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Drug interactions

Chlorpropamide + Erythromycin lactobionate

Severity: Minor

Chlorpropamide and Erythromycin lactobionate: 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

Macrolides have been reported to increase sulfonylurea effects, and both drugs can rarely cause cholestatic liver injury. The interaction is poorly characterized.

What this interaction means in plain words

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

Chlorpropamide belongs to Endocrine; Erythromycin lactobionate belongs to Anti Bacterial.

Evidence level: Low

Why it happens

Mechanism not established; possible additive hepatotoxicity and altered sulfonylurea disposition.

What to do

Monitor blood glucose and liver function tests during combined use. Counsel on hypoglycemia and jaundice symptoms.

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 Chlorpropamide with Erythromycin lactobionate?

MediHelp rates the interaction as minor. Chlorpropamide and Erythromycin lactobionate have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Macrolides have been reported to increase sulfonylurea effects, and both drugs can rarely cause cholestatic liver injury. The interaction is poorly characterized.

How serious is the interaction between Chlorpropamide and Erythromycin lactobionate?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood glucose and liver function tests during combined use. Counsel on hypoglycemia and jaundice symptoms.

What other medicines interact with Chlorpropamide?

MediHelp also lists interactions of Chlorpropamide with, for example, Ethanol, Exenatide, Insulin degludec-insulin aspart. The full list is on the Chlorpropamide page.

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