This information is generalized and not intended as specific medical advice. Consult your healthcare professional before taking or discontinuing any drug or commencing any course of treatment.
Serious. These medicines may interact and cause very harmful effects. Contact your healthcare professional (e.g. doctor or pharmacist) for more information.
How the interaction occurs:
Your antibiotic can affect your heart's rhythm. Other drugs can have the same effect.
What might happen:
Taking your antibiotic with other agents that can affect your heart rhythm may increase your risk of irregular heartbeat, which may be life-threatening.
What you should do about this interaction:
Make sure your healthcare professionals (e.g. doctor or pharmacist) know that you are taking these medicines together. Your doctor may want to perform an electrocardiogram (ECG) on you to check your heart's rhythm. Let your doctor know right away if you notice an irregular heartbeat or have any dizziness or fainting episodes.Your healthcare professionals may already be aware of this interaction and may be monitoring you for it. Do not start, stop, or change the dosage of any medicine before checking with them first.
1.Zithromax (azithromycin oral) US prescribing information. Pifzer Labs February 19, 2013.
2.Biaxin (clarithromycin) US prescribing information. AbbVie, Inc. January, 2015.
3.E.E.S. (erythromycin ethylsuccinate) US prescribing information. Arbor Pharmaceuticals, Inc. January, 2012.
4.Ketek (telithromycin) US prescribing information. Sanofi-Aventis U.S. LLC December, 2010.
5.Saphris (asenapine) US prescribing information. Actavis, Inc. March, 2015.
6.Procoralan (ivabradine hydrochloride) summary of product characteristics. Les Laboratoires Servier March, 2015.
7.Kaletra (lopinavir/ritonavir tablets) US prescribing information. Abbott Laboratories January, 2013.
8.Rythmol (propafenone hydrochloride) US prescribing information. Abbott Laboratories March, 2013.
9.Javlor (vinflunine ditartrate) UK Summary of Product Characteristics. Pierre Fabre Limited September 21, 2009.
10.Clopixol (zuclopenthixol acetate) UK summary of product characteristics. Lundbeck House October 24, 2008.
11.Celexa (citalopram hydrobromide) US prescribing information. Forest Laboratories Inc. December, 2012.
12.USFood and Drug Administration. FDA Drug Safety Communication: Revised recommendations for Celexa (citalopram hydrobromide) related to a potential risk of abnormal heart rhythms with high doses. available at: http://www.fda.gov/Drugs/DrugSafety/ucm297391.htm March 28, 2012.
13.Drew BJ, Ackerman MJ, Funk M, Gibler WB, Kligfield P, Menon V, Philippides GJ, Roden DM, Zareba W. Prevention of torsade de pointes in hospital settings: a scientific statement from the American Heart Association and the American College of Cardiology Foundation. J Am Coll Cardiol 2010 Mar 2;55(9):934-47.
14.Woosley RL, Romero KA. www.Crediblemeds.org, QTdrugs List, AZCERT, Inc. 1822 Innovation Park Dr., Oro Valley, AZ 85755. November 17, 2015.