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What the FDA labels say about taking them together

Clarithromycin and zidovudine

Clarithromycin's FDA label of April 9, 2026 names zidovudine in its drug interactions section; the zidovudine labels PlainMeds reads (3) do not name clarithromycin. The clarithromycin label: “Zidovudine; Zidovudine: Simultaneous oral administration of clarithromycin immediate-release tablets and zidovudine to HIV-infected adult patients may result in decreased steady-state zidovudine concentrations. …”

Check it at the source: the clarithromycin FDA label on DailyMed (effective April 9, 2026, Solaris Pharma Corporation); the zidovudine FDA label on DailyMed (effective February 10, 2025, Aurobindo Pharma Limited).

What does the clarithromycin label say about zidovudine?

Clarithromycin label, drug interactions

Zidovudine; Zidovudine: Simultaneous oral administration of clarithromycin immediate-release tablets and zidovudine to HIV-infected adult patients may result in decreased steady-state zidovudine concentrations. Administration of clarithromycin and zidovudine should be separated by at least two hours [see Pharmacokinetics ]. The impact of co-administration of clarithromycin extended-release tablets or granules and zidovudine has not been evaluated.

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 zidovudine label say about clarithromycin?

Zidovudine's label (effective February 10, 2025) and its 2 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 (Zidovudine), Aurobindo Pharma Limited, effective February 10, 2025 (SPL set 51abd2ce-6be1-412d-b806-5f24935ac5e3), 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
3Zidovudine generic labelers
ClarithromycinZidovudine
Labeled forBacterial infections, Acid reflux and ulcersHIV
Boxed warningNoYes
Pharmacy cost (NADAC)$0.466 per tablet 500 mg tablet$0.464 per tablet 300 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)

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