Skip to main content

What the FDA labels say about taking them together

Erythromycin and sotalol

Erythromycin's FDA label of August 1, 2024 names sotalol in its warnings section; the sotalol labels PlainMeds reads (3) do not name erythromycin. The erythromycin label: “Erythromycin should be avoided in patients with known prolongation of the QT interval, patients with ongoing proarrhythmic conditions such as uncorrected hypokalemia or hypomagnesemia, clinically significant …”

Check it at the source: the erythromycin FDA label on DailyMed (effective August 1, 2024, Teva Pharmaceuticals USA, Inc.); the sotalol FDA label on DailyMed (effective December 16, 2024, Legacy Pharma USA, Inc.).

What does the erythromycin label say about sotalol?

Erythromycin label, warnings

Erythromycin should be avoided in patients with known prolongation of the QT interval, patients with ongoing proarrhythmic conditions such as uncorrected hypokalemia or hypomagnesemia, clinically significant bradycardia, and in patients receiving Class IA (quinidine, procainamide) or Class III (dofetilide, amiodarone, sotalol) antiarrhythmic agents.

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 sotalol label say about erythromycin?

Sotalol's label (effective December 16, 2024) and its 2 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 (BETAPACE), Legacy Pharma USA, Inc., effective December 16, 2024 (SPL set a6a7702f-36c9-45db-b640-453dc324baee), 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
18Sotalol generic labelers
ErythromycinSotalol
Labeled forBacterial infections, AcneAtrial fibrillation
Boxed warningNoYes
Pharmacy cost (NADAC)$1.96 per tablet 250 mg tablet$0.0707 per tablet 80 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)

What next?