Drug interactions

clarithromycin + digoxin

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.

Overview

Severity: Major · Evidence level: Moderate

↑ digoxin levels/toxicity.

Mechanism of action

P-gp inhibition; microbiome effects.

Clinical management

Avoid or monitor digoxin levels closely.

Drug reference

References

Frequently asked questions

Can I take clarithromycin with digoxin?

The interaction is rated: Major. ↑ digoxin levels/toxicity.

How serious is the interaction between clarithromycin and digoxin?

The interaction is rated: Major. Evidence level: Moderate.

How is the interaction between clarithromycin and digoxin managed?

Avoid or monitor digoxin levels closely.

Why do clarithromycin and digoxin interact?

P-gp inhibition; microbiome effects.

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