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What the FDA labels say about taking them together

Clarithromycin and etravirine

Clarithromycin's FDA label of April 9, 2026 names etravirine in its drug interactions section, and etravirine's label names clarithromycin too. The etravirine label: “Clarithromycin exposure was decreased by INTELENCE; however, concentrations of the active metabolite, 14-hydroxy-clarithromycin, were increased. …”

Check it at the source: the clarithromycin FDA label on DailyMed (effective April 9, 2026, Solaris Pharma Corporation); the etravirine FDA label on DailyMed (effective August 15, 2023, Janssen Products LP).

What does the clarithromycin label say about etravirine?

Clarithromycin label, drug interactions

Etravirine Etravirine: Clarithromycin exposure was decreased by etravirine; however, concentrations of the active metabolite, 14-OH-clarithromycin, were increased.

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 etravirine label say about clarithromycin?

Etravirine label, drug interactions

Concomitant Drug Class/Drug Name: Antiinfective: clarithromycin; Effect on Concentration of Etravirine or Concomitant Drug: ↑ etravirine ↓ clarithromycin ↑ 14-OH-clarithromycin; Clinical Comment: Clarithromycin exposure was decreased by INTELENCE; however, concentrations of the active metabolite, 14-hydroxy-clarithromycin, were increased. Because 14-hydroxy-clarithromycin has reduced activity against Mycobacterium avium complex (MAC), overall activity against this pathogen may be altered. Alternatives to clarithromycin, such as azithromycin, should be considered for the treatment of MAC.

Source: FDA drug label (Intelence), Janssen Products LP, effective August 15, 2023 (SPL set 6a9cbc29-9f15-4b24-8d86-206b82887f3d), 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
5Etravirine generic labelers
ClarithromycinEtravirine
Labeled forBacterial infections, Acid reflux and ulcersHIV
Boxed warningNoNo
Pharmacy cost (NADAC)$0.466 per tablet 500 mg tablet$9.94 per tablet 200 mg tablet
Shortage nowNo current entryA presentation being discontinued

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

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