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What the FDA labels say about taking them together

Erythromycin and tadalafil

Tadalafil's FDA label of June 3, 2026 names erythromycin in its drug interactions section; the erythromycin labels PlainMeds reads (4) do not name tadalafil. The tadalafil label: “Although specific interactions have not been studied, other CYP3A4 inhibitors, such as erythromycin, itraconazole, and grapefruit juice, would likely increase tadalafil exposure.”

Check it at the source: the erythromycin FDA label on DailyMed (effective August 1, 2024, Teva Pharmaceuticals USA, Inc.); the tadalafil FDA label on DailyMed (effective June 3, 2026, Eli Lilly and Company).

What does the erythromycin label say about tadalafil?

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

Tadalafil label, drug interactions

Although specific interactions have not been studied, other CYP3A4 inhibitors, such as erythromycin, itraconazole, and grapefruit juice, would likely increase tadalafil exposure.

Source: FDA drug label (Cialis), Eli Lilly and Company, effective June 3, 2026 (SPL set bcd8f8ab-81a2-4891-83db-24a0b0e25895), 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
49Tadalafil generic labelers
ErythromycinTadalafil
Labeled forBacterial infections, AcneErectile dysfunction, Enlarged prostate (BPH), Pulmonary arterial hypertension
Boxed warningNoNo
Pharmacy cost (NADAC)$1.96 per tablet 250 mg tablet$0.167 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?