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    Roxithromycin, a macrolide antibiotic, inhibits bacterial protein synthesis by binding to ribosomes. It is effective against respiratory tract infections, skin conditions, and sexually transmitted diseases caused by susceptible bacteria. Alternatives include other macrolides like azithromycin or clarithromycin, which share similar mechanisms but may have varying side effect profiles.

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    If Roxithromycin 150 mg is unsuitable, alternatives within the macrolide class include:

  6. Azithromycin 500 mg: Often prescribed for shorter treatment courses.
  7. Clarithromycin 250 mg: Used for gastrointestinal and respiratory infections.
  8. Erythromycin 500 mg: A first-generation macrolide for penicillin-allergic patients.
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  14. Skin Infections: Treats acne, cellulitis, and impetigo when topical therapies fail.
  15. Sexually Transmitted Infections: Used off-label for chlamydia in penicillin-allergic patients.
  16. Gastrointestinal Issues: Combats Helicobacter pylori in combination therapies.
    Contraindications include hypersensitivity to macrolides, prolonged QT interval, or concurrent use of drugs like terfenadine. If you have liver disease or interact with medications metabolized by CYP3A4 enzymes, alternatives may be safer. Always consult a physician to weigh benefits against risks.

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