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Drug interactions

Ambrisentan + Erythromycin

Severity: Minor

Ambrisentan and Erythromycin: minor interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Erythromycin may modestly increase ambrisentan exposure through transporter inhibition. The effect is small and unlikely to be clinically important, though adverse effects such as edema, headache and anemia could be slightly more likely.

What this interaction means in plain words

Ambrisentan and Erythromycin have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Ambrisentan belongs to Miscellaneous; Erythromycin belongs to Anti Bacterial.

Evidence level: Low

Why it happens

Possible inhibition of P-glycoprotein-mediated efflux of ambrisentan by erythromycin.

What to do

No dose adjustment is usually needed; monitor for edema and hemoglobin changes during long-term use.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Ambrisentan with Erythromycin?

MediHelp rates the interaction as minor. Ambrisentan and Erythromycin have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Erythromycin may modestly increase ambrisentan exposure through transporter inhibition. The effect is small and unlikely to be clinically important, though adverse effects such as edema, headache and anemia could be slightly more likely.

How serious is the interaction between Ambrisentan and Erythromycin?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No dose adjustment is usually needed; monitor for edema and hemoglobin changes during long-term use.

What other medicines interact with Erythromycin?

MediHelp also lists interactions of Erythromycin with, for example, Conivaptan, Dihydroergotamine intranasal, Dihydroergotamine. The full list is on the Erythromycin page.

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