouble breathing, severe skin reactions with blistering or peeling, severe or persistent diarrhea, or symptoms of liver injury such as dark urine, yellowing of the skin or eyes, or severe fatigue.
Tell your clinician or pharmacist about all medications and supplements you take. Important interactions may include:
Roxithromycin has an absolute bioavailability of about 50%. Peak concentrations usually occur about 1-2 hours after a dose. Food can reduce absorption. It is highly protein bound and distributes into tissues; small amounts may be found in breast milk. It is eliminated by multiple routes, including fecal and urinary elimination, with a reported half-life of around 12 hours in healthy adults. The half-life may be longer in hepatic or renal impairment.
Some studies have looked at macrolides, including roxithromycin, for conditions such as gingival overgrowth or cardiovascular prevention. These are not standard approved uses.
Store below 25°C (77°F) in a cool, dry place. Protect from light and moisture. Keep out of reach of children.
I'm in Winnipeg and winter delivery conditions can be unpredictable. Can Roxithromycin 150 mg film-coated tablets normally travel safely by mail?
Film-coated tablets can normally be mailed when they are appropriately protected in their packaging. Keep them dry and protected from light, store them below 25°C after arrival, and check the package and tablets for damage or moisture before use.
I noticed more hair shedding after starting Roxithromycin. Is hair loss a known side effect of these 150 mg tablets?
Hair loss is not a typical listed adverse effect of Roxithromycin. Diarrhea, nausea, abdominal pain, vomiting, headache, rash, and taste changes are more commonly reported; persistent or substantial hair shedding should be assessed because illness, stress, and other medicines can also contribute.
| Active ingredient | Roxithromycin |
|---|---|
| Drug class | Macrolide antibiotic |
| Dosage form | Film-coated tablet |
| Available strengths | 150 mg |
| Route of administration | Oral |
| Storage | Store below 25°C in a dry place, protected from moisture and light. |
| ATC code | J01FA06 |
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Will order again.
I received my order in good shape.
I appreciated the careful packaging.
A good product overall.
I found ordering easy.
Helpful customer support.
