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Macrolides

Erythromycin

Also sold as: Erythrocin

Prescription neededMacrolides
Comes as:TabletSuspension

Usual adult dose

Usual adult dose: 250 to 500 mg every 6 hours, usually for 7 to 14 days. Finish the full course. Children: dose by weight — ask your doctor or pharmacist.

Your doctor may give you a different dose. Children's doses depend on weight.

Side effects

Common

  • nausea
  • vomiting
  • stomach cramps
  • diarrhoea

Serious — get help

Stop taking it and see a doctor straight away if you notice:

  • severe allergic reaction
  • fast or irregular heartbeat or fainting
  • yellow eyes or skin
  • severe or bloody diarrhoea

Do not take it, or take care, if

  • Allergy to macrolide antibiotics
  • Heart rhythm problems (long QT)
  • Severe liver disease
  • Taking simvastatin

Interactions

Medicines that can react with this one.

Serious5 medicinesDo not take these together unless your doctor says so.
  • Colchicine

    Erythromycin raises colchicine levels and the risk of serious toxicity.

  • Domperidone

    Raises domperidone levels and prolongs the QT interval; do not combine.

  • Methylergometrine

    Erythromycin raises methylergometrine levels and can cause dangerous narrowing of blood vessels.

  • Midazolam

    Erythromycin greatly raises midazolam levels and prolongs sedation.

  • Simvastatin

    Greatly raises simvastatin levels and the risk of severe muscle damage; do not combine.

Moderate4 medicinesTake together only with care. Ask your doctor or pharmacist.
  • Aminophylline

    Erythromycin raises theophylline levels; the dose may need to be reduced.

  • Carbamazepine

    Raises carbamazepine levels and can cause toxicity.

  • Theophylline

    Raises theophylline levels; watch for nausea, fast heartbeat or seizures.

  • Warfarin

    Can raise the effect of warfarin; INR should be checked.

Minor1 medicineUsually not a problem, but tell your doctor.
  • Fexofenadine

    Erythromycin can raise fexofenadine levels slightly.

Pregnancy

  1. A
  2. B
  3. C
  4. D
  5. X

Category B

No risk seen in animal studies, but there are few studies in pregnant women. Usually considered safe when needed.

Generic alternatives

Similar medicines your doctor or pharmacist may offer instead.

  • Azithromycin
  • Clarithromycin
Check with my other medicines

Always follow your doctor or pharmacistThis page is general information, not a prescription. Do not start, stop or change a medicine on your own.