Alosetron and Clarithromycin Interaction

Drug interaction information between Alosetron and Clarithromycin.

Alosetron and Clarithromycin have a documented moderate interaction in FDA labeling.

FDA drug labeling documents a moderate-severity interaction between Alosetron and Clarithromycin. This page displays the available source-record category and label text. The category is not an individual risk estimate or medication-combination direction.

Drug A

Alosetron

5-HT3 Antagonist (IBS-D)

Drug B

Clarithromycin

Macrolide Antibiotic

How They Interact

Clarithromycin blocks the enzymes that break down alosetron, which could lead to higher levels of alosetron in your body.

FDA Label Information

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.

Frequently Asked Questions

What SPL severity band is on file for Alosetron + Clarithromycin?

Compiled FDA labeling labels this pair moderate. That is a source-record field, not an individual medication-combination decision.

Which drug in this pair has the larger labeled-interaction portfolio?

Clarithromycin has 81 labeled pairs on file vs Alosetron's 12. In the moderate band specifically: Alosetron has 3 (also Itraconazole, Voriconazole); Clarithromycin has 35 (also Omeprazole, Methylprednisolone, Sildenafil, Valproate).

What mechanism field is on file for Alosetron and Clarithromycin?

Clarithromycin blocks the enzymes that break down alosetron, which could lead to higher levels of alosetron in your body.

Clarithromycin carries more major-labeled pairs than Alosetron

SPL source-record counts only. This page's band is moderate · classes on file: Alosetron (5-HT3 Antagonist (IBS-D)); Clarithromycin (Macrolide Antibiotic).

Clarithromycin has 16 major-labeled pairs vs Alosetron's 0. This page itself is in the moderate band, not the major band.

Alosetron

0 major · 3 moderate · 9 minor · 12 total

Clarithromycin

16 major · 35 moderate · 30 minor · 81 total

Sources: FDA Drug Labels (SPL) via openFDA (2026). This is for informational purposes only and is not medical advice. This registry does not provide individual medication-combination directions.