Buy Rulide
Rulide

$0.63
Category
Active Ingredient
Delivery
Airmail (14-21 days) | EMS trackable (5-9 days)
Prescription
Issued on site / Included
Availability
In Stock
Product is shipped in a fully discreet envelope with no content disclosure, including all required documentation inside

Rulide Properties

Active Ingredients
Primary Category
Pharmacological Class
Macrolide Antibiotic
Minor Side Effects
Moderate Side Effects
Dosage Forms
Tablets
Administration Route
Oral
Mechanism of Action
This medication works by stopping the growth of certain bacteria, which helps to clear up bacterial infections.
Prescription Status
Rx
Patient Summary
An antibiotic used to treat a variety of bacterial infections by preventing bacteria from growing.
Onset Time
Within a few hours
Duration
Around 12 hours
Storage Instructions
Store below 25°C, away from moisture and heat
Drug Interactions
Pregnancy Use
Consult doctor before use during pregnancy or breastfeeding
Alternative Drugs

About Rulide

Generic Rulide (Roxithromycin) is a prescription-only antibiotic used to treat a variety of bacterial infections in adults. Belonging to the macrolide class, it works by inhibiting bacterial protein synthesis, which helps clear infections of the respiratory tract, skin, and urinary system. In Singapore, this 150 mg pill is approved for conditions such as community-acquired pneumonia, sinusitis, and uncomplicated urinary tract infections. While its primary indication is for infections, clinicians sometimes consider it for other bacterial diseases based on susceptibility patterns.

What is Generic Rulide (Roxithromycin)?

Generic Rulide (Roxithromycin) is a macrolide antibiotic marketed as a 150 mg oral tablet. It received regulatory approval from Singapore’s Health Sciences Authority (HSA) following evaluations by the European Medicines Agency (EMA) and the U.S. Food and Drug Administration (FDA), confirming its safety and efficacy for adult use. As a generic product, it contains the same active ingredient as brand-name formulations and offers a cost-effective alternative without compromising therapeutic performance.

How Rulide Works

Roxithromycin, the active moiety in Rulide, binds to the 50 S ribosomal subunit of susceptible bacteria. This binding blocks the translocation step of protein synthesis, preventing the formation of essential bacterial proteins. Without these proteins, bacterial growth is halted (bacteriostatic effect), and the immune system can more easily eradicate the infection. The drug is absorbed well from the gastrointestinal tract, reaching peak plasma concentrations within 2-3 hours. It has a relatively long half-life of about 12 hours, allowing once-daily dosing, and is primarily excreted unchanged in the bile.

Why Rulide is Used for Infections

  • Respiratory tract infections - By inhibiting the growth of Streptococcus pneumoniae and atypical pathogens like Mycoplasma pneumoniae, Rulide alleviates cough, fever, and chest discomfort. Guidelines from the Infectious Diseases Society of Singapore place macrolides as a first-line option for atypical pneumonia.
  • Sinusitis and otitis media - Its activity against Haemophilus influenzae and Streptococcus pyogenes helps reduce mucosal inflammation and speed recovery, especially when patients are allergic to β-lactams.
  • Skin and soft-tissue infections - Effective against Staphylococcus aureus (including some macrolide-sensitive strains), Rulide penetrates skin tissues, providing reliable bacterial clearance.
  • Uncomplicated urinary tract infections - For patients intolerant to fluoroquinolones, its activity against Escherichia coli offers an alternative, though it is not first-line per local guidelines.
  • Guideline positioning - In most Singaporean treatment algorithms, macrolides rank as second-line agents after amoxicillin-clavulanate, reserved for patients with penicillin allergy or when atypical pathogens are suspected.

Off-Label and Investigational Uses of Rulide

Current peer-reviewed literature includes small-scale studies exploring Roxithromycin for chronic inflammatory airway diseases such as chronic obstructive pulmonary disease (COPD) and bronchiectasis. These investigations suggest potential anti-inflammatory benefits beyond antimicrobial action, but the evidence remains limited to phase II trials. Off-label use should only be considered under the supervision of a qualified healthcare provider.

Is Rulide Right for You?

Rulide is appropriate for adults with confirmed or suspected bacterial infections that are sensitive to macrolides. It is especially useful for patients with penicillin allergy, those requiring once-daily dosing, or individuals who need a medication with a favorable gastrointestinal tolerability profile. Caution is advised in pregnancy (category C) and in patients with significant hepatic impairment, as metabolism may be reduced. Elderly patients generally tolerate the drug well, but dose adjustments are unnecessary for normal renal function.

