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alosetron vs clarithromycin

Side-by-side comparison of alosetron and clarithromycin. Data from FDA drug databases (Orange Book, NDC Directory, recalls, shortages) covering 20,000+ approved drugs, plus CMS pricing; see our methodology.

moderate Known Drug Interaction

Coadministration of alosetron and strong CYP3A4 inhibitors such as clarithromycin, telithromycin, protease inhibitors, voriconazole, and itraconazole has not been evaluated but should be undertaken with caution because of similar potential drug interactions.

Recommendation: Use this combination with caution and tell your doctor if you notice any new side effects.

Drug Class
alosetron 5-HT3 Antagonist (IBS-D)
clarithromycin Macrolide Antibiotic
Type
alosetron Prescription
clarithromycin Prescription
Summary
alosetron

Alosetron (Lotronex) is a medicine for women with severe diarrhea-predominant irritable bowel syndrome (IBS). It helps to reduce diarrhea and stomach pain.

clarithromycin

Clarithromycin is an antibiotic that fights bacterial infections. It belongs to a class of drugs called macrolides.

What It Treats
alosetron

Alosetron is used to treat severe diarrhea-predominant irritable bowel syndrome (IBS) in women. It is for women whose IBS symptoms have lasted for 6 months or longer. You should have already ruled out other possible causes of your symptoms. This medicine is only for you if other treatments have not worked well enough.

clarithromycin

Clarithromycin treats mild to moderate infections caused by certain bacteria. It can treat bronchitis, sinus infections, pneumonia, and throat/tonsil infections. It also treats skin infections, ear infections in children, certain mycobacterial infections, and H. pylori infections that cause ulcers.

How It Works
alosetron

Alosetron blocks a substance called serotonin in your gut. Serotonin can speed up bowel movements. By blocking serotonin, alosetron slows down your bowel and reduces diarrhea.

clarithromycin

Clarithromycin works by stopping the growth of bacteria. It prevents bacteria from making proteins they need to survive. This helps your body fight off the infection.

Common Side Effects
alosetron
  • Constipation
  • Abdominal discomfort and pain
  • Nausea
  • Gastrointestinal discomfort and pain
clarithromycin
  • Abdominal pain
  • Diarrhea
  • Nausea
  • Vomiting
  • Taste changes
FAERS Reports
alosetron
  • Diarrhea 10
  • Feeling sick to your stomach 8
  • Stomach pain 6
  • Death 6
  • Having trouble passing stool 5
clarithromycin
  • Drug Interaction 2,906
  • Nausea 2,214
  • Dyspnoea 1,959
  • Diarrhoea 1,937
  • Malaise 1,650
Serious Warnings
alosetron

Alosetron can cause serious gut problems, like ischemic colitis (reduced blood flow to the bowel) and severe constipation. These problems can lead to hospitalization, surgery, or even death. Stop taking alosetron right away if you get constipated or have symptoms of ischemic colitis, like bloody diarrhea or bad stomach pain. Call your doctor immediately.

clarithromycin

Clarithromycin can cause severe allergic reactions. Stop taking it and get medical help right away if you have signs of a reaction. This medicine can also cause heart rhythm problems (QT prolongation) and liver problems. Tell your doctor if you have heart or liver issues. Clarithromycin may increase the risk of death in patients with coronary artery disease.

Pregnancy
alosetron

It is not known if alosetron can harm your unborn baby. Talk to your doctor if you are pregnant or plan to become pregnant. It is also not known if alosetron passes into breast milk. Talk to your doctor about the best way to feed your baby if you take alosetron.

clarithromycin

Clarithromycin is not recommended during pregnancy unless there are no other options. Talk to your doctor if you are pregnant or plan to become pregnant. It is not known if clarithromycin passes into breast milk, so talk to your doctor before breastfeeding.

Also Compare, Nearby Drugs

How to Read This alosetron vs clarithromycin Comparison

alosetron is classified in the 5-HT3 Antagonist (IBS-D) drug class, while clarithromycin sits within the Macrolide Antibiotic class. Drugs from different classes work through distinct mechanisms, so a head-to-head comparison illustrates trade-offs rather than equivalence. Both drugs are prescription-only, so a licensed provider must authorize use.

Adverse event totals above are pulled from the FDA's Adverse Event Reporting System (FAERS). For these top-ranked reactions alone, alosetron has 35 submissions while clarithromycin has 10,666. Those figures reflect cumulative reporting volume, not per-patient risk, so older, widely dispensed drugs typically look worse on count alone. These two drugs have a known moderate interaction flagged in FDA labeling, attributed to clarithromycin blocks the enzymes that break down alosetron, which could lead to higher levels of alosetron in your body.. Serious warnings, pregnancy guidance, and contraindications can differ even when indications overlap.

A table cannot substitute for clinical judgment. Effectiveness, tolerability, drug-drug interactions with your other medications, kidney and liver function, pregnancy status, insurance formulary, and price all feed into a decision that only a licensed prescriber can make responsibly. Data here is sourced from FDA Structured Product Labels (SPL) and FAERS, both of which update as manufacturers and clinicians submit new information. This page is for educational purposes only, is not medical advice, and should not be used to self-switch between alosetron and clarithromycin - always consult your physician or pharmacist first.

Important: This comparison is for informational purposes only. Drug effects vary between individuals. Always consult your doctor or pharmacist for personalized medical advice.