Rulide

Rulide is the brand name for a medication called Roxithromycin. It is an antibiotic that belongs to the class of drugs known as macrolides. Roxithromycin is primarily used to treat various bacterial infections.

Antibiotic is effective against a wide range of bacteria, including respiratory tract infections, such as bronchitis and pneumonia, as well as skin and soft tissue infections. It is also used to treat certain sexually transmitted infections caused by susceptible bacteria.

This medication is available in the form of tablets and is typically taken orally.

Medicament works by inhibiting the protein synthesis process in bacteria, which is necessary for their growth and survival. By interfering with this process, Roxithromycin helps to eliminate the bacteria and clear the infection.

Uses of Rulide

Antibiotic is used to treat bacterial infections of the body like:

• Tonsillitis
• Sinusitis
• Acute pharyngitis (difficulty in swallowing or sore throat)
• Acute bronchitis
• Pneumonia
• Sudden exacerbation of chronic bronchitis
• Skin infections
• Soft tissue infections
• Non- gonococcal urethritis
• A bacterial infection that causes sores on the skin known as impetigo

Dosage

The usual recommended dosage for Rulide in adults for most infections is 150 mg to 300 mg taken once daily. The medication is typically taken with food to enhance absorption and reduce the risk of stomach upset. The duration of treatment can vary but is usually 5 to 10 days.

For certain respiratory tract infections, such as acute bronchitis or pneumonia, the dosage may be higher, typically 300 mg taken once daily for 10 days.

It is crucial to complete the full course of treatment, even if you start feeling better before finishing the medication. Stopping the antibiotic prematurely may result in the infection not being fully eradicated and can lead to the development of antibiotic resistance.

How to Take

To take Rulide effectively, follow these general guidelines:

1. Read the instructions: Carefully read the information provided with the medication, including the patient information leaflet or the prescription label. Familiarize yourself with the dosage and timing.
2. Take with food: Rulide is usually taken with food. This helps with absorption and reduces the chances of stomach upset. It is recommended to take the medication at the same time each day for consistent levels in your body.
3. Swallow whole: Take the tablet(s) with a full glass of water. Do not chew, crush, or break the tablets.
4. Do not skip doses: If you miss a dose, take it as soon as you remember, unless it is close to the time for the next scheduled dose. In that case, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to make up for a missed one.
5. Complete the full course: It is important to complete the full prescribed course of Rulide, even if you start feeling better before finishing the medication. Stopping the antibiotic prematurely may not fully eradicate the infection and can contribute to antibiotic resistance.

Side Effects of Rulide

There are a few side effects attached to Roxithromycin. These side-effects are very mild and do not require strict medical attention. They vanish by themselves in some time. The side effects of this medicine include:

• Vaginal thrush manifesting as increased vaginal discharge, sores and itching in vagina.
• Oral thrush manifesting as white, furry sores on tongue and overall mouth
• Dizziness
• Nausea
• Vomiting
• Diarrhea
• Flatulence
• Abdominal pain
• Indigestion
• Headache
• Confusion
• Hallucinations
• Altered taste
• Rashes
• Tiredness
• Loss of appetite
• Ringing in ear
• Itchy or red skin

Contraindications of Rulide

There are a few conditions where you must not take Rulide:

• You have a severe hepatic issue.
• If you are allergic to roxithromycin
• If you are allergic to other macrolide antibiotics like clarithromycin, azithromycin or erythromycin.
• If you are allergic to any other ingredient of Rulide.
• Roxithromycin is strictly prohibited for use if you use ergot alkaloids for migraine like Migral, Ergodryl, Cafergot, Dihydergot, etc.

Warnings

Before taking Rulide, it is important to be aware of the following warnings:

1. Allergies: Allergic reactions to Rulide can range from mild to severe and may include symptoms such as rash, itching, swelling, dizziness, or difficulty breathing. Seek immediate medical attention if you experience any signs of an allergic reaction.
2. Pre-existing conditions: Certain medical conditions may require dosage adjustments or close monitoring while taking Rulide.
3. Drug interactions: Medicine may interact with other medications, including prescription drugs, over-the-counter medications, and herbal supplements.
4. Antibiotic resistance: Misuse or overuse of antibiotics can contribute to the development of antibiotic resistance, which can reduce the effectiveness of antibiotics in the future.
5. Side effects: Rulide can cause side effects. Common side effects may include nausea, diarrhea, stomach pain, headache, and dizziness.
6. Driving and operating machinery: Medicament may cause dizziness or drowsiness in some individuals. If you experience these effects, avoid driving, operating machinery, or engaging in activities that require alertness until you know how Rulide affects you.

Rulide and Alcohol

It is generally recommended to avoid consuming alcohol while taking Rulide or any other antibiotic. Alcohol can interact with antibiotics and may reduce their effectiveness in fighting the infection.

Alcohol consumption can also potentially increase the risk and severity of certain side effects associated with Roxithromycin, such as stomach upset, nausea, vomiting, dizziness, and drowsiness. Combining alcohol with Rulide can intensify these side effects and may impair your ability to drive or operate machinery.

Furthermore, alcohol can strain your liver, and Rulide is metabolized by the liver. Combining alcohol and Rulide may place an additional burden on the liver and potentially lead to liver damage or interfere with the effectiveness of the medication.

To ensure the best possible outcome of your treatment, it is advisable to abstain from alcohol while taking Rulide.

Pregnancy and Rulide

Your doctor must know if you are pregnant while taking the course of Rulide or if you plan to become pregnant. It is generally contraindicated for use during pregnancy.

Roxithromycin also passes into the breast milk. It may harm the nursing baby.

Drug Interactions with Rulide

There are several drugs that affect the working of Rulide. They may also lead to some adverse effects. They include:

• Theophylline
• Ergot alkaloids
• Disopyramide
• Warfarin
• Astemizole and terfenamide
• Digoxin
• Cisapride
• Cyclosporin
• Midazolam
• Pimozide

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