Skip to main content

What the FDA labels say about taking them together

Diltiazem and erythromycin

Erythromycin's FDA label of August 1, 2024 names diltiazem in its warnings section; the diltiazem labels PlainMeds reads (4) do not name erythromycin. The erythromycin label: “These include colchicine toxicity with colchicine; rhabdomyolysis with simvastatin, lovastatin, and atorvastatin; and hypotension with calcium channel blockers metabolized by CYP3A4.”

Check it at the source: the diltiazem FDA label on DailyMed (effective August 7, 2026, Bausch Health US, LLC); the erythromycin FDA label on DailyMed (effective August 1, 2024, Teva Pharmaceuticals USA, Inc.).

What does the diltiazem label say about erythromycin?

Diltiazem's label (effective August 7, 2026) and its 3 other brand-application labels do not name erythromycin in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (TIAZAC EXTENDED RELEASE), Bausch Health US, LLC, effective August 7, 2026 (SPL set c567fe7e-887e-4291-a0d1-2dd3f25cbf25), via openFDA; the full label on DailyMed

What does the erythromycin label say about diltiazem?

Erythromycin label, warnings

These include colchicine toxicity with colchicine; rhabdomyolysis with simvastatin, lovastatin, and atorvastatin; and hypotension with calcium channel blockers metabolized by CYP3A4 (e.g., verapamil, amlodipine, diltiazem) (see PRECAUTIONS - Drug Interactions ).

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

50Diltiazem generic labelers
38Erythromycin generic labelers
DiltiazemErythromycin
Labeled forHigh blood pressure, Angina, Atrial fibrillationBacterial infections, Acne
Boxed warningNoNo
Pharmacy cost (NADAC)$0.144 per capsule 24h ER(cd) 120 mg capsule$1.96 per tablet 250 mg tablet
Shortage nowA presentation being discontinuedNo 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?