Skip to main content

What the FDA labels say about taking them together

Erythromycin and zafirlukast

Zafirlukast's FDA label of December 1, 2023 names erythromycin in its drug interactions section; the erythromycin labels PlainMeds reads (4) do not name zafirlukast. The zafirlukast label: “In a drug interaction study in 11 asthmatic patients, coadministration of a single dose of zafirlukast (40 mg) with erythromycin to steady-state resulted in decreased mean plasma levels of zafirlukast by approximately …”

Check it at the source: the erythromycin FDA label on DailyMed (effective August 1, 2024, Teva Pharmaceuticals USA, Inc.); the zafirlukast FDA label on DailyMed (effective December 1, 2023, Aurobindo Pharma Limited).

What does the erythromycin label say about zafirlukast?

Erythromycin's label (effective August 1, 2024) and its 3 other brand-application labels do not name zafirlukast 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 zafirlukast label say about erythromycin?

Zafirlukast label, drug interactions

In a drug interaction study in 11 asthmatic patients, coadministration of a single dose of zafirlukast (40 mg) with erythromycin (500 mg three times daily for 5 days) to steady-state resulted in decreased mean plasma levels of zafirlukast by approximately 40% due to a decrease in zafirlukast bioavailability.

Source: FDA drug label (Zafirlukast), Aurobindo Pharma Limited, effective December 1, 2023 (SPL set 8bdb47c5-9d19-4d59-94c8-62c117525e7f), 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
5Zafirlukast generic labelers
ErythromycinZafirlukast
Labeled forBacterial infections, AcneAsthma
Boxed warningNoNo
Pharmacy cost (NADAC)$1.96 per tablet 250 mg tablet$0.623 per tablet 20 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?