ARROW ROXITHROMYCIN Coated tablet Ref.[8989] Active ingredients: Roxithromycin

Source: Medicines and Medical Devices Safety Authority (NZ)  Revision Year: 2017  Publisher: Teva Pharma (New Zealand) Limited, PO Box 128 244, Remuera, Auckland 1541, Telephone: 0800 800 097

Therapeutic indications

Adults

Roxithromycin is indicated for the treatment of the following types of mild to moderately severe infections caused by or likely to be caused by susceptible micro-organisms:

  • upper respiratory tract infection – acute pharyngitis, tonsillitis and sinusitis
  • dental infections
  • lower respiratory tract infection – acute bronchitis; acute exacerbations of chronic bronchitis and community acquired pneumonia
  • skin and skin structure infections
  • non-gonococcal urethritis.

Children

Roxithromycin 150 mg tablets are indicated for the treatment of the following mild to moderately severe infections in children caused by or likely to be caused by susceptible micro-organisms: acute pharyngitis, acute tonsillitis and impetigo.

Appropriate culture and sensitivity tests should be performed when necessary to determine organism susceptibility and thus treatment suitability. Therapy with roxithromycin may be initiated before results of these tests are known; once results become available, appropriate therapy should be continued.

Posology and method of administration

This product may not be interchangeable with other products containing this ingredient in the New Zealand’s market. The bioequivalence with Rulide marketed in Australia has been demonstrated.

Roxithromycin should be taken at least 15 minutes before food or on an empty stomach (i.e. more than three hours after a meal). The film coated tablets must be swallowed whole with a drink.

Adults

The recommended dosage is 300 mg per day, which may be taken according to one of the following dosage regimens.

Usual dosage: Roxithromycin 300 mg tablets: one tablet daily. Roxithromycin 150 mg tablets: one tablet twice daily or two tablets once daily.

For atypical pneumonia, the recommended dosage is 150 mg twice daily. The usual duration of treatment is five to ten days depending on the indication and clinical response. Streptococcal throat infections require at least ten days of therapy. A small proportion of patients with non-gonococcal genital infections may require twenty days for complete cure.

Special populations

Elderly

Roxithromycin 300 mg tablets: one tablet daily.

Roxithromycin 150 mg tablets: one tablet twice daily or two tablets once daily.

Impaired renal function

Roxithromycin 300 mg tablets: one tablet daily.

Roxithromycin 150 mg tablets: one tablet twice daily or two tablets once daily.

Impaired hepatic function

One roxithromycin 150 mg tablet once daily for patients with documented cirrhotic liver disease.

Paediatric population

Roxithromycin is administered twice daily at a dose of 5 to 8 mg/kg/day (see Special warnings and precautions for use).

For children 40 kg and over

One roxithromycin 150 mg tablet morning and evening.

The usual duration of treatment is five to ten days depending on the indication and clinical response. Streptococcal throat infections require ten days of therapy. The duration of treatment should not exceed ten days

Overdose

In case of overdosage, gastric lavage may remove residual drug in the stomach. Clinical monitoring should be considered along with symptomatic and supportive treatment as required. There is no specific antidote.

LD50 dosage was high in mice and rats at 0.75 g/kg and 1-1.7 g/kg, respectively. In dogs, a dose of 2 g/kg did not result in toxicity.

For advice on the management of overdose please contact the National Poisons Centre on 0800 POISON (0800 764766).

Shelf life

24 months.

Special precautions for storage

Store in a cool, dry place where it stays below 25°C, and protect from light and moisture.

Nature and contents of container

PVC/PVdC/Aluminium foil blister strips. Pack size of 10 tablets (150 mg) and 5 tablets (300 mg).

Special precautions for disposal and other handling

No special requirements for disposal.

© All content on this website, including data entry, data processing, decision support tools, "RxReasoner" logo and graphics, is the intellectual property of RxReasoner and is protected by copyright laws. Unauthorized reproduction or distribution of any part of this content without explicit written permission from RxReasoner is strictly prohibited. Any third-party content used on this site is acknowledged and utilized under fair use principles.