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Drug interactions

Ampicillin + Erythromycin

Severity: Minor

Ampicillin 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

A bacteriostatic macrolide may theoretically reduce the bactericidal action of ampicillin, but clinical evidence of reduced effectiveness is inconsistent. The combination is used in practice, for example in some obstetric and respiratory infections.

What this interaction means in plain words

Ampicillin 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.

Ampicillin belongs to Anti Bacterial; Erythromycin belongs to Anti Bacterial.

Evidence level: Low

Why it happens

Theoretical pharmacodynamic antagonism between a bacteriostatic macrolide and a bactericidal beta-lactam.

What to do

No routine change is needed; monitor clinical response in serious infections such as meningitis or endocarditis.

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?

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Frequently asked questions

Can I take Ampicillin with Erythromycin?

MediHelp rates the interaction as minor. Ampicillin 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. A bacteriostatic macrolide may theoretically reduce the bactericidal action of ampicillin, but clinical evidence of reduced effectiveness is inconsistent. The combination is used in practice, for example in some obstetric and respiratory infections.

How serious is the interaction between Ampicillin 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 routine change is needed; monitor clinical response in serious infections such as meningitis or endocarditis.

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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