Taking Rulide Effectively

  • Timing: Take the tablet with a full glass of water, preferably on an empty stomach to maximize absorption; food can reduce bioavailability by up to 10 %.
  • Interaction avoidance: Antacids containing aluminum or magnesium may bind the drug and lower plasma levels-separate dosing by at least two hours.
  • Missed dose: If a dose is forgotten, take it as soon as remembered unless it is within six hours of the next scheduled dose; then skip the missed dose and continue the regular schedule.
  • Travel tips: Carry a short supply in your hand luggage and keep it protected from extreme temperatures; the tablet remains stable at room temperature for up to two years.

Understanding Side Effects and How to Manage Them

Common side effects arise from the drug’s impact on the gastrointestinal microbiota and include mild nausea, abdominal discomfort, and transient diarrhea. Taking the medication with a light snack, if needed, can reduce nausea. Rare hepatic enzyme elevations are linked to the drug’s metabolism in the liver; routine liver function tests are advisable for long-term use. Serious adverse reactions such as QT-interval prolongation occur infrequently but warrant immediate medical attention if patients experience palpitations, dizziness, or syncope. Allergic reactions-rash, itching, or facial swelling-should also prompt cessation of therapy and urgent evaluation.

Buying Rulide from Our Online Pharmacy

Our online pharmacy makes accessing Rulide simple and discreet. By ordering through our platform, you benefit from competitive pricing that often saves up to 30 % compared with traditional retail outlets. We partner with licensed international suppliers who adhere to WHO-certified manufacturing standards, ensuring each tablet meets stringent quality controls.

Why Choose Our Service?

  • Convenient access: Secure delivery to any Singapore address, including residential and office locations.
  • Affordability: Bulk-order discounts and a lifetime 10 % discount on all reorders keep long-term therapy budget-friendly.

Quality & Safety

We facilitate fulfillment through verified partners operating under Singapore’s HSA regulations, guaranteeing that every batch of Rulide is authentic and pharmaceutically sound.

Pricing & Access

Generic Rulide is priced competitively at SGD 12 per 150 mg tablet, with volume-based rebates for larger prescriptions. Alternatives such as Azithromycin or Clarithromycin are also listed for comparison.

Discreet Delivery

Orders are packaged in neutral, tamper-evident boxes. Express shipping typically arrives within 7 days, while standard delivery takes up to 3 weeks, all with plain-label envelopes to protect privacy.

Frequently Asked Questions

  • How quickly can I expect symptom relief after starting Rulide? Most patients notice improvement in fever and cough within 48-72 hours, although full eradication of the pathogen may take 5-7 days of therapy.

  • Can I take Rulide together with my regular vitamin supplements? Yes, multivitamins do not interfere with Roxithromycin absorption; however, avoid antacids containing aluminum or magnesium close to the dose.

  • Is Rulide safe for people with a history of heart rhythm issues? While rare, macrolides can affect cardiac repolarization. Patients with known QT prolongation should discuss alternatives with their physician.

  • What should I do if I accidentally miss two consecutive doses? Resume dosing at the next scheduled time; do not double-dose to compensate for missed tablets.

  • How does Rulide compare to azithromycin for treating pneumonia? Both are macrolides, but Roxithromycin (Rulide) has a slightly longer half-life, allowing once-daily dosing, whereas azithromycin often uses a loading dose followed by a shorter course. Efficacy is comparable when pathogens are sensitive.

  • Can Rulide be used for bacterial skin infections caused by MRSA? Roxithromycin generally lacks activity against methicillin-resistant Staphylococcus aureus; clinicians typically choose agents such as clindamycin or linezolid for MRSA.

  • Will taking Rulide affect my blood sugar levels? No direct impact on glucose metabolism has been reported, though any infection itself can transiently raise blood sugar, especially in diabetic patients.

  • Is it necessary to complete the full course even if I feel better? Absolutely. Stopping early can promote resistant bacterial strains and increase the risk of relapse.

  • Can Rulide be taken during a lactation period? Small amounts are excreted in breast milk; while no adverse effects have been documented, mothers should consult their healthcare provider before use.

  • What storage conditions are recommended for Rulide tablets? Store at room temperature, away from direct sunlight and moisture. Do not freeze.

Glossary

Macrolide
A class of antibiotics that inhibit bacterial protein synthesis by binding to the 50 S ribosomal subunit.
Bacteriostatic
An effect that halts bacterial growth, allowing the immune system to clear the infection.
QT prolongation
An extension of the heart’s electrical repolarization phase, which can increase the risk of abnormal rhythms.

Disclaimer

The information provided about Rulide is for general knowledge only. It does not replace professional medical consultation. All treatment decisions, including those regarding off-label use, should be made under the supervision of a qualified healthcare provider. We assume all readers are responsible adults capable of making informed decisions about their health. Our online pharmacy offers access to Rulide for individuals who may have limited availability through traditional pharmacies, prescription-based insurance schemes, or who are seeking affordable generic alternatives. Always consult your doctor before starting, changing, or discontinuing any medication.

External Resources about Rulide


Information Prepared By

Nawin Kittisak
Vikneswaran V Paranjothy