Alcohol: Roxyabo 50mg Oral Suspension is probably safe to use in patients with kidney disease. Limited data available suggests that dose adjustment of Roxyabo 50mg Oral Suspension may not be needed in these patients. Please consult your doctor.Roxithromycin is usually considered safe to use in children with mild to moderate kidney impairment. Dose modifications are generally not required. Pregnancy: Roxyabo 50mg Oral Suspension should be used with caution in patients with liver disease. Dose adjustment of Roxyabo 50mg Oral Suspension may be needed. Please consult your doctor.However, discontinue immediately if signs or symptoms of hepatitis like vomiting, paleness, and weakness are observed.