clarithromycin vs lemborexant

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

minor Known Drug Interaction

Examples: Strong CYP3A inhibitors: itraconazole, clarithromycin Moderate CYP3A inhibitors: fluconazole, verapamil Weak CYP3A inhibitors: chlorzoxazone, ranitidine Strong and Moderate CYP3A Inducers Clinical Impact: Concomitant use with a strong or moderate CYP3A inducer decreases lemborexant exposure, which may reduce DAYVIGO efficacy [see Clinical Pharmacology ( 12.3 )].

Drug Class
clarithromycin Macrolide Antibiotic
lemborexant Orexin Receptor Antagonist
Type
clarithromycin Prescription
lemborexant Prescription
Summary
clarithromycin

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

lemborexant

Dayvigo is a medicine that can help you fall asleep and stay asleep. It is for adults who have trouble with insomnia.

What It Treats
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.

lemborexant

Dayvigo is used to treat insomnia in adults. Insomnia means you have trouble falling asleep, staying asleep, or both. This medicine can help you sleep better.

How It Works
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.

lemborexant

Dayvigo works by blocking orexin, a chemical in your brain that keeps you awake. By blocking orexin, Dayvigo helps you feel sleepy. This allows you to fall asleep and stay asleep.

Common Side Effects
clarithromycin
  • Abdominal pain
  • Diarrhea
  • Nausea
  • Vomiting
  • Taste changes
lemborexant
  • Feeling sleepy
FAERS Reports
clarithromycin
  • Drug Interaction 2,906
  • Nausea 2,214
  • Dyspnoea 1,959
  • Diarrhoea 1,937
  • Malaise 1,650
lemborexant
  • Suicide Attempt 133
  • Somnolence 128
  • Condition Aggravated 117
  • Suicidal Ideation 115
  • Fall 94
Serious Warnings
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.

lemborexant

Dayvigo can make you feel very sleepy, even the next day. Be careful driving or doing other things that need you to be alert. Some people have sleep paralysis, hallucinations, or do things like sleepwalking while taking Dayvigo. Dayvigo may also worsen depression or suicidal thoughts. Do not drink alcohol while taking Dayvigo.

Pregnancy
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.

lemborexant

It is not known if Dayvigo can harm your unborn baby. If you are pregnant or plan to become pregnant, talk to your doctor. There is a pregnancy registry for women who take psychiatric medicines, including Dayvigo.

Also Compare, Nearby Drugs

How to Read This clarithromycin vs lemborexant Comparison

clarithromycin is classified in the Macrolide Antibiotic drug class, while lemborexant sits within the Orexin Receptor Antagonist 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, clarithromycin has 10,666 submissions while lemborexant has 587. 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 minor interaction flagged in FDA labeling, attributed to clarithromycin blocks the enzyme that breaks down lemborexant in your body. this can cause the levels of the sleep medicine to rise, which may increase side effects.. Serious warnings, pregnancy guidance, and contraindications can differ even when indications overlap.

A table cannot represent individual circumstances. Data here is sourced from FDA Structured Product Labels (SPL) and FAERS, both of which update as manufacturers and clinicians submit new information. This registry does not provide medical, treatment, substitution, or medication-change directions for clarithromycin or lemborexant.

Registry boundary: This comparison displays source-record fields and does not provide individualized medical direction.