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Erythromycin

Erythromycin is a kind of medication called a macrolide antibiotic. It battles bacteria in the body and is generally used to treat a variety of infections caused by bacteria, like respiratory infections, skin infections, ear infections, and sexually transmitted diseases. Some common side effects include diarrhea, nausea, stomach pain, and vomiting. Your doctor will carefully consider these side effects before prescribing the medication.

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Frequently Asked Questions

Can Erythromycin cause an allergic reaction?
Open FAQClose FAQ

Yes, like any medicine, erythromycin can cause an allergic reaction in some people. If you notice any signs like rash, itching, swelling, or difficulty breathing, seek medical attention.

Can I consume alcohol while on Erythromycin?
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It's generally okay to drink alcohol in moderation while taking erythromycin but it can increase the risk of certain side effects like stomach upset. It's always best to ask your doctor.

Can I just stop taking Erythromycin after my symptoms are gone?
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It's best to complete the full course of treatment, even if you feel better. Stopping early might allow the bacteria to grow again, making the infection harder to treat.

Can I take Erythromycin with food?
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Yes, but it's absorbed faster when taken on an empty stomach. If you experience stomach upset, take it with a meal.

Does Erythromycin cause stomach upset?
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Yes, it's one of the common side effects. If it becomes severe, consult your doctor.

I forgot to take my dose of Erythromycin, what should I do?
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If it's close to the time for your next dose, skip it and just take the next one. But if there's plenty of time before the next dose, take it as soon as you remember.

Comprehensive Drug Guide

How Does Erythromycin Work?

Erythromycin is a bacteriostatic antibiotic, which means it stops bacteria from growing and multiplying, thereby assisting the body's immune system to eliminate the bacteria.

What is Erythromycin Used For?

FDA indications: Erythromycin is used to treat a variety of bacterial infections, like respiratory tract infections, skin infections, ear infections, and sexually transmitted diseases.

Offlabel uses: It's also used as a motility agent to help the stomach and intestines move food more quickly and to prevent inflammation in people with gastric emptying disorders.

Common Dosages

Tablets: 250mg, 500mg

Capsules: 250mg

Chewable: 200mg

Oral Suspension: 200mg/5ml, 400mg/5ml

Typical Dosing

FDA Approved Indications

  • Respiratory/skin/ear infections: 250500mg every 6 hours or 0.51g every 12 hours.
  • Sexually transmitted diseases: 0.5g every 6 hours for 1014 days.

Off-Label Uses

  • Gastric motility: 250mg to 500mg every 6 hours before meals and at bedtime.

Who Shouldn't Take Erythromycin?

  • Have a known allergy to erythromycin.
  • Have liver disease or abnormal liver function tests.
  • Are taking certain medications like ergotamine or dihydroergotamine.
  • Are breastfeeding (caution is advised because erythromycin does pass into breast milk).

Advice From The Pharmacist

  • Take erythromycin on an empty stomach for better absorption, but if stomach upset occurs, take it with food or milk.
  • Don't cut, crush, or chew the medication, swallow it whole.
  • Don't take it with grapefruit juice; it can affect the medication's effectiveness.
  • Continue to take the medication for the full prescribed length of time, even if symptoms disappear after a few days.
  • Store the medication carefully, away from heat and light.
  • Let your doctor know if you face any severe side effects or allergic reactions.

Side Effects of Erythromycin

Common Side Effects

  • You might experience mild diarrhea.
  • Nausea or vomiting can occur.
  • Stomach pain may accompany nausea.

Uncommon/Severe Side Effects

  • Uncommon side effects:
  • You might have skin reactions like rash or itching.
  • Rare side effects:
  • You might notice yellowing of the eyes or skin (jaundice).
  • Very severe stomach pain associated with diarrhea may occur.
  • You might experience confusion or hallucinations.

Risks and Warnings of Erythromycin

  • Please remember, Erythromycin doesn't come without risks. Although it's generally considered safe, it might cause liver problems. Discuss this possibility with your doctor if you have a history of liver disease or abnormal liver function tests.
  • Erythromycin can also interact with certain medications. Inform your healthcare provider about other medicines you're taking, particularly ergotamine, and dihydroergotamine.
  • It's crucial to talk to your doctor if you're pregnant or planning to become pregnant. Although it's categorized as pregnancy safety category B, caution is advised.
  • Breastfeeding mothers should also discuss with their doctor as Erythromycin does pass into breast milk.

Interactions with Erythromycin

Common Drug Interactions

  • Warfarin
  • Theophylline
  • Carbamazepine
  • Ergotamine
  • Dihydroergotamine
  • Statins (like lovastatin, simvastatin)

Alternatives to Erythromycin

  • Azithromycin
  • Clarithromycin
  • Amoxicillin
  • Cephalexin
  • Ciprofloxacin
  • Doxycycline