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Drug interactions

Amlodipine-atorvastatin + Erythromycin stearate

Severity: Moderate

Amlodipine-atorvastatin and Erythromycin stearate: moderate 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 inhibits CYP3A4 and can raise amlodipine and atorvastatin levels. This may cause hypotension or edema from amlodipine, and a higher risk of myopathy from atorvastatin.

What this interaction means in plain words

Amlodipine-atorvastatin and Erythromycin stearate can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Evidence level: Moderate

Why it happens

Erythromycin inhibits CYP3A4, reducing metabolism of amlodipine and atorvastatin.

What to do

Monitor blood pressure and watch for muscle pain or weakness; consider temporarily holding atorvastatin during a short course, or use azithromycin instead.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

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 Amlodipine-atorvastatin with Erythromycin stearate?

MediHelp rates the interaction as moderate. Amlodipine-atorvastatin and Erythromycin stearate can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Erythromycin inhibits CYP3A4 and can raise amlodipine and atorvastatin levels. This may cause hypotension or edema from amlodipine, and a higher risk of myopathy from atorvastatin.

How serious is the interaction between Amlodipine-atorvastatin and Erythromycin stearate?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood pressure and watch for muscle pain or weakness; consider temporarily holding atorvastatin during a short course, or use azithromycin instead.

What other medicines interact with Amlodipine-atorvastatin?

MediHelp also lists interactions of Amlodipine-atorvastatin with, for example, Amifostine, Apalutamide, Atazanavir. The full list is on the Amlodipine-atorvastatin page.

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