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What the FDA labels say about taking them together

Clarithromycin and erythromycin

Clarithromycin's FDA label of April 9, 2026 names erythromycin in its contraindications section; the erythromycin labels PlainMeds reads (4) do not name clarithromycin. The clarithromycin label: “Clarithromycin is contraindicated in patients with a known hypersensitivity to clarithromycin, erythromycin, or any of the macrolide antibacterial drugs.”

Check it at the source: the clarithromycin FDA label on DailyMed (effective April 9, 2026, Solaris Pharma Corporation); the erythromycin FDA label on DailyMed (effective August 1, 2024, Teva Pharmaceuticals USA, Inc.).

What does the clarithromycin label say about erythromycin?

Clarithromycin label, contraindications

Clarithromycin is contraindicated in patients with a known hypersensitivity to clarithromycin, erythromycin, or any of the macrolide antibacterial drugs [see Warnings and Precautions (5.1) ].

Clarithromycin label, drug interactions

In postmarketing experience, erythromycin has been reported to decrease the clearance of triazolam and midazolam, and thus, may increase the pharmacologic effect of these benzodiazepines.

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

What does the erythromycin label say about clarithromycin?

Erythromycin's label (effective August 1, 2024) and its 3 other brand-application labels do not name clarithromycin in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Erythromycin), Teva Pharmaceuticals USA, Inc., effective August 1, 2024 (SPL set 75a0bd5a-d09f-483b-bfd8-f8343b149eb2), 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

26Clarithromycin generic labelers
38Erythromycin generic labelers
ClarithromycinErythromycin
Labeled forBacterial infections, Acid reflux and ulcersBacterial infections, Acne
Boxed warningNoNo
Pharmacy cost (NADAC)$0.466 per tablet 500 mg tablet$1.96 per tablet 250 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?