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What the FDA labels say about taking them together

Erythromycin and naloxegol

Naloxegol's FDA label of September 1, 2026 names erythromycin in its drug interactions section; the erythromycin labels PlainMeds reads (4) do not name naloxegol. The naloxegol label: “•Avoid use with moderate CYP3A4 inhibitors; if unavoidable, decrease the dosage of MOVANTIK to 12.5 mg once daily and monitor for adverse reactions.”

Check it at the source: the erythromycin FDA label on DailyMed (effective August 1, 2024, Teva Pharmaceuticals USA, Inc.); the naloxegol FDA label on DailyMed (effective September 1, 2026, Averitas Pharma, Inc.).

What does the erythromycin label say about naloxegol?

Erythromycin's label (effective August 1, 2024) and its 3 other brand-application labels do not name naloxegol 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

What does the naloxegol label say about erythromycin?

Naloxegol label, drug interactions

Concomitant Agent: •Moderate CYP3A4 inhibitors (e.g., diltiazem, erythromycin, verapamil); Mechanism of Action: •Increase plasma naloxegol concentrations and may increase the risk of adverse reactions [see ].; Clinical Recommendation: •Avoid use with moderate CYP3A4 inhibitors; if unavoidable, decrease the dosage of MOVANTIK to 12.5 mg once daily and monitor for adverse reactions [see ].

Source: FDA drug label (MOVANTIK), Averitas Pharma, Inc., effective September 1, 2026 (SPL set 28596788-b73f-4247-85fc-3105f51fff5a), 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

38Erythromycin generic labelers
0Naloxegol generic labelers
ErythromycinNaloxegol
Labeled forBacterial infections, Acnen/a
Boxed warningNoNo
Pharmacy cost (NADAC)$1.96 per tablet 250 mg tablet$14.61 per tablet 25 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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