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Drug interactions

Eribulin + Erythromycin

Severity: Major

Eribulin and Erythromycin: major 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, so combined use may increase the risk of torsades de pointes. The risk is higher with electrolyte disturbance, bradycardia, or heart disease.

What this interaction means in plain words

Eribulin and Erythromycin can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.

Eribulin belongs to Oncology; Erythromycin belongs to Anti Bacterial.

Evidence level: Moderate

Why it happens

Additive prolongation of cardiac repolarization (QT interval).

What to do

Prefer a non-QT-prolonging antibiotic. If unavoidable, obtain a baseline and follow-up ECG and correct potassium and magnesium.

What to ask your pharmacist

  • Does the benefit of taking both outweigh the risk in my case?
  • Do I need any blood test, ECG or other check while on both?
  • What early warning signs should I watch for, and what should I do if they appear?

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 Eribulin with Erythromycin?

MediHelp rates the interaction as major. Eribulin and Erythromycin can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Both drugs can prolong the QT interval, so combined use may increase the risk of torsades de pointes. The risk is higher with electrolyte disturbance, bradycardia, or heart disease.

How serious is the interaction between Eribulin and Erythromycin?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Prefer a non-QT-prolonging antibiotic. If unavoidable, obtain a baseline and follow-up ECG and correct potassium and magnesium.

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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