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Drug interactions

Clarithromycin + Tropisetron

Severity: Moderate

Clarithromycin and Tropisetron: 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

Both drugs can prolong the QT interval. Co-administration may add to arrhythmic risk, especially with electrolyte disturbance or other QT-prolonging drugs.

What this interaction means in plain words

Clarithromycin and Tropisetron 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: Low

Why it happens

Additive QT prolongation.

What to do

Check ECG and correct potassium and magnesium before using both drugs. Monitor for palpitations or syncope, or use an alternative antiemetic or antibiotic.

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 Clarithromycin with Tropisetron?

MediHelp rates the interaction as moderate. Clarithromycin and Tropisetron 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. Both drugs can prolong the QT interval. Co-administration may add to arrhythmic risk, especially with electrolyte disturbance or other QT-prolonging drugs.

How serious is the interaction between Clarithromycin and Tropisetron?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Check ECG and correct potassium and magnesium before using both drugs. Monitor for palpitations or syncope, or use an alternative antiemetic or antibiotic.

What other medicines interact with Clarithromycin?

MediHelp also lists interactions of Clarithromycin with, for example, Astemizole, Avanafil, Cisapride. The full list is on the Clarithromycin page.

Full monographs, dosing and an interaction checker in the MediHelp app

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