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What the FDA labels say about taking them together

Clarithromycin and trastuzumab emtansine

Trastuzumab emtansine's FDA label of April 1, 2026 names clarithromycin in its drug interactions section; the clarithromycin label PlainMeds reads does not name trastuzumab emtansine. The trastuzumab emtansine label: “Concomitant use of strong CYP3A4 inhibitors with KADCYLA should be avoided due to the potential for an increase in DM1 exposure and toxicity.”

Check it at the source: the clarithromycin FDA label on DailyMed (effective April 9, 2026, Solaris Pharma Corporation); the trastuzumab emtansine FDA label on DailyMed (effective April 1, 2026).

What does the clarithromycin label say about trastuzumab emtansine?

Clarithromycin's label (effective April 9, 2026) does not name trastuzumab emtansine in these sections. A label lists what its studies and reports found; it is not a complete list.

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 trastuzumab emtansine label say about clarithromycin?

Trastuzumab emtansine label, drug interactions

Concomitant use of strong CYP3A4 inhibitors (e.g., ketoconazole, itraconazole, clarithromycin, atazanavir, indinavir, nefazodone, nelfinavir, ritonavir, saquinavir, telithromycin, and voriconazole) with KADCYLA should be avoided due to the potential for an increase in DM1 exposure and toxicity.

Source: FDA drug label (KADCYLA), Genentech, Inc., effective April 1, 2026 (SPL set 23f3c1f4-0fc8-4804-a9e3-04cf25dd302e), 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
0Trastuzumab emtansine generic labelers
ClarithromycinTrastuzumab emtansine
Labeled forBacterial infections, Acid reflux and ulcersBreast cancer
Boxed warningNoYes
Pharmacy cost (NADAC)$0.466 per tablet 500 mg tabletn/a
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)

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