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What the FDA labels say about taking them together

Alprazolam and clarithromycin

Alprazolam's FDA label of January 18, 2023 names clarithromycin in its drug interactions section, and clarithromycin's label names alprazolam too. The clarithromycin label: “Alprazolam Triazolam Triazolam, Alprazolam: Caution and appropriate dose adjustments should be considered when triazolam or alprazolam is co-administered with clarithromycin.”

Check it at the source: the alprazolam FDA label on DailyMed (effective January 18, 2023, PHARMACIA & UPJOHN COMPANY LLC); the clarithromycin FDA label on DailyMed (effective April 9, 2026, Solaris Pharma Corporation).

What does the alprazolam label say about clarithromycin?

Alprazolam label, drug interactions

Examples; Ketoconazole, itraconazole, clarithromycin

Source: FDA drug label (Xanax), PHARMACIA & UPJOHN COMPANY LLC, effective January 18, 2023 (SPL set 388e249d-b9b6-44c3-9f8f-880eced0239f), via openFDA; the full label on DailyMed

What does the clarithromycin label say about alprazolam?

Clarithromycin label, drug interactions

Alprazolam Triazolam Triazolam, Alprazolam: Caution and appropriate dose adjustments should be considered when triazolam or alprazolam is co-administered with clarithromycin.

Source: FDA drug label (Clarithromycin), Solaris Pharma Corporation, effective April 9, 2026 (SPL set 4d42821d-ce7a-7d64-e063-6294a90a0875), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

30Alprazolam generic labelers
26Clarithromycin generic labelers
AlprazolamClarithromycin
Labeled forAnxietyBacterial infections, Acid reflux and ulcers
Boxed warningYesNo
Pharmacy cost (NADAC)$0.0236 per tablet 0.25 mg tablet$0.466 per tablet 500 mg tablet
Shortage nowNo current entryNo current entry

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

What next